Learn about the new CATRA Healthcare Suite at the upcoming Rise National Conference in Nashville on March 17-19th, 2024!
Meet Bryan Lee, VP Risk Solutions for FJA US, and set up an exclusive demo of the innovative CATRA Healthcare Suite Risk Adjustment solution.
Transforming Risk Adjustment
Stop looking in the rearview mirror with retrospective chart reviews
To schedule a demo, contact
Bryan Lee, VP Risk Solutions
Bryan.Lee@fja.com
Concurrent Review
- Monitor KPIs and key production metrics by LOB, source & segment
- Real-time status and messages for each encounter/medical claim
- Solution discovery of issues through drill-down analysis
Configurator
- Self-serve configuration of workflow rules engine
- Table driven parameters powered by FJA’s Product Machine Platform
- Tailor multi-conditional rules to organization’s specific needs
Insights
- Insights into every risk adjustment opportunity or gap
- Rollup reporting by LOB, member, provider group & disease segment
- Gap analysis and disease category monitoring
- Leverage CCSR, DXI, CMS/HHS & State Medicaid Risk Models
Modeler
- Dynamically model new parameters and rules
- Test impact prior to rolling them out to live production
- Set base-line model to build off of
- Base install configured from Industry leading default parameters and rules
Related Posts
May 30, 2023
FJA Awarded Top InsurTech Solutions Provider of 2023
FJA is thrilled to announce an esteemed award from CIO Applications. In a…
April 21, 2021
FJA Sees New South Florida Engagement Center as the Future Hybrid Working Model
FJA, the insurance technology company, has announced that it has signed a lease…
April 17, 2019
FJA Adds Evidence of Insurability and Medical Underwriting
FJA is pleased to announce the addition of Evidence of Insurability (EOI) and…