Health plans currently work on deterministic checklists when submitting the claims data. They compare against historical Hierarchical Condition Categories (HCCs) benchmarks to review the data of members with risk score in top 20 percentile mark
AI-based Analysis on every possible slice of data thus eliminating the need of deterministic checklists based on medical charts. It also shows errors which are unknown to the user
Our solution comes with out-of-the-box knowledge base of 2 billion plus HCC coding patterns of the entire Medicare FFS population of the country
The tool enables organizations with Medicare risk-based contracts to achieve significantly higher revenue without significant increase in their investment of resources. MCode does not require medical charts to detect anomalies as required by the existing solutions in the market
Quick data ingestion on our MGest platform which is compatible with most of the data source systems in the industry. Data security insured through virtual or cloud systems
We at HiLabs are making businesses better for several of the country’s health plan. We understand your needs, are flexible to customization and are ready to bring in the change through our rich experience in this industry
About HiLabs, A cohort of experienced Engineers, Data Scientists and Physicians.
Subscribe to our newsletter and stay up to date with the latest news and deals!