RaLytics is an industry leading healthcare information technology company that provides a full range of professional, software development, analytics, and executive-level advisory services in the areas of healthcare strategy, risk optimization, business transformation, and acquisitions. These services assist healthcare payers, providers, and compliance experts deliver quality solutions that reduces cost and financial risks while improving revenue efficiencies and care.
A New Way
to Take the Uncertainty Out of Risk Adjustment
RaLytics applies artificial intelligence to solve risk adjustment challenges for Payers, Compliance Officers, and Providers.
Leverage the Powerful
Evaluate and identify vulnerable medical record documentation for internal compliance, Provider education and training, and mitigating audit risk by oversight entities.
Optimize risk by identifying gaps between patient encounters and medical record documentation to improve beneficiary management and reimbursement accuracy.
Regulatory Risk Review
Reduce regulatory risk by leveraging Medicare Advantage program policy expert reviews and medical record evaluation to greatly improve the quality of evidentiary artifacts.
Who We Serve
RaLytics overarching goal is providing unique solutions and technologies to improve the Medicare Advantage system for everyone.
RaLytics solutions help improve the Medicare Advantage risk adjustment ecosystem for Payers, Providers, and Compliance Officers.
We’re turning burden into opportunity for stakeholders, enabling them to grow and adapt in a changing healthcare system.
Streamlining Medicare Advantage
Put Artificial Intelligence, Interoperability & Analytics into Action
Our RaLytics platform, underpinned by policy-driven technology solutions and algorithms, reduce burden by streamlining acquisition, transfer and evaluation of medical records, while providing previously unavailable insights.
Contact Us to Learn More
Ready to Get Started?
RaLytics is excited to show you how our solutions can work for your organization. Please contact us to get started on improving your RADV experience.
Keeping You Informed
Latest News & Articles
The 21st Century Cures Act Impact on Medicare Advantage Risk Adjustment: Part IV – Using Multiple Years of Diagnosis Data
A key provision of the CCA would significantly expand the relevant timespan for medical record reviews, offering both opportunities and challenges.
The recent reinstatement of the overpayment rule has significant implications for Medicare Advantage plans.
The US Court of Appeals for the District of Columbia Circuit has issued a landmark ruling which has important implications for risk adjustment payments in the Medicare Advantage program.