Case Study: Leading Arizona-Based Health System achieves 11% coding gap closure improvement and $2.8M in value with Innovaccer’s EHR-Agnostic Physician Engagement Solution

How an Arizona-Based Health System Improved Risk Coding Accuracy With Innovaccer’s EHR-Agnostic Physician Engagement Solution

Leading Arizona-Based Health System, a large nonprofit system serving roughly 3 million patients across 30 hospitals, faced manual, fragmented coding workflows that produced HCC coding gaps and threatened RAF score accuracy. To address this, the health system engaged Innovaccer and deployed Innovaccer’s EHR-agnostic Physician Engagement solution and Data Activation Platform to automate coding identification and physician engagement at the point of care.

Innovaccer unified clinical and claims data into a single model, used risk-adjustment analytics to surface suspected or dropped HCCs, enabled collaborative closure workflows, and integrated corrected codes back into the EHR. As a result, the system improved coding-gap closure by 11% for its Medicare Advantage population in three quarters, generated $2.8M in value, impacted 15% of its managed population, and plans to scale to 85% of patients to pursue an estimated $13M+ in additional value.