01
Gap Identification
Missing preventive services, screenings, and chronic care gaps surfaced across patients and populations in real time for immediate action.
Care-Gap Detection & Closure
All 19 capabilities run in one console, on the data you already have, no new systems, no rip-and-replace, and an audit trail built in from day one.
Everything eCareRevenue does to capture your earned revenue
One platform with every capability your value-based care team needs to capture earned revenue, lift RAF accuracy, and stay audit-ready.
02
Risk Prioritization
Care gaps prioritized by clinical urgency, revenue impact, and risk adjustment significance to guide focused interventions.
03
Population Scanning
Entire patient panels continuously analyzed to identify unresolved, emerging, and high-risk care gaps across cohorts.
04
EHR Integration
Care-gap insights delivered directly into EHR workflows to support real-time clinical decision-making and documentation.
05
Closure Tracking
End-to-end tracking of care-gap resolution with clear visibility into status, completion, and documented closure.
06
Quality Improvement
Closed-loop reporting connects care-gap closure activity to quality metrics, performance scores, and reimbursement outcomes.
A guided four-step path from connection to full rollout
Four steps that take you from EHR and claim connection to a fully configured, running eCareRevenue environment.
1
Connect EHR + Claims
SMART on FHIR + 837/835 claims via your clearinghouse. Connected in 1–3 days, with gap detection running within five.
2
Calibrate & Baseline
We baseline your RAF against 24 months of historical claims, confirm your patient panel, and map your contract structure to the revenue forecasting model.
3
Pilot & Train
Pre-visit prompts go live for a pilot clinician group, coders work an audit-defensible suggestion queue, and your quality team gets member-level gap lists with outreach hooks.
4
Full Rollout + Measure
All clinicians, panels, and payer contracts go live. Your realized-ROI dashboard tracks captured revenue vs. opportunity, quarter by quarter, with attribution by capability.
What the platform delivers, by the numbers
Real results from the ACOs, MA plans, and multi-specialty groups running eCareRevenue.
+0.27
RAF lift in one year
Cascade Health Partners ACO moved RAF from 0.94 to 1.21 in a single performance year
$4.2M
Shared savings
Captured on the next settlement after switching off post-visit gap-chasing
11 mos
To 4 Stars, vs. 18 projected
Coastal Health Plan hit 4 stars 7 months ahead of plan
$1.1M
Recovered in Q1
Lakeshore recovered $1.1M of $1.4M annual leakage in a single quarter
Frequently Asked Questions
Key questions answered for value-based care leaders evaluating eCareRevenue for their organization.
No. eCareRevenue connects to your existing EHR via SMART on FHIR (preferred), HL7 v2, or extract upload, pre-visit prompts and point-of-care suggestions rendered right inside it for clinicians. The standalone console is for your quality leads, coders, CDI specialists, and CFOs.
No, it makes your CDI team faster and more defensible. eCareRevenue surfaces suspected conditions and routes them into an audit-ready queue with MEAT evidence already attached, so your CDI specialists review and confirm instead of hunting through charts. It amplifies the program you have; it doesn’t replace it.
Prompts appear inside the EHR your clinicians already use, no separate app, no extra logins. Suggestions are clinically-indicated only and surfaced before or during the visit, so gaps get closed in the room instead of generating follow-up work. The goal is fewer clicks, not more.
Yes. eCareRevenue is HIPAA-compliant and SOC 2 Type II, ISO 27001, and HITRUST certified, with a BAA signed for every customer. Every coding suggestion links to MEAT chart evidence, so your RADV audit trail is built as you work, not reconstructed later.
Yes. In a 30-minute walkthrough we run your own panel data, a CSV extract is enough and show live gap detection, RAF projection, and a revenue forecast. You see the opportunity on your numbers before any commitment.
We connect to major EHRs including Epic, Oracle Health, athenahealth, eClinicalWorks, NextGen, and more via SMART on FHIR or HL7 v2. On the claims side we ingest 837/835 through clearinghouses like Availity, Waystar, and Office Ally, plus payer feeds and your data warehouse.
See every capability run on your data in 30 minutes.
Book a session and we’ll run eCareRevenue on a sample dataset that matches your organization ACO, MA plan, REACH, multi-specialty, or FQHC and answer every question before you commit.