Edifecs Risk Adjustment Solutions Commentary
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Subject Expert
Paul Hess
Research Director
Commentary Summary
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User Commentary
Loyalty, Relationship
I think Cotiviti is delivering on their vision for what they are able to do. Because we have seen...
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Relationship
Cotiviti is pretty good about responding. Several empowered people are in our meetings. Their...
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Relationship
Cotiviti is really good right now with proactive service. It used to be not great, but recently they...
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Product, Value
We were using Talix Risk Adjustment and Analytics Solutions at the diagnosis level. There was a way...
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Relationship
I would tell those considering Talix Risk Adjustment and Analytics Solutions about the ease of the...
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Relationship, Product
Cotiviti is pretty good, but there is always room for improvement. I would like Cotiviti to have...
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Loyalty
We want to see whether Edifecs is going to start building some new capabilities within the product....
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Relationship
Edifecs does help us when we bring in requests for upgrades or features. They take our feedback into...
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Product, Value
Edifecs Risk Adjustment has helped us achieve accurate and complete assessments and captures of...
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Product
Edifecs bought Health Fidelity and Talix. They made an internal decision to use the NLP from Talix...
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Relationship
We have had an issue for years that we have sent examples of and complained about to Edifecs, but...
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Loyalty, Product
Lumanent does not integrate well with our EHR. It is supposed to do better with the new EHR we are...
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Relationship, Product
The vendor has a really significant issue with dropping records. We send in records, the vendor...
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Culture, Loyalty, Relationship
Edifecs overpromised; the Lumanent product does not work as promised. They were not transparent...
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Relationship, Product, Value
Lumanent is helping us achieve accurate risk adjustment.
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Relationship, Product
Edifecs needs to prioritize the stability of the Lumanent product. They haven't put any research and...
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Relationship
Edifecs keeps their promises, but it may take longer. We may miss barriers, but they will keep their...
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Value
We continue to have a value proposition in the suspecting codes that Edifecs serves up to our...
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Product, Value
We don't automatically bill what Edifecs suggests. We have a workflow that allows our coders to...
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Relationship, Product
Talix Risk Adjustment and Analytics Solutions is easy to use. However, we are having some issues...
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Relationship, Product, Value
We were offline for a few days, and we weren't given any updates from Edifecs as to why things were...
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Relationship
Edifecs hasn't kept their promises with most timelines. Edifecs will push things off onto our team...
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Product
Things are challenging because Cotiviti recently took over Edifecs. Through that acquisition, there...
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Relationship
We have regular meetings with Edifecs, and in those meetings, everything sounds good. The follow-up...
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Loyalty, Product
Edifecs has tried to roll out new technology, but we didn't like it, so now we are back to the old technology....
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Product
It takes a long time to load charts in Lumanent. That is the only negative that we have seen from...
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Relationship
Edifecs has been taken over by another company, so I am a little warier of them now.
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Product, Value
One capability that Edifecs has delivered that has been especially impactful has been increased...
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Relationship, Product
Edifecs is helping us do something new. We saw some issues in the beginning, but things have gotten...
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Relationship
Edifecs has been taking a lot of feedback from us. When I have ideas, I am able to bring them to...
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Relationship
Edifecs is there for us all the time when things come up, and they are proactive. If there are...
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Loyalty, Product
Using the NLP in the system is going to help us streamline our chart retrieval and the review times...
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Product, Value
One of the biggest outcomes we have seen from Edifecs' system has been an improvement in getting...
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Product, Value
By using Talix Risk Adjustment and Analytics Solutions, we have seen a decrease in the number of...
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Loyalty, Relationship
Either Edifecs or an Edifecs-like replacement will be part of our long-term plan. We would prefer to...
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Loyalty, Operations
Due to the version of the system that we are on, whenever Edifecs does an upgrade, we have issues....
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Product
The system gives us a secure entry tool for our coding teams. Talix Risk Adjustment and Analytics...
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Value
I think we have been blessed in terms of Edifecs' charges. There have only been a few times when we...
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Relationship, Product
Edifecs provides a lot of data extracts to us, and they have worked with us to roll out some new...
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Product
The NLP in the solution is out of order. When we first started several years ago, it was lousy...
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Product, Value
The solution is very useful for us to review medical records; we do literally tens of thousands of...
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Relationship, Product
Edifecs' solution is tailored to what works for the vendor and not what works for the payer or their...
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Relationship, Product
Edifecs hasn't put a lot into updating their technology. Their NLP and AI haven't been updated for...
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Loyalty
I hear from Edifecs's senior leaders all the time. The outcomes that we get from the system are why...
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Product
For our post-visit review, I love to call Lumanent our compliance tool because it removes the...
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Loyalty, Product
I have some wishes for Lumanent's functionality. We are always rather out of the box, and we always...
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Relationship
Edifecs has kept all of their promises. To clarify, the promises they have kept have to do with...
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Loyalty
Lumanent is 100% part of our long-term plans. I would buy it again. Lumanent is the best solution...
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Relationship
The quality of Edifecs' support is excellent. We have an excellent project manager; they are on top...
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Product, Value
We have a long history with Edifecs. We have had tremendous outcomes from using the solution,...
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Loyalty
Lumanent isn't part of our long-term plans. We actually did an RFP and looked at systems from other...
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Product
I want to have more insight into Edifecs's chart retrieval about what errors occurred and how those...
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Relationship, Product
I don't know whether it is accurate to say that Edifecs hasn't kept their promises, but we find...
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Loyalty, Product
We are using Lumanent to see whether there are any Hierarchical Condition Category opportunities in...
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Loyalty, Product
We are not on the current version of Lumanent. We are on the previous version. We didn't like the...
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