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DUOS is a digital health company focused on helping older adults stay connected and age independently. Founded in 2020, DUOS connects Medicare beneficiaries and their caregivers to the resources needed to attain the highest level of health. The DUOS SaaS platform and activation programs improve plan performance, enhance the continuum of care, and improve well-being and satisfaction through highly contextualized, personalized and timely campaigns. Visit getDUOS.com to learn more.

ECLAT offers a fully integrated platform that can be licensed directly as a Software-as-a-Solution (SaaS) that supports BOTH prospective and retrospective review utilizing NLP/ML and NLP/ML-enabled Pre-Visit & Post-Visit (Pre-Bill) HCC CDI Solution with Configurable NLP technology processes both structured and unstructured chart data as well as claims data that are surfaced to the providers in the EMR so they can confirm or deny for documentation improvement opportunities.

At Secondwave, we proactively address risk adjustment and quality gaps with high-touch, human-driven, and technology-enabled programs. We understand that provider engagement and education are pivotal components of a successful risk adjustment program and our point-of-care information enables providers to refine their documentation while interacting with patients. Security, accuracy, and compliance are core to everything that we do. Our customers will benefit from improved clinical documentation and reimbursement accuracy, enhanced practice efficiency, reduced administrative burden, reduced audit and compliance risk, and improved STAR ratings.

Cognisight has been partnering with healthcare payers and providers to deliver high quality risk adjustment solutions since 2006. With more than 100 clients in over 40 states, we continue to lead the industry through collaboration, quality, and transparency with a strong focus on providing unparalleled service. Whether you’re looking for a full-service partner or a single solution, Cognisight is a risk adjustment partner you can trust. (877) 271-1657 | Cognisight.com | info@Cognisight.com

With 30 years of research, Creyos elevates cognitive and behavioral healthcare for physicians nationwide. From screening to care planning, the Creyos platform ensures precision and efficiency in diagnosis. Our dementia protocol meets CMS-HCC Model V28 standards, aligns to DSM-5 diagnostic criteria, and incorporates Alzheimer’s Association recommendations for care planning. Published in over 400 peer-reviewed studies and with a database of 85,000 subjects, Creyos is the trusted solution for thousands of clinicians and major health systems. Discover more at creyos.com.

Over The Counter Health Solutions (OTCHS) by CVS Health help consumers connect with their supplemental benefits, lower the cost of care and drive value for health plans and their members.  With various products available, including our newly launched Flex Card which consolidates multiple benefit needs across a broad spectrum of services like healthy foods, dental, vision and hearing services, home health care, transportation, and more, OTCHS by CVS Health is able to customize a program to satisfy any plan’s need.    

Want to improve Risk Adjustment coding speed and accuracy, minimize risk of coding errors, and boost productivity and efficiency? Consider HCC Coder™ - the only software available for Risk Adjustment coding that was built from the ground up by medical coders, for medical coders. HCC Coder boosts productivity and efficiency using an interface that is intuitive; one that has been refined to move step-by-step along with your coding/auditing process. It’s packed with all of the content you need and eliminates everything else. You won’t have to wade through irrelevant information to find the Hierarchical Condition Category codes most relevant to your work.

Inovalon is a leading provider of cloud-based software solutions empowering data-driven healthcare. The Inovalon ONE® Platform brings together national-scale connectivity, real-time primary source data access, and advanced analytics to enable improved clinical outcomes and economics across the healthcare ecosystem. The company’s analytics and capabilities are used by more than 20,000 customers and are informed by the primary source data of more than 71 billion medical events across one million physicians, 622,000 clinical settings, and 359 million unique patients. For more information, visit www.inovalon.com.

InterSystems is the engine behind the world’s most important applications. In healthcare, business, government, and other sectors where lives and livelihoods are at stake, InterSystems is the power behind what matters™. Founded in 1978, InterSystems is a privately held company headquartered in Cambridge, Massachusetts (USA), with offices worldwide, and its software products are used daily by millions of people in more than 80 countries. For more information, visit InterSystems.com.

RAAPID is a healthcare technology company serving payers, healthcare providers, and other supporting organizations. Their platform uses artificial intelligence (AI), machine learning (ML), medically trained natural language processing (NLP), and knowledge graphs to power workflow applications that help healthcare organizations shift to value-based care. RAAPID's cloud-based Risk Adjustment platform - SaaS and API - takes structured and unstructured patient data to extract accurate chronic conditions and determine the corresponding HCC codes, calculate risk scores, identify gaps in care, and analyze population health trends. RAAPID enables payers, providers, and other organizations participating in Medicare Advantage, ACA, and Medicare ACO programs to drive revenue and reduce administrative costs with customized solutions.

Virtix Health is the leader in medical record retrieval and risk adjustment coding, helping health plans maximize accuracy, efficiency, and financial performance. With the nation’s top retrieval network and our proprietary Linx platform, we achieve up to 50% higher retrieval rates and 95% coding accuracy. Our team of 13,000+ certified coders, abstractors, and auditors delivers unmatched speed and transparency without compromising quality. We specialize in risk adjustment for Medicare Advantage, Marketplace/ACA, and Medicaid MCOs, integrating seamlessly with industry partners to optimize outcomes and reduce administrative burdens. Learn more at www.virtixhealth.com.

The Wolters Kluwer Health Language platform ensures that anyone who relies on healthcare data can trust that it is accurate and fit-for-use. With the most robust data, AI-enabled technology and decades of experience working in healthcare, the Health Language platform ensures that the quality of your data is maintained to meet your needs, because good data powers better health. Leveraging a curated and continuously updated library of industry standards, organizations can maintain a single source of truth for their healthcare data, which can be easily accessed in the cloud. This trusted terminology foundation serves as the benchmark for managing all codes throughout the data value chain and helps identify and maintain relationships across data sets. From point of care documentation to data normalization, analytics, and risk adjustment, healthcare data is messy. Health Language can clean it up, ensuring that good data powers better health.

At Annova Solutions, we empower health plans to optimize performance and achieve superior outcomes. Our expertise spans risk adjustment coding across all lines of business, including Medicare (Part C & D), ACA, and Medicaid (CDPS). Whether retrospective, concurrent, or prospective, we ensure coding accuracy, compliance, and financial integrity. 

Beyond coding, we enable health plans and providers to enhance the member experience, improve Star Ratings, and achieve operational excellence. By prioritizing efficiency and quality, we equip organizations with the expertise and tools needed to drive financial performance, maintain compliance, and ensure long-term success.

BeamMed is a developer and manufacturer of bone density assessment and monitoring solutions who has pioneered the early assessment of bone density, with the first – and still the only – devices that enable ultrasound-based, multi-site measurement for the early assessment and monitoring of osteoporosis.  BeamMed’s Sunlight product line overcame the cost and radiation exposure-related challenges of Dual X-ray Absorption technology (DXA).  As the only hand-held portable device, currently on the market, the MiniOmni offers high accuracy, small size, ease of use, reliability, excellent affordability, and radiation-free operation that can easily and safely be used in any doctor’s office, clinic, HMO, healthfairs, mobile medical vans, or retail venue such as pharmacies and checkup centers.  HMO plans and providers rely on MiniOmni to screen more patients more often, to Close The Gaps and improve HEDIS OMW quality measures and achieve 5 Stars Maximization.

CoventBridge Group has more than 25 years of experience in the identification, prevention and investigation of fraud, waste, and abuse for our customers across the healthcare, insurance, financial and government markets with a proven track record of implementing and managing the largest programs in the industry. CoventBridge is the partner of choice supporting:

• Centers for Medicare and Medicaid Services managing the Unified Program Integrity Contractor program investigating Healthcare FWA since 1997
• One of the largest government agencies providing a national network of undercover investigators
• 700 National licensed employee investigators, many of which are former OIG, DOJ, FBI investigators

Program Management

• Audits & Assessments
• Compliance Assessment
• Medicare & Medicaid FWA
• On-site Audits
• Vendor Management

Document Retrieval & Analysis

• Medical Record Retrieval
• Medical Record Review & Coding (RN)
• Investigative Medical Record Review
• Medical & Healthcare Canvassing

Investigative Services

• Healthcare FWA Investigations
• Investigative Reports
• Clinical Surveillance
• Law Enforcement Referrals
• Alive and Well Checks

Staff Augmentation

• Data Analysts
• Investigators
• Nurse Reviewers
• RN Consultants

For more information, visit Health Plan FWA Solutions | CoventBridge

Get Well is redefining digital patient engagement by putting patients in control of their healthcare, inside and outside the hospital. Get Well combines advanced AI navigation with high-touch care experiences to improve patient activation, loyalty, and outcomes and reduce the cost of care. Get Well serves more than 10 million patients annually at over 1,000 hospitals and clinical partner sites, using longitudinal data analytics to better serve patients and clinicians.

Welcome to the intersection of healthcare, technology, and compassion.

With our team’s extensive experience in healthcare management, MeaeCare’s nationwide network of doctors and nurses stand ready to be there for you. With the support of our AI-driven, proprietary data-gathering tools, our highly qualified team of clinicians can be your advocate to becoming an active participant in your healthcare.

Our goal is simple: optimize the quality of care you receive, therefore improving outcomes, mitigating risk, and completing quality healthcare measures.

Cognitive health starts here. Changing the trajectory of Alzheimer’s and other dementias begins with routine cognitive screening. Neurotrack develops turnkey digital tools for providers that can be easily delivered at scale to facilitate early detection of cognitive impairment and ongoing monitoring of cognitive function. Our patient-guided, clinically-validated assessments work in the clinic or at home to fit any workflow. The company also provides patient education and behavioral health support to address modifiable risk factors. Learn more at Neurotrack.com. 

Paubox

S2M

SNT Biotech is a leader in At-Home Screening Solutions for chronic conditions such as Colon Cancer Screening, Diabetes HbA1C, Cervical Cancer Screening, Heart Health and KED Screening.

We partner with health plans and MCOs to help them improve quality scores, close gaps in care, save costs and improve health outcomes with our comprehensive solution that is focused on improving member engagement and compliance rates. Our comprehensive solution covers everything from kitting, bulk mailing, omni-channel member engagement via call, text and email, personalized communications and a robust software with a live dashboard and reporting capabilities and laboratory testing services. Additionally, we own and operate a CLIA and COLA accredited laboratory.

We are based in IL, and are a trusted partner to many health plans nationally. Schedule a demo with us to see how we can help you improve quality scores and close gaps in care with our customized solutions.

Health systems across the country rely on Verisma for timely and accurate fulfillment of medical record requests. Our award-winning technology is enhanced by our intimate knowledge of release protocols for each facility we serve, includes health plan API options, and supports the data standard for C-CDA. Payers with large request volumes leverage Verisma’s direct provider relationships to streamline process and obtain records from the specialists trained and authorized to pull them. A trusted partnership with us is truly a promise of efficiency for Medicare Advantage Plans, ACA, RADV audits, and HEDIS scoring