Creative Solutions
for the SHIFT to Value-Based Care
Multiple Risk Adjustment Business Strategies Supported by the Talix Platform. We have transformed how payers and providers leverage software to address any risk adjustment strategy that fits your organization.
The Talix Platform
Turning unstructured patient data into usable coding output for payers and providers.
Talix supports:
In-house set up where administration, QA, and chart reviews are conducted with internal staff.
Outsourced where most of your HCC coding operations are assigned to third-party vendors.
Hybrid model where some administration and QA are in-house and the bulk of the coding is conducted by a third party vendor.
In addition, all customers enjoy using our real-time reporting and analytics infrastructure to track progress on your coding campaigns and to report to every level of your organization, from the business unit to the C-suite. And you have direct insight into how your chart review vendors are performing.
Talix solutions address all 3 phases of Risk Adjustment. For payers, our applications are designed to address the specific prospective and retrospective chart review needs of payers. The workflow applications address first level and second level review, and can satisfy both coding “adds” and “deletes.”
For providers, we solve for all 3 phases:
PROSPECTIVE
CONCURRENT
RETROSPECTIVE
In fact, Talix deployed the first in market coding applications to support physicians at the point of care. Integrated directly into the EHR workflow, our chart and encounter review capabilities enable physicians to “code for care” quickly, easily, and effectively. Delivering software that works is the hallmark of Talix.
The Difference
Only Talix offers a complete suite of medical data processing solutions for health plans and medical providers. Whether your claims processing is outsourced, in-house, or a hybrid of both, the Talix system improves your accuracy, efficiency, and bottom line. Make your Risk Adjustment department an indispensable part of your operational strategy.
Risk Adjustment Solutions and Results Overview for Payers and Providers
Payer Solutions
Improve coder efficiency and accuracy for reduced costs, increased revenue accuracy, and improved drive risk adjustment ROI.
Provider Solutions
Easily find missed HCC codes and documentation gaps—pre-encounter and/or at the point of care—for improved care planning and more accurate RAF scores and reimbursements.
Read blog articles on latest trends and ideas pertaining to value-
based care and risk adjustment solutions.
What our Customers are Saying
