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SOLUTIONS

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The CARAT Expert System identifies severity and
complexity from clinical notes using advanced natural
language processing and machine learning rules to
properly code the acuity of each patient’s disease state.

Consolidated problem list for quality care and risk management

Improved risk adjustment scores for accurate revenue

Accurate severity and complexity from clinical notes

KEY FEATURES

HIGH ACCURACY

CARAT maps the notes to standard ontology and assigns the improved set of severity codes with higher precision

CONNECTS TO EHR

CARAT connects to most EHRs through an open API or customized interface
.

TIMELY

CARAT has a scalable architecture that enables processing of records within minutes

FLEXIBILITY

CARAT can be integrated within different workflows for increased accuracy and standardization in coding across providers

CONVERTS FROM PDF

CARAT can process data from PDF and other binary typed documents

USABILITY

CYBEXYS can customize the integration and user experience to achieve the desired level of adoption by each customer

WORKFLOW

HEALTH PLANS

CARAT provides concurrent review of clinical documentation after each encounter, empowering health plans to optimize risk adjustment throughout the year in order to allocate payments to providers in alignment with the level of severity and complexity for each of their members, to ensure more accurate diagnostic information for continuity of care.

CARAT extracts documented conditions from structured and unstructured clinical data in medical records, which are missing in the problem list or miscoded in the claims.

CARAT automates the review of previous years’ medical records to identify incomplete documentation in the current year’s notes, which may reflect missing continuity of medical care and compliance.

PROVIDERS

CARAT empowers Accountable Care Organizations, Managed Service Organizations, Independent Physician Associations, and Integrated Delivery Networks to optimize risk adjustment throughout the year, better manage the actuarial/financial risk of the organization and allocate funds to support each patient’s care in alignment with the level of severity and complexity of their disease state.

CARAT extracts documented conditions from structured and unstructured clinical data in medical records that are missing in the problem list or undercoded in the claims. It also provides more accurate HCC weights on a prospective basis, reducing the need for retrospective audits.

CARAT automates the review of previous years’ medical records to identify incomplete documentation in the current year’s notes, which may reflect missing continuity of medical care and compliance.

PARTNERS

Risk Adjustment

Revenue Management

Electronic Health Records

Health Insurance Exchange

Population Management

Consulting Services

We partner to enhance your offering and extend your services to support our clients with a comprehensive portfolio of solutions.

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