Overview of Consulting Solution for Health Plans & ACOs

Overview of
HCC Validation Consulting

TogetherMD’s innovative GapAI™-powered HCC solution enhances workflow efficiency for clinical and pre-visit teams, driving organization-wide, value-based care success.

Key workflow actions
  • Prioritize: GapAI™ assigns scores to all charts, focusing our experts attention and coding efforts on high-value patient accounts.
  • Assess: TMD CDIs and GapAI™ scrutinize every chart, identifying opportunities for clinical validation and revenue capture.

  • Perform: TMD CDIs provide intuitive “agree” and “disagree” workflows for simplified and productive workflows, yielding 7:1 returns.

Primary Results for Health Plans & ACOs

Key Results of
HCC Validation Consulting

GapAI’s automated detection of missed HCC diagnoses streamlines chart review, enhancing productivity and boosting RAF scores.

27%

More
Validated Codes

80%

Reduced
Coding Workload

1

Additional HCC
per 5.5 Chart Reviews
Key Benefits for Health Plans

Key Benefits of
HCC Validation Consulting

Integrating GapAI™ with risk-adjusted advisory strategies boosts RAF scores and streamlines workflows, empowering payer and ACO teams.

Optimal
Code Capture

Uncover supported HCC codes using GapAI-enabled diagnosis suggestions

Efficient
Workflows

Increase productivity by 400% through AI-driven case prioritization & automation

Flexible, Scalable
Technologies

Integrate EMR data seamlessly into existing workflows with scalable tools

Enhanced
Compliance

Ensure regulatory compliance with GapAI™-powered coding validation

AI Technology for Health Plans

Built-in Intelligence for
HCC Validation Consulting

Data flows from various sources—EHR, claims, MSOs, and HIE—and different modalities, including unstructured notes, scanned documents, imaging, and labs. Our advanced GapAI™ engine classifies and interprets this data to ensure precise representation of patient risk status, leading to exceptional accuracy and optimal RAF scores.