Medicare Advantage and PACE HCC risk management depends on your ability to get the full picture of health for every patient.

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The DxSelect team has over a decade of experience reviewing more than a million medical records with an average 96.85% inter-rater reliability. We provide both full managed services and software solutions designed to help payors more accurately gauge the risk associated with their member populations.

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About Us

Experience

As pioneers in risk adjustment coding, chart review services, proprietary review software and RADV support, we are the most qualified and trusted team in the industry. Our focus is to support plans and payors most likely to benefit from our expertise and business model.
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Accuracy

Our proprietary algorithms and processes are built on a solid understanding of medical practice and diagnostic requirements. We deliver efficient data collection, management and preparation—with triple review and analysis by experienced clinicians, certified coders, data experts and compliance professionals.

Trust

We’re your partners—with business model options that depend on getting results, transparent processes, content you can access anywhere and outcomes you can count on. Every time.
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What We Do

Medical Record Coding and Review

Complete peace of mind. DxSelect provides experienced, licensed clinicians who are certified coders to review 100% of medical records—retrospectively or concurrently. Every finding is supported by auditable content designed to comply with all applicable guidelines (CMS, ICD-10-CM, RADV, etc.) and is reviewed multiple times by our licensed clinicians. You’ll receive tested, transparent results.

Self Service Review

Our tools. Your talent. If you prefer to review your own records, DxSelect offers a suite of tools and training, including pre-programmed tablets and management dashboards. Easily collect and confidently submit files to CMS, with the option of additional review and testing by our dedicated quality assurance team of licensed clinician coders.

RAPS and EDPS Submission Services

End-to-end efficiency. DxSelect now provides CMS Submission Services for RAPS and EDPS—DxSubmit! No need to engage a third party when a single team can manage and implement your entire review process—from analytics to submission—with rigorous testing, transparency and detailed reporting. Monitor review progress, submission status, post-submission response details and monthly CMS reports all in a secure, cloud-based, fully HIPAA-compliant environment.

RADV Solutions

Support when and where you need it most. DxSelect reviews 100% of documentation in your medical records, gathering support for any HCCs identified by CMS for RADV review—all the way through to provision of (CMS) CDAT-ready submission files. We’ll work closely with you throughout the audit to provide rationale for coding decisions and back-up for clinical decisions. After the audit, we’ll assist you in creating processes and tests to anticipate and eliminate future risk.

DxSelect Document Management Solutions

Reduce provider abrasion, avoid multiple, repetitive record pulls and simplify record management storage with our secure, easy to use document management system. Supports enhanced annual visits, ACA, RADV and HEDIS content accessibility, and integrates with our Provider Contact Management system.

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Services

Clinical Risk Analysis

Analyze risk score trends to better anticipate member needs and support better plan design.

Customized Financial Reporting

Slice your reimbursement by plan benefit package, county, and disease state and use to gain invaluable insight into your member population.

Bid Rate Support

As the blended benchmark changes, bid rates will become increasingly complex. We help you understand, analyze, and plan for the bid process.

Clinical and Population Reporting

Customized reports by beneficiary, provider, and disease state are priceless clinical tools. Using our proprietary DxAnalyzer, we help organizations track chronic diseases and develop plans for early intervention.

Health Risk Assessments

Knowing your beneficiaries is the key to providing quality care. We work with organizations to develop, implement, and retrieve health risk assessments that help organizations be confident they are doing all they can.

Encounter Data

The future of risk adjustment hinges on encounter data. We work with organizations to gather, format, prepare, test and submit encounter data in 5010 compliant formats, regardless of the present state. Ask us how we can help you with Encounter Data.

Processing of Claims to the Risk Adjustment Processing System (RAPS)

While the Centers for Medicare and Medicaid Services gear up for encounter data, it is crucial for plans to ensure their RAPS submissions are accurate. DxSelect ensures diagnoses are captured in accordance with CMS guidelines.

Provider Profiling

By population or patient, disease-specific or use, quality metrics and incentives, disease management and support services.

Patient Profiling

Individual demographics and contacts, conditions and treatments, contacts and preferences, safety and access choices.

Provider Contact Management System

Provider-specific CRM tracks and monitors provider interactions across the organization. Manage provider access requirements and calendaring for seamless communication with provider base and transparency across departments.
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What Our Clients Say

Payors trust DxSelect to deliver results, as demonstrated by our unique no-upfront-cost business model, á la carte offerings and the recommendations of our clients. You can trust our insights and accuracy, driven by full-time, highly experienced review teams of licensed clinicians with coding certifications and exhaustive knowledge of CMS requirements.
Providers appreciate our transparent, painless, non-disruptive and flexible review process, our customized support to their internal teams, our actionable tools and excellent outcomes—along with our hands-on, customized provider education and ability to support each PACE organization’s specific needs.

Get in Touch

Get better with a more accurate picture of participant health. Let’s start with a free consultation.

Call 833-DxSelect (833-397-3532)
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