Press releases

M*Modal Launches Revolutionary Solution Suite for Improving Risk-Adjustment Documentation using Hierarchical Condition Categories (HCCs)

Published on October 17, 2016

Powerful, technology-driven solutions help healthcare organizations significantly advance risk-adjustment performance by optimizing HCC capture, improving outcomes and driving efficiency

Franklin, TN – October 17, 2016 – M*Modal, a leading provider of clinical documentation and Speech Understanding™ solutions, today announced the launch of its comprehensive, cloud-based  risk-adjustment solution suite to drive continuous and unparalleled improvement in documentation specificity and HCC code capture. This unique, end-to-end solution suite helps risk-bearing healthcare organizations meet the challenges of the HCC model by accurately capturing the disease burden and Risk-Adjustment Factor (RAF) scores, and being more quality focused.

M*Modal now offers a range of solutions to assess, identify, address and reduce the revenue leakage related to documenting the risk of patient populations. Utilizing proprietary Natural Language Understanding (NLU) technology, the M*Modal solutions bring unmatched clinical intelligence, automation and workflow efficiencies that can scale to the significantly larger volume of outpatient documentation. The goal is to help healthcare organizations adopt a strategic approach to rectifying HCC charge capture by optimizing chart documentation, which is the key to risk-adjustment payment integrity and a complete understanding of the patient to drive better outcomes.

“Maintaining quality documentation for the HCC framework is complex and requires a multi-pronged strategy that continually evaluates, monitors, and improves documentation quality. By improving the specificity  and quality of documentation in both real time and retrospectively, our HCC solutions help healthcare organizations holistically enhance their risk-adjustment performance: optimize ROI, identify gaps in patient care, and provide enterprise-wide insights into risk-adjustment documentation,” said Scott MacKenzie, CEO of M*Modal. “Our closed-loop method to HCC capture improves both front-end physician documentation workflows as well as back-end correction processes – with each informing the other – using advanced technologies that complement existing systems.”

Built on a single, EHR-integrated technology platform, M*Modal HCC solutions extend the widely-deployed outpatient CDI portfolio to help healthcare organizations better manage patient populations irrespective of the care setting. Only M*Modal provides such a comprehensive yet modular HCC solution suite that takes a completely novel approach to improve the reach and accuracy of risk identification and mitigation. The HCC solutions include:

  • Real-Time, Front-End Physician HCC Support: M*Modal provides sustainable, high-value and automated clinical feedback to physicians for creating fully-specified documentation that captures chronic risk conditions and the highest disease categories – in true real time and within the normal EHR workflow.
  • Back-End HCC Audit and Workflow Management: M*Modal identifies potential risk-adjustment opportunities by using leading-edge NLU technology to analyze both structured and narrative clinical charts. Automated chart review uncovers gaps in documentation, summarized evidence sheets streamline the correction workflow and an intuitive interface enables effective interaction among multiple stakeholders.
  • HCC Assessment and Planning: Leveraging advanced technology and expert services, M*Modal helps determine baseline performance on HCCs and uncover attainable opportunities related to deficiencies in clinical documentation, thereby enabling healthcare organizations to design better risk-capture strategies and consistent protocols.

To see first-hand how these solutions can help you take control of your risk-adjustment documentation and capitalize on HCC opportunities, please visit the M*Modal booth (# 1817) at the 2016 AHIMA conference being held from October 16 to 19 in Baltimore.

About M*Modal

M*Modal is a leading healthcare technology provider of advanced clinical documentation solutions, enabling hospitals and physicians to enrich the content of patient electronic health records (EHR) for improved healthcare and comprehensive billing integrity. As one of the largest clinical transcription service providers in the U.S., with a global network of medical editors, M*Modal also provides advanced cloud-based Speech Understanding technology and data analytics that enable physicians and clinicians to include the context of their patient narratives into electronic health records in a single step, further enhancing their productivity and the cost-saving efficiency and quality of patient care at the point of care. For more information, please visit www.mmodal.comTwitterFacebook and YouTube.

Media Contact:
Michelle Michaud
(615) 261-1729