Powerful software platforms that enable decision-makers to significantly improve program effectiveness, increase payment accuracy, positively impact care and wellness initiatives, and drive commercial effectiveness.
Enhance care management with products that can target population health analytics for timely interventions that reduce overall cost of care. Our products geared toward risk adjustment analytics and quality scores drive better care and provider efficiency and also generate CMS revenue. Rectify diagnosis codes in CMS denied claims with our one step identification and correction software.
SCIOVantage® combines a powerful analytics engine with increasingly actionable dashboards to deliver superior population health management and network analytics. Take advantage of three modules (Inform, Impact and Intervene) that utilize descriptive, predictive and prescriptive analytics as well as three add-on modules (Workflow, Notify and Connect) to serve your healthcare business needs.
SCIOClarity™ Analytics is a Medicare risk adjustment and quality measure software solution delivering data transparency for health plans and providers looking to close care gaps and improve provider efficiency.
SCIOClarity™ Member Outreach & Provider Collaboration is a prospective end-to-end service for closing care gaps. The service includes provider engagement, member outreach, data collection, coding and data entry.
Review claims and subrogation cases for greater payment integrity and ROI with our proprietary products. Apply risk adjustment analytics to design effective performance based programs or calculate RAF scores and determine how it affects payer reimbursement. Integrate multiple sources of data and processes to manage the entire audit life cycle of your cost containment efforts.
MY SOCRATES® is SCIO’s proprietary subrogation technology platform that efficiently imports, filters, identifies, reviews, tracks and processes a large volume of subrogation cases for health payers.
Using advanced predictive analytics that incorporate a deep knowledge of industry coding rules, risk adjustment, quality measures and regulations as well as clinical and claims review expertise, SCIOClarity™ Analytics helps calculate ROI and increases CMS revenue.
SCIOHub™ is a personalized portal for creating user dashboards, reports and applications, which can bring to life key measures and metrics, save time and effort, and present clear insights into the teams’ business area.