Quality Measure & HCC Risk Adjustment Software
Gaps, measures, and risk scores come from one shared definition, so a count is the same in every app. Suspected HCCs are grounded in each patient's own claims, labs, and notes — and a coder accepts or rejects every one.
Quality & HCC Risk Adjustment in DAX Vantage
Care gaps
Open gaps per patient and measure for the active measurement year, with gap closure tracking and file management for supporting documents.
Quality dashboard
Measure performance by practice, provider, and payer, with configurable targets.
AI-assisted HCC coding
Suspected HCCs grounded in each patient's own claims, labs, and notes, with the evidence shown beside every suggestion. A coder accepts or rejects each one, and a RADV report exports per patient.
Risk scores
RAF by model year, risk bands, and a vulnerability index (VRI) on every patient list.
Readmission risk
A built-in model using LACE, prior admissions, age, ED use, and length of stay ranks discharges by risk.
Prevention quality indicators
AHRQ prevention quality indicators (PQI) by population.
Common questions
Does the AI decide which HCCs are coded?
No. DAX Vantage suggests suspected HCCs with the supporting evidence from the patient's own claims, labs, and notes shown beside each one. A coder accepts or rejects every suggestion, and a RADV report exports per patient.
Why do quality numbers match across reports?
Gaps, measures, and risk scores come from one shared definition in DAX Vantage, so a count is the same in the worklist, the quality dashboard, and every other app.
Works with the rest of DAX Vantage
One patient view and one prioritized list of work for every care manager.
Transitional Care ManagementDischarges arrive as episodes with the TCM windows, readmission risk, and billing details attached.
Patient Engagement & AI OutreachWorkflow-driven outreach over text, phone, and email — with optional AI assistants and compliance built in.
Scheduling & TelehealthVisits booked against real availability — from the app, the patient portal, or the AI assistants.
Population Health AnalyticsCost, utilization, quality, and team output from the same data the care teams work from.
See quality & hcc risk adjustment in DAX Vantage.
Tell us which contracts you are accountable for and where your care teams lose time today. We will show you what DAX Vantage looks like for that work.