RaLytics  

Delray Beach,  FL 
United States
http://www.ralytics.com
  • Booth: 1247

RaLytics™ solutions streamline and optimize payment and risk adjustment operations. Led by former CMS RADV policy and program leaders, we combine decades of payment policy experience with proprietary IT solutions. We equip clients with custom-designed repeatable solutions and productivity enhancing tools. Leveraging the RaLytics Payment Cycle Optimization Framework, clients recognize superior year-over-year revenue results in a compliant manner.


 Videos

RaLytics Risk Adjustment Solutions

 Products

  • RaLytics AI
    work faster. work smarter....

  • We invite Medicare Advantage organizations (and the vendors who support them) to discover how to reduce the burden of chart chase, optimize payment cycle management, validate coding, expand quality and care insights, improve patient documentation and stay ever-prepared for rating reviews and audits.
  • RaLytics
    Human and Artificial Intelligence...

  • We invite healthcare payers, plans, and providers (as well as the vendors who support them) to expand and advance risk adjustment, compliance, and revenue management operations with best-in-class solutions and industry leading know-how.
  • RaLytics Solutions
    Best-in-class Artificial Intelligence, Accessibility, Cybersecurity and Project Management solutions....

  • We invite healthcare payers, plans, and providers (as well as the vendors who support them) to discover how to enhance internal capabilities and resources by augmenting in-house operations with best-in-class Artificial Intelligence, Accessibility, Cybersecurity and Project Management solutions.
  • Artificial Intelligence Solutions
    Harness the power of Natural Language Processing & Machine Learning....

  • The RaLytics artificial intelligence platform harnesses the power of natural language processing (NLP) and machine machine learning, to produce action oriented reporting and enhanced data insights.
  • Cybersecurity Solutions
    Industry leading privacy & security....

  • Leverage tools hosted on the RaLytics safe and secure platform or establish your own HITRUST-certified cloud environment for compliant and secure storage and processing.
  • Accessibility Solutions
    Inclusivity in the digital world...

  • Achieve inclusivity in the digital world with accessibility tools, procedures, development, and training.

  • Project Management Solutions
    On-time & on-budget...

  • Take advantage of demonstrated-effective project management for on-time and on-budget development and delivery.

  • Rapid Medical Record Review
    Rapid medical record evaluation & coding validation...

  • Evaluate and identify vulnerable medical record documentation for internal compliance, provider education & training, and mitigation of audit risk. Machine-learning models are trained on output from certified (human) coders, not decision rules, for real-world results in a fraction of time.

  • Payment Cycle Optimization
    Ongoing data submission and payment cycle monitoring and support...

  • Optimize data submission and payment cycle management by identifying gaps between patient encounters and medical record documentation to improve beneficiary management and reimbursement accuracy.

  • Claims Anomaly Detection
    Claims scoring for downstream intelligence...

  • Score claims documentation for likelihood of support or reimbursement, generating input for further analysis or corrective actions.

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