Prospective & Retrospective HCC
Magenta produces a rapid, detailed analysis from historical claims data that identifies missing HCCs by members including RAF impact. Output is returned in digital format of customer’s choosing or Magenta’s web-based dashboard.

HCC & Diagnosis Deletes
Magenta's analysis is fine-tuned to identify members with incorrectly assigned HCCs, members at a higher acuity rate than likely appropriate, and members that are under-treated and need more clinical support for their conditions.

Member Segmentation & Prioritization
Member engagement patterns are surfaced to enable review targeting based on actionability. Organization specific rules can be incorporated to tag suspect members and conditions for specific workflow processes.

Coder & Clinician
Productivity Tools
Magenta’s dashboard provides 10x productivity improvements for coders and clinicians by connecting the HCC suspect list to the relevant clinical documentation for rapid validation.

Benefits

Full Population
Scan
By starting with claims data, our process looks at all members of the population simultaneously. This instantly gives you a holistic view of your patient population.

Acceleration of Clinician Validation
Clinicians are provided with the specific member, encounter, and clinical documentation to address the suspected care gaps.

Missing HCCs
Identified
50,000+ rules including local market pattern practices and SDOH factors are used to evaluate members’ existing HCCs and identify care gaps.

Complete Care
Gap Closure
Magenta confirms that gaps were closed by monthly automated data review with open gaps tracked and reported. Reimbursement for closed gaps is tracked and validated.

Transparency Behind Logic
Each potential finding for  a given member can be viewed on a timeline showing all member claim events with underlying reasons highlighted for direct access to data and relevant clinical documentation.

Our Analytics Suite

Benefits

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