Introducing the next generation
of risk adjustment and quality of care
Vatica Health offers a unique model that pairs expert clinical teams with cutting-edge technology at the point of care. By capturing more accurate and complete diagnosis codes, our solution helps improve financial performance for health plans and providers and reduces the risk associated with an audit.
We drive provider utilization of preventive services, enhance quality of care and patient engagement, and improve gain-share revenue.
painless diagnosis codes
Our pre-encounter prep work paired with EMR workflow integration helps practices efficiently capture diagnosis while reducing physicians’ administrative burdens.
We identify open care gaps to help providers understand where to take action when it matters most, at the time of the visit.
There’s a better way to facilitate risk adjustment,
and it all starts with the in-office encounter
We’re there at the
point of care
We ensure the encounter and documentation process run seamlessly. Vatica Clinical Consultants use real-world experience to surface the most appropriate codes, based on aggregated data from health plans, EMRs, and patients.
Less time with tech,
more time with patients
Spend less time coding and more time delivering care. We integrate into the provider workflow and leverage our platform to drive improvements to care and financial performance.
and reduce audit risks
The best record is the most complete record. Our solution is built around compliance to ensure appropriate documentation and coding. 100% of encounters are reviewed by RNs with advanced coding certifications.
Benefiting health plans, providers, and patients
Our combination of EMR-agnostic, proprietary technology and on-site clinicians increases engagement, improves coding accuracy and compliance, and ensures that value based care goals are met. Vatica Health’s solution also improves health and wellness of patients by facilitating the delivery of the Annual Wellness Visits, Preventive Services, and other clinical services for all patients. Our solution helps providers, health plans, and patients achieve better outcomes, together.
See how our solutions can work for you
Real Results, Real ROI
Improve Financial Performance
Health Plan: Complete and accurate diagnosis capture drives greater risk adjustment revenue
Provider: Higher volume of AWVs and other preventive services, incentives for plan-sponsored risk assessments, and gain-share drive greater revenue
Maximize Patient Engagement
Health Plan: Industry-leading member engagement: 60%+
Provider: Enhanced patient engagement through flexible workflows, administrative support and outreach strategies
Quality of Care
Enhance Quality of Care
Health Plan: Open care gaps are flagged and addressed during a PCP encounter
Provider: Comprehensive pre-encounter work empowers providers with necessary information to deliver the highest quality of care
Reduce Risk Associated
Reduce Risk Associated with RADV
Health Plan: Comprehensive quality improvement review process ensures coding compliance and completeness. 100% of encounters are reviewed by RNs with advanced coding certifications.
Boost STAR Ratings
Health Plan: Collaboration with providers to improve care enables health plan partners to consistently achieve 4-5 STARs for CMS quality ratings
Increase Risk Adjustment Yield
Health Plan: 25% higher risk adjustment yield vs. pre-Vatica performance
Let’s get acquainted
Enough about us, please tell us more about you and how we can help