A new approach to coding & quality improvement

Changes in the way that the Centers for Medicare & Medicaid Services calculate reimbursements for patient treatment are having a significant impact on Medicare Advantage Plans. The solution lies in better collection of diagnoses and treatments recorded in patient medical records. 

Standard billing processes and EMR systems were not built to accommodate this need. Hospitals and physicians—already overburdened with paperwork and mandated protocols to collect their own receivables—lack the time and incentive to reengineer their workflows to help insurance companies adjust to the new Medicare reimbursement structure.

GRIPA has developed an alternative for Medicare Advantage Plans. Our CognisightDX™ solution circumvents the need to change workflow patterns in physician offices or hospital billing offices. Instead, we merge clinical knowledge and software innovations with a deep understanding of medical workflows to efficiently capture all effective diagnostic data.

CognisightDX creates auditable information by member, by practice and by physician, resulting in a RAPS file ready to submit for CMS adjudication. We also provide accurate diagnostic information to support disease management, case management and quality initiatives.

The solution is being offered by Cognisight™, LLC, a limited liability company we have formed to market this product and develop related solutions.

To learn more about Cognisight, please contact us.

Cognisight and CognisightDX are trademarks of Cognisight, LLC.