We are a group of dedicated and passionate people who make it our primary focus to help plans verify medical record documentation by member and create an audit trail to ensure that all CMS documentation requirements are met.
Additionally, DxID offers customized reporting by member, provider and plan, documentation to support earlier, more accurate interventions for members, as well as support for physicians in meeting their documentation requirements.
DxID provides Medicare Advantage plans and PACE plans with enhanced expertise in HCC Management. At DxID, we help to ensure PACE participant and Medicare Advantage member profiles are complete, resulting in the most appropriate reimbursement from CMS.
DxID offers financial services that simplify the complexities of risk adjustment. Understanding your revenue flow and what affects your bottom line is key to the success of your organization. Our reporting capabilities combined with our understanding of the risk adjustment system can help your organization identify and improve areas of revenue shortage.
Analyze risk score trends to isolate areas that need improving.
DxID offers a chart review process which combs through medical records to ensure all diagnoses have been accounted for.
Slice your reimbursement by plan benefit package, county, and disease state and use to gain invaluable insight into your member population.
As the blended benchmark changes, bid rates will become increasingly complex. We help you understand, analyze, and plan for the bid process.
Understanding where your data comes from and what it means is critical as the industry moves towards a data centric model. We know how doctors work. We know where there are gaps in the data as it is assumed to reflect care requirements and measurements. Our data management services will ensure you are getting the most accurate information possible. Where that data is insufficient, we will go out and get it.
Customized reports by beneficiary, provider, and disease state are priceless clinical tools. Using our proprietary DxAnalyzer, we help organizations track chronic diseases and develop plans for early intervention.
Knowing your beneficiaries is the key to providing quality care. We work with organizations to develop, implement, and retrieve health risk assessments that help organizations be confident they are doing all they can.
While the Centers for Medicare and Medicaid Services gear up for encounter data, it is crucial for plans to ensure their RAPS submissions are accurate. The DxID RAPS processing system ensures diagnoses are captured in accordance with CMS guidelines.
The future of risk adjustment hinges on encounter data. We work with organizations to gather, format, prepare, test and submit encounter data in 5010 compliant formats, regardless of the present state. Ask us how we can help you with Encounter Data.
Our staff is experienced with national and targeted RADV audit management. Mitigate your risk of logistical error and let us support your RADV audit. We promise to collect every medical record and provide logical, supporting documentation for each and every valid submission.
DxCodeMapper is a free application from DxID that allows you to browse, search,
and convert ICD-9 CM and ICD-10 CM diagnosis codes in accordance with CMS's established General Equivalence Mapping (GEM) methodology.
Betsy brings more than twenty years of experience on the technology and business side of health care, including product development, sales and marketing, strategic planning and development, and management. She possesses particular expertise in the field of electronic medical records and billing systems, and has held positions with health care providers and health care technology firms throughout the northeast.
Gino is responsible for the financial accounting operations of DxID including financial reports and a comprehensive set of controls and budgets designed to mitigate risk, enhance the accuracy of the company's reported financial results, and ensure that reported results comply with generally accepted accounting principles.
Dr. Haughton brings over twenty years of experience in health care research and clinical application of predictive modeling and risk adjustment to DxID as a physician and an engineer.
As Consulting Risk Adjustment Advisor, Dr. Haughton consults with DxID to support the interpretation of risk adjustment rules as they apply to Medicare Advantage and PACE formularies and technology tool development.
Brian brings two decades of experience to DxID with a keen sense for managing teams and systems that deliver value on time and under budget. He brings tremendous value to the leadership team at DxID which stems from a background in both software and hardware engineering and the risk adjustment industry.
Jenn brings more than a decade of experience to DxID. She oversees both the administrative operations staff as well as the clinical staff. These teams flex with the demands of our clients needs throughout the year and Jenn manages it all with a results driven approach.
DxID surveys each office by phone following the review
100% satisfaction rate
(96% of the offices called responded to the survey)
Our experience with DxID has been tremendously valuable already and we have only known them for about 8 months. We have already seen great benefits in terms of revenue as well as education. I have been consistently impressed with their professionalism, organization, security measures, and expertise. They are truly a partner in improving our PACE program.
All the reviewers have been "exceptionally professional, very unobtrusive, and have been doing exceptional work"
Great as you guys don’t make us print records and send them. You are one of the few companies that will travel to complete the review.
Ready to start your next project with us? That's great! We hope to hear from you soon!