Medical records are at the heart of healthcare operations, yet few centralized and comprehensive tools exist to manage the entire process.
How We Add Value
The Tenasol Hub is the intelligence behind our customers’ medical record programs, delivering value across the enterprise. There is no medical record data format we cannot ingest — processing FHIR, RTF, CCDA, PDF, ZIP, TIFF formats in seconds — to eliminate the labor intensive MRR operations, improving quality outcomes, and risk score accuracy.
Medical records are a vital source of individual health insight; however, this important asset remains underutilized due to its complexity and the sophistication required to extract its full value. For years, interoperability was presented as the solution to fragmentation, providing health data in more consistent and structured formats. Unfortunately, the exact opposite is happening! Health data is not only more accessible, but now presented in a myriad of structured and unstructured formats from digital, manual and hybrid data sources. Current tools process and extract only a fraction of the available data, providing a glimpse into overall health and requiring costly and lengthy manual review for the remainder.
From disability to quality improvement, risk adjustment to social determinants of health, our AI platform can extract every clinical data element from any record format. Our API accommodates bulk or real-time data ingestion and is scaled to process millions of records per day. Data is routed by filetype to trained AI models capable of detecting over 4 million codes, terminologies, and health measures. A simple API allows clients to access our insights in a variety of workflows. Our end-to end process unlocks the full value of medical records across the enterprise, allowing our customers to:
Prioritize and target medical record and case review efficiency
Empowering population analytics and insights
Train and develop artificial intelligence models
Design member-specific care management and intervention programs
And many more
Patient-specific Data Extraction
Medical Record Transformation
We are focused on streamlining the entire process. From the intake of records across any acquisition vendor (electronic, fax, manual), to allowing enterprise reusability, to prioritizing what records to review, to automating the de-duplication of pages and similar records prior to review, to re-orientation – our goal is to automate as much of the ingestion process, to accelerate time to review with seamless integration with our AI solutions.
Our solution includes:
Enterprise-wide single-record usability to support use cases across all programs
Prioritization by quality, risk adjustment, or custom program requirements
De-duplication detection, with up to 5-levels of configuration
Automated page rotation
AI for Quality
Our Quality NLP solution provides extracted clinical evidence and required measure value data for the most accurate supplemental data file for rate improvement.
Our solution includes:
Analytics to support all lines of business
Support for most Hybrid and Electronic Clinical Data Systems (ECDS) measures
Additional data values to support quality measurement rate compliance, including State Medicaid and custom measures
JSON, CSV, and custom extracts
AI for Risk Adjustment
Our risk adjustment NLP solution allows our customers to streamline the identification of HCCs from any medical record format, across all structured and unstructured data. Agnostic to any risk adjustment model version, we deliver 20x faster insights versus a manual review, with 99% HCC detection confidence, ensuring we deliver accurate and compliant results.
Our solution includes:
Analytics to support all lines of business
Logic to support language and code gap detection
Future event predictive using extracted medical codes
JSON, CSV, and custom extracts
