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What is Pareto Intelligence?

Pareto Intelligence is a cutting-edge platform focused on healthcare analytics and technology, dedicated to boosting the financial health and compliance of health plans and risk-bearing provider organizations while simultaneously enhancing clinical communication and outcomes within value-based care frameworks. At its core, it features a centralized healthcare data environment that integrates, standardizes, and enriches diverse clinical, claims, and social determinants of health data, offering holistic insights into patients and programs that support sophisticated analytics and reporting. Its suite of tools includes risk adjustment and revenue integrity solutions that uncover undocumented risk gaps, improve risk scores, assist with RADV audit readiness, reconcile premiums, and ensure full and compliant revenue capture. Furthermore, Pareto offers payment integrity solutions that pinpoint both underpaid and overpaid claims, thus improving Section 111 reporting and benefit coordination. By harnessing these advanced capabilities, healthcare organizations are empowered to make data-driven decisions that can lead to enhanced patient outcomes, operational efficiency, and overall quality of care. This innovative approach not only streamlines processes but also fosters a culture of continuous improvement within the healthcare sector.

What is ACUITYnxt?

ACUITYnxt, our software-as-a-service platform, features a user-friendly interface and adopts a holistic method to care management. Designed to meet industry regulations and accreditation standards with little need for customization, it prioritizes security by incorporating strong security measures, privacy protections, data encryption methods, and compliance strategies. The newest iteration of ACUITYnxt adds valuable tools like member risk assessments and alert notifications, which utilize resources such as the John’s Hopkins ACG™, Medicare RAF scores, hierarchical condition categories (HCC), and health risk assessment (HRA) scores. As a fully operational SaaS solution, its goal is to improve clinical outcomes while ensuring compliance and fostering financial and operational success. The platform serves the varied requirements of health plans, third-party administrators (TPAs), accountable care organizations (ACOs), and other risk-taking entities. With built-in regulatory compliance, ACUITYnxt streamlines the process for organizations to achieve both URAC and NCQA accreditation, encouraging a more efficient path to excellence in care delivery. This all-inclusive solution not only enhances health management but also promotes collaboration among various stakeholders within the healthcare landscape, ultimately striving for better patient outcomes.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Pareto Intelligence

Company Location

United States

Company Website

paretointel.com

Company Facts

Organization Name

Chordline Health

Date Founded

1983

Company Location

United States

Company Website

chordline.com/products/acuitynxt/

Categories and Features

Categories and Features

Patient Case Management

Activity Tracking
Assessment Notes
Billing & Invoicing
Calendar Management
Candidate Identification
Case List Management
Eligibility Verification
HIPAA Compliant
Medical History Records
Patient Records
Referral Management
Treatment Planning

Social Work Case Management

Case Notes
Client Management
Document Management
Forms Management
Goal Setting / Tracking
Program Management
Referral Management
Reporting & Statistics
Scheduling
Volunteer Management

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