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Home News & Insights Matrix Comprehensive Health Assessments: Designed for Completeness and Accuracy. Independently Validated.
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Matrix Comprehensive Health Assessments: Designed for Completeness and Accuracy. Independently Validated.

nurse completing in-home comprehensive health assessment

Matrix combines rigorous clinical documentation, coding oversight, independent auditing and closed-loop Care Activation to give health plans greater confidence that in-home assessment findings are accurate, defensible and actionable.

Independent Validation at Scale

Matrix engages an independent external vendor to audit a monthly sample of Comprehensive Health Assessments (CHAs) and validate diagnosis codes against the medical record. Our internal clinical audit team provides an additional layer of oversight by reviewing coding at the date-of-service level across our national assessment volume.

Comprehensive Health Assessment (CHA) audit results

Performance in Context

Matrix’s rate of unsupported HCC-related diagnoses consistently beats CMS’s own clinical audit-error benchmarks. Our coding accuracy is not a retrospective exercise. It is reinforced through multiple layers of clinical review designed to proactively identify issues, validate documentation, and support consistent performance across our national footprint.

Unsupported HCC-related diagnoses comparisons

From Assessment to Action

Accurate documentation is only part of the value of an in-home clinical encounter. When a Matrix clinician identifies a new or worsening condition during a CHA, our Care Activation suite of services helps connect the member to follow-up care, provider scheduling and community resources. Matrix tracks engagement through completion so that identified needs can translate into care received, not simply documentation in the medical record.

The Matrix Standard
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