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OptimIQ Health
Modules

Each module does one job completely, and shows the chart line behind every finding.

They share one record and one evidence trail, so nothing is re-entered as a patient moves from the schedule to the signed note to the paid claim.

The modules

Start with the gap that costs you the most.

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
RiskIQ — surfaces the open condition with the chart line that supports it
Depression screened and discussed
No screening captured, measure still open
HEDIS · Stars
VisitIQ — 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
CareIQ — tracks the transitional care clock and writes the note from the call
Counseling on diet and tobacco
Nothing in the assessment
Quality · wellness
VisitIQ — drafts the assessment language from what was said in the room
Authorization obtained on the phone
No reference number on the claim
Payer · denials
RevenueIQ — 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
MomentModulesWhat is handled
Before the visitVisitIQ · EligixIQ · RevenueIQCoverage, benefits, and what to collect confirmed, and every open diagnosis, service, and care opportunity on tomorrow’s schedule surfaced
In the roomVisitIQ · RiskIQA one-minute chart summary, drafted documentation language, and conditions ranked with the sentence that supports them
After the visitCodeIQ · RevenueIQCodes assigned from the signed documentation and validated against every edit before the claim leaves
Between visitsCareIQ · EngageIQ · RevenueIQCare management delivered and documented, one thread per patient, claims and denials worked to payment

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.

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 module worth doing first.