Quality and Risk Adjustment 1.0

Release overview

Nuance Quality and Risk Adjustment (QRA) is a new Dragon Medical Advisor module comprising the following tools:

• Population Health Analytics and Chart Reviewer
• Point of Care Intelligence tool

QRA addresses the unique needs of ambulatory clinics to provide quality care to their risk-adjusted patient populations and ensure accurate risk-adjustment scores for appropriate reimbursement.

Population Health Analytics and Chart Reviewer

The Population Health Analytics and Chart Reviewer analyzes up to three years of claim and EHR data to create a patient “chase list”. This work list is completely customizable, with configurable columns, filtering and sorting. Population health nurses and coders can review patient records for suspecting and recapture hierarchical condition category (HCC) opportunities and schedule those patient for wellness visits. Powerful analytics and reports help the practice manager know the performance of their risk adjusted programs.

Point of Care Intelligence tool

The Point of Care Intelligence tool incorporates Dragon Medical Advisor specificity advice (including HCC advice) with the new code extractor feature.

Dragon Medical Advisor: Computer-assisted physician documentation provides clinical guidance to providers to accurately document all relevant conditions at the point of care.

Code extractor: Delivered as a tab in the Advisor window. As users are dictating, the code extractor analyzes the text for diagnoses and lists the corresponding ICD-10 codes and IMO (Intelligent Medical Objects) descriptions.

The user can do the following:

• Copy the ICD-10 codes to the clipboard so they can more easily be entered into the EHR/billing system.
• Refine the diagnoses to improve their specificity.
• Search for diagnoses that they have not already documented, and refine the search results.

Important information

Licensing

To enable the Point of Care Intelligence tool, the QRA license must be installed for your organization. You can then assign the license to users via the Nuance Management Center (NMC).

Users are separately licensed for the Population Health Analytics and Chart Reviewer.

System requirements

Speech recognition application

Dragon Medical One 4.0 Service Release 2; the user does not need a speech recognition license to use QRA.

EHR

The following EHRs are fully supported:

Epic 2015, 2016 and 2017; Cerner DynamicDocs, PowerNote, Clinical Notes; athenahealth; Allscripts TouchWorks

QRA will work for applications not on this list and when dictating via the Dictation Box, but with a reduced feature set.