Healthcare today faces mounting challenges: compliance gaps, missed risk adjustments, and inefficiencies in billing can disrupt operations and impact patient outcomes. Precision and seamless execution are essential for success.

Integrity 1 Solutions harnesses the transformative power of Mediscore to deliver end-to-end solutions that identify and close gaps in quality, risk adjustment, and billing processes. With platforms like Medilytics™, RAM™, MediAbstract, MediSubmit, and MediAudit, we streamline workflows, enhance compliance, and drive sustainable growth, empowering healthcare providers to improve care, stay ahead of regulations, and achieve lasting financial success.

Our healthcare solutions include:

• ML/NLP Analytics to Identify Gaps and Level of Care (ICD/HCC/CPT)
• MD – Provider Liaison Led Physician Engagement & Compliance
• Extracting accurate ICD-10 codes
• Internal Verification of Submission data
• Submission of Codes and Validation of Approvals

Medilytics™ Risk & Quality SaaS Analytics Our proprietary platform combines advanced data analysis, NLP, and machine learning with physician-built algorithms to identify HCCs and high capture gaps. Medilytics™ flags high-priority patients for optimal health impact and accurate risk compensation.

RAM™/MediFlow Risk Adjustment Case Management and Operational Solutions Introducing the market’s first Risk Adjustment Management Platform, RAM™ empowers organizations to build and manage their own risk adjustment and quality improvement programs. It provides tools to organize clinical and claims data, create patient-specific CDIs, track prospective solutions, and conduct chart reviews—all within a single integrated platform.

MediAbstract ML/NLP Analytics Solution MediAbstract uses machine learning and natural language processing to streamline and enhance the medical coding process. It analyzes clinical documents, extracts relevant information, and assigns the most appropriate ICD-10 and CPT codes with high specificity and accuracy.

MediSubmit Risk and Quality Automated Submissions Mediscore’s submission solution ensures your hard work pays off. We offer payers the flexibility to manage their own submission process or collaborate with their TPA to automate capturing Risk and Quality. Automating submissions simplifies the process and makes sweeps effortless.

MediAudit Automated Audits for Coding and Documentation Accuracy Our ML/NLP SaaS solution integrates CMS, Claims, and Medical Record data for automated audits. Mediscore identifies high-liability areas and provides financial metrics, enabling payors to run mock RADV audits directly through our platform.