A Complete Risk Adjustment Solution

Identify financial improvement opportunities and achieve complete and compliant risk scores through Pareto’s Revenue Integrity solutions. We apply complex analytic models and market-leading advisory to evaluate both undocumented and potentially mis-documented risk, helping clients shape impactful and revenue-conscious decisions.

Your Risk Adjustment Platform: Pareto Hub

CLOUD BASED DATA ENVIRONMENT

The Pareto Hub is a centralized data environment built by business experts that transforms and enriches raw disparate data assets into a business-ready data environment for analysis. Take back ownership and accelerate the development of internal analytics by integrating your own BI tools and building independent analyses in a self-service manner. Additionally, the Pareto Hub offers a myriad of provider-focused features, including our Provider Learning Center which assists in improving the completeness, accuracy, and compliance of diagnosis risk capture at the point of care.

Get More Out Of Your Data

Included Features

Risk Adjustment

Complete and Accurate Risk Documentation

This solution evaluates in both directions, including undocumented and potentially mis-documented risk, to achieve complete and compliant risk scores. We objectively evaluate performance across program and campaign effectiveness as well as the performance of providers, conditions, and members to inform ongoing strategy and improve outcomes.

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Encounter Data

Built by Healthcare Experts, For Healthcare Experts

We’ve built our Healthcare Data Integration solution based on next-generation “big data” architecture and artificial intelligence technologies with unparalleled security. Because we rely on this infrastructure to power our analytics day-in and day-out, our teams are dedicated to evolving the solution to be more efficient, effective, and innovative on an ongoing basis.

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OPTIONAL ADD-ON FEATURES

  • Provider Learning Center

    Ongoing Provider Education

  • Accruals Projection Package

    Financial Impact Reports and Forcasting

  • Benchmarking

    Comparison to Competitors

  • Secure Direct Messaging

    Provider Communications

  • Advisory and Consulting

    Strategic Guidance and Support

  • Scorecard

    Provider Action Items

Capabilities

RADV Mock Audit and Support
Program Evaluation and Strategy
Compliance Risk Assessments
Chart Retrieval and Coding Services

Medical Coding Compliance Evaluations
In-home Assessments


Virtual Home Visits


Advisory Services


A Powerful Foundation

     
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Our Data Management Platform

Pareto’s Data Management Platform, the foundation to our solutions, is built around data lake, artificial intelligence, and open source big data technologies to allow us to effectively ingest data in all formats and types at scale, organize them with appropriate data governance mechanisms within our data catalog, and provide efficient configuration capabilities to democratize data access and analytics.

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See it and Believe it

Our demos say it all. Tell us about your challenges and we’ll show you how we can help you overcome them.

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