Prospective risk adjustment programs are growing in popularity, and rightfully so. These programs permit timely, effective interventions, including presentation of suspected gaps in care and the opportunity for thorough and accurate documentation. The result: conditions coded to the highest degree of specificity.
2025 marked the third year in a row that we were recognized with the Best in KLAS distinction in the Risk Adjustment Software and Professional Services category.
Comprehensive QI process within the Vatica interface designed to ensure accuracy and completeness of coding and documentation.
Codes selected and validated by the provider
PCP or Vatica advanced practice providerSubmitted codes are reviewed in a three-level process by our team of AAPC™ certified risk adjustment coders, flagging any that fail to meet CMS, AHIMA, and other industry standard coding requirements
Vatica quality team (clinicians with coding credentials)
Codes flagged for suppression are indicated as such in the monthly client delivery packages
PCP or Vatica advanced practice provider
"We’ve advocated that one of our other large payers in the community partner with Vatica so we can use the solution for more of our patients. We’d like to see all the payers in our marketplace use Vatica and look forward to leveraging Vatica as we transition to more value-based care. Our group is very appreciative of Vatica’s efforts, partnership and collaboration.”
— Richard Charles, MD, General Physician PC, New York
“Vatica has been a great resource with ICD-10 coding, helping us get to a level of specificity that most physicians don’t have the coding experience for.”
— Anthony Rizzo, DO, Family Medicine Physician, Mercyhealth
“Having this detail helps me to document and code as accurately as possible, which directly factors into capitation rates for these patients. Receiving appropriate capitation makes a big difference to my practice. And the incentive we receive for each completed Annual Wellness Visit has a huge impact on our financials.”
— Paul Linder, MD, Internal Medicine Physician, Paul G. Linder and Associates
Get in touch today to speak to a Vatica Health expert about the specific ways our solution can help your organization.