RISK ADJUSTMENT TECHNOLOGY
ODIS ALERT™ is a Web-based product with intelligent, transparent, and customizable algorithms. Powerful analytical modules validate membership, detect members with potentially under-reported conditions, and identify claims with unsubstantiated diagnoses.
ODIS ALERT™ processes data from multiple sources like claims and encounters, integrates it with information from medical record abstraction process which is seamlessly incorporated into the adaptive learning engines to close gaps in care for members with chronic conditions. Executive and operational dashboards provide valuable information for financial forecasting, provider network initiatives, and clinical quality improvement activities.