RaLytics Is

RaLytics™ is a service-disabled veteran-owned small business (SDVOSB) specializing in Healthcare IT and Program Compliance. We combine regulatory expertise with innovative advisory and technology solutions to enhance compliance, financial stewardship, and security. Our experienced team, skilled in Medicare operations, regulatory policy, and data science, serves federal and state governments as well as commercial organizations. We deliver tailored, effective solutions that ensure compliance and drive successful outcomes, consistently completing projects ahead of schedule and under budget. Trust us to transform compliance into opportunity for your organization.

RaLytics Serves

We support public and commercial organizations in the evolving Healthcare IT compliance landscape. We understand government operations and how to meet its unique needs, providing tailored solutions for compliance, security, and financial stewardship. As trusted advisors, we also partner with businesses within the healthcare ecosystem to address specific challenges through expert consulting that optimizes performance, prioritizes resources, and mitigates compliance risks.

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Pioneering Expertise

Core Capabilities

RaLytics transforms healthcare operations through advanced solutions. Our expert team specializes in Accessibility, Cybersecurity, Data Analytics, and Enterprise Project Management. Experience unparalleled excellence and innovation to elevate your in-house operations.

Accessibility

Ensuring inclusive experiences for all users by offering comprehensive accessibility solutions and leveraging our deep expertise in compliance standards and regulations.

Cybersecurity

Safeguard your data and networks with our robust cybersecurity solutions, protecting your organization from evolving threats.

Data Analytics

Harness data and uncover valuable insights. AI-powered data analytics enables businesses to make efficient and effective data-driven decisions.

Project Management

From initiation to delivery, we provide expert project management services, ensuring timely execution and successful outcomes.

Healthcare Solutions

Transform medical record evaluation, optimize payment cycles, and improve risk scores in a compliant manner. Streamline processes, reduce administrative burden, and amplify claims analytics for efficient patient care.

MA Risk Adjustment

Maximize your Medicare Advantage (MA) plan’s potential with our expert-driven MA risk adjustment solutions. Achieve fair compensation and efficient healthcare delivery.

Affordable Care Act

Optimize your operations with our solutions, leveraging the Affordable Care Act’s risk adjustment and reinsurance programs to mitigate financial losses and enhance revenue stability.

Regulatory Advisory

Gain confidence and invaluable insights with RaLytics, the leading experts in healthcare regulations, shaping the industry for empowered organizations.

Latest Articles

Proposed Changes to MA RADV Appeals Process

Dec 29, 2023 | Risk Adjustment, Policy

A proposed update to the RADV appeals process would have significant ramifications for Medicare Advantage Organizations.

Multi-year Trends in Supplemental Diagnosis Codes

Sep 29, 2023 | Affordable Care Act, Policy, Risk Adjustment

We examine patterns amongst data across multiple years in this final installment of our supplemental diagnosis code blog series.

HCC Failure Rate Groups and the Supplemental Diagnosis File

Aug 31, 2023 | Policy, Affordable Care Act, Risk Adjustment

In this follow-up blog on supplemental diagnosis codes, we take a deep dive into failure rates, how they are calculated, and the impact they have on the risk adjustment data validation process.

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Revolutionize your healthcare organization with RaLytics™! Our tailored solutions drive excellence for health plans, providers, and government agencies. Contact us today to discover how our expertise can drive success for your organization.