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OptimIQ Health
Capabilities

Every capability, and where it fits.

Pick the ones you need. They all share one record, and our team can run any of them for you.

Every capability

Start with the gap that costs you the most.

Managed services

Prefer we do the work? Our team runs it for you.

Each service covers its own part of the work, so nothing is done twice. Take one on its own, or Revenue Cycle Management for the full cycle under one lead.

All services
What they are actually fixing

Care happens in the room. Your organization is judged on the record.

Illustrative examples · the pattern, not real patient data

Stage 3 kidney disease managed for two years
No kidney disease on a claim this year
Risk model · RADV
Risk & Quality: surfaces the open condition with the chart line that supports it
Depression screened and discussed
No screening captured, measure still open
HEDIS · Stars
Visit Readiness: puts the open measure on the page before the visit starts
Patient called twice after discharge
No transitional care note, no billed service
Readmission review
Care Management: tracks the transitional care clock and writes the note from the call
Counseling on diet and tobacco
Nothing in the assessment
Quality · wellness
Visit Readiness: drafts the assessment language from what was said in the room
Authorization obtained on the phone
No reference number on the claim
Payer · denials
Revenue Operations: holds the authorization reference and carries it onto the claim
Read later by people who were never in the room

Risk models

Payment year 2026 is the first year Medicare Advantage risk scores run entirely on CMS-HCC V28. Only conditions coded this year count toward it.

Audits

A RADV reviewer asks for the sentence in the chart. A name carried on the problem list, with no monitoring, evaluation, assessment, or treatment beside it, is not evidence.

Quality programs

HEDIS and Star measures read claims and submitted supplemental data. Care delivered but never captured scores exactly the same as care that never happened.

The next clinician

Whoever sees the patient next inherits the record, not the conversation. What was not written down has to be worked out again.

How they fit

Sequenced by the visit, not by the invoice.

Platform map
Overview
MomentCapabilitiesWhat is handled
Before the visitVisit Readiness · Eligibility & Benefits · Previsit Revenue · Patient EngagementCoverage and benefits confirmed, the record read, supported services named, and patients reminded before they arrive
In the roomClinical Documentation · Visit ReadinessA one-minute chart summary and a note drafted with every insight linked to its source
After the visitCoding Intelligence · Revenue Operations · Claims IntelligenceCodes built from the signed note, clean claims submitted, and every denial worked to a decision
Between visitsCare Management · Patient EngagementCare management delivered and documented, with one thread per patient for every message
Across the yearRisk & QualityRisk adjustment and quality measures closed with the evidence behind every condition

One shared record · nothing re-entered between moments

Before the visit

Coverage cleared, authorizations chased, the record read, and every gap on tomorrow’s schedule listed with the evidence behind it.

In the room

One page the physician can read in a minute, and documentation that writes itself as the visit happens.

Between visits

Care management calls documented as they happen, risk and quality closed in the same pass, claims worked to payment.

Who runs them

Every capability has a buyer, and a reason they chose it.

Visit ReadinessBefore the visit
Previsit RevenueBefore the visit
Clinical DocumentationIn the room
Coding IntelligenceAfter the visit
Revenue OperationsAfter the visit
Claims IntelligenceAfter the visit

Not sure where to start?

Tell us where the work is piling up (open care gaps, unsigned notes, denials, prior authorizations) and we will point you at the one capability worth starting with.