Technology-Enabled Risk Adjustment & Quality Improvement Programs. Hands-On Expertise.

At Secondwave, we proactively address risk adjustment and quality gaps with high-touch, human-driven, and technology-enabled prospective programs.

Clinical Documentation Integrity

Clinical Document-

Our coding experts thoroughly review 100% of your medical records, identifying gaps, errors, and inconsistencies. We uncover conditions that may have been overlooked or remain undocumented and identify ways to improve clinical documentation integrity. We employ our custom CDI Alert information to directly communicate with healthcare providers.

Provider Engagement and Education

Provider Engagement and Education

Risk-adjustment accuracy begins with an accurate patient picture. We equip healthcare providers with tools and resources to improve risk score accuracy and quality performance. Our point-of-care information enables providers to refine their documentation while interacting with patients. Leveraging feedback from concurrent reviews, medical record documentation is more accurate, consistent, comprehensive, and complete.

Key Service Elements Include:

Closure of Risk Adjustment and Quality Gaps
Notifications of Suspected Diagnoses
CDI Alert Information Creation and Delivery
Value Reporting
Supporting Evidence for All Findings

To ensure the highest level of compliance and quality adherence, Secondwave utilizes our 100% U.S.-based dedicated expert resources to support your prospective program.

This approach allows us to deliver an engagement model that goes beyond traditional risk adjustment and quality improvement solutions.

High-Touch. Human-Driven.

Certified Coder

Appointment Tracking

Coding and CDI

Practice Coordinator

Focused Patient Visit Assisted by CDI Alert

Concurrent Review + Query

Client Delivery Team

Actionable Reporting

Provider Education

A Dedicated Team

When you choose Secondwave, you'll receive direct support from our U.S.-based team of provider consultants, certified clinical coders, physicians, and technology experts—all dedicated to delivering market-leading outcomes.

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Industry Challenges Meet Our High-Touch Support

At Secondwave, we see common industry challenges as opportunities for improved outcomes.

Improved Clinical Documentation
and Improved Reimbursement Accuracy
Our industry experts act as an extension of your organization, clarifying documentation ambiguities, providing hands-on engagement, and offering direct provider input. Our expert team sends out CDI Alerts to keep healthcare providers updated on patients' existing and suspected conditions. This not only improves risk adjustment accuracy but also helps you meet healthcare quality standards more effectively.
Enhanced Practice Efficiency
and Reduced Administrative Burden
With Secondwave, there's no need for complex technical integrations or disruptions to providers. Our medical record management tools effortlessly gather data from different systems into a single risk baseline.
Reduced Audit and Compliance Risk
and Improved STAR Ratings
Our expert coders and quality assurance processes are your frontline defense, ensuring every submission meets the latest regulatory standards, including the latest RADV processes.

Serving Risk-Bearing Entities

We improve RAF score accuracy and quality for multiple risk-bearing entity types, including:

Payers Payers icon
Providers Providers icon
Management Services Organizations (MSOs) Management Services Organizations (MSOs) icon
Accountable Care
Organizations (ACOs) Accountable Care<br class="mobile"> Organizations (ACOs) icon
Independent Physician Associations (IPAs) Independent Physician Associations (IPAs) icon

Security and Compliance are Our Top Priority

At Secondwave, security, accuracy, and compliance are core to everything we do. An independent firm routinely reviews our work, confirming that we consistently meet or exceed both internal and industry standards. Our entire team completes ongoing compliance and HIPAA training, solidifying our steadfast commitment to protecting your data.

Commitment to Compliance and Security Standards

Serving Our Clients

We improve RAF score accuracy and quality adherence for multiple risk-bearing entity types, including:

Medical Records
+ Claims Data
Coder Review
QA Review
Data Validation
Quarterly Independent Audit

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