Talix, Inc., a premier provider of healthcare risk adjustment solutions, today announced it is partnering with health information technology leaders NextGen Healthcare, Allscripts and Capstone Performance Systems to make the Talix Coding InSight application available to customers through the companies’ respective application portfolios.
With Coding InSight, customers using NextGen, Allscripts and Capstone systems and services will be able to easily integrate risk adjustment processes for patients in Medicare Advantage and Commercial Exchange plans at the point of care. The application enables providers to identify and close coding gaps so they can better manage patient risk, deliver improved care planning and successfully optimize risk-based reimbursements. Powered by Talix’s patient analytics platform – the HealthData Engine – Coding InSight combines proprietary natural language processing (NLP) technology, a clinical rules engine and a comprehensive medical taxonomy to analyze structured and unstructured patient data from disparate sources to uncover missed coding opportunities.
“Our partnerships with NextGen, Allscripts and Capstone will advance our shared goal of enabling healthcare providers to optimize patient risk and risk-based reimbursements by making the coding process simpler, more accurate and more efficient,” said Dean Stephens, CEO of Talix. “Coding InSight’s seamless integration into the user’s workflow at the point of care means clinicians will benefit from accurate coding in real-time, allowing for improved care delivery and patient outcomes.”
The Coding InSight application will be offered in the following ways:
NextGen Healthcare – NextGen Healthcare is the first partner to offer Coding InSight through its Electronic Data Interchange (EDI) solution. NextGen® EDI is integrated with the Company’s ambulatory EHR to provide its clients, who are increasingly moving to risk-based contracts, with a risk adjustment solution to enable them to effectively manage their patient population, streamline patient care and succeed in risk-based contracts.
Allscripts – Through the Allscripts Developer Program (ADP), Coding Insight can be integrated into the Allscripts EHR using the Allscripts Open API. Allscripts clients will be able to access the application through the Allscripts Application Store, giving them the ability to optimize patient risk scores and associated reimbursements, all while ensuring sufficient documentation for Risk Adjusted Data Validation audits.
Capstone Performance Systems – Capstone will offer Coding InSight to organizations participating in the Programs of All-inclusive Care for the Elderly (PACE), Accountable Care Organizations (ACOs) and similar programs. Capstone will also use Coding InSight internally to augment the delivery of its Medicare risk adjustment services portfolio, including outsourced coding and chart audits. With Coding InSight, Capstone’s professional coding staff will benefit from a streamlined workflow and increased efficiency, while providing their customers with optimized patient risk-scoring and more accurate, efficient and complete coding performance.
About NextGen Healthcare
NextGen Healthcare, a wholly owned subsidiary of Quality Systems, Inc., develops and provides a range of software and services for medical and dental group practices, including practice management and electronic health record applications, patient portal, interoperability and connectivity products, and population health management and analytics offerings. Services include managed cloud services, revenue cycle management, claims clearinghouse, data interchange and value-add consulting. The Company’s solution portfolio is readily integrated and collectively positioned to drive low total cost of ownership for its client partners, as well as enable the transition to value-based healthcare. For more information, visit www.nextgen.com and www.qsii.com. Follow us on Twitter, Facebook, LinkedIn and YouTube.
About Capstone Performance Systems
Capstone Performance Systems specializes in helping client organizations adjust processes and systems to capture timely, complete and accurate data. Capstone experts train client staff and providers about documentation and diagnosis coding, analyze data collection and submission processes, and deliver meaningful analytics for understanding the complexities of Medicare risk adjustment. Managing Medicare risk scores can have a significant impact on an organization’s performance and revenue. Capstone is a Tabula Rasa Health Care company. For more information, visit www.capstoneperformancesystems.com and www.tabularasahealthcare.com.
Talix provides patient risk management solutions to help healthcare organizations address the challenges of value-based healthcare and risk-based contracts. Its SaaS applications leverage patient data analytics to turn structured and unstructured health data into actionable insights that drive improved risk adjustment, better patient outcomes and reduced costs. For more information, please visit www.talix.com or follow @TalixHealth on Twitter.