About Oracle Health Quality Management for Payers
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Overview of Quality Management for Payers
Quality Management for Payers provides payers with the ability to send their own coding and quality gap information to provider workflows. This service helps payers and providers collaborate to identify and address discrepancies or omissions in medical coding and quality gaps that can lead to improper payments, administrative burden, and suboptimal patient care.
Manufacturer
2025
Cerner Corporation
8779 Hillcrest Road
Kansas City, MO 64138
US
(+1) 816-221-1024
https://www.oracle.com/health
Quality Management for Payers Intended Purpose
The Risk Coding and Quality Gaps assets enable payers to submit payer computed gaps to Oracle. By using existing EHR integrations, these assets surface payer gap datasets directly in the provider’s workflow at the point of care. This capability allows gap information to be integrated directly into clinical workflows, facilitating timely intervention and supporting improved patient outcomes through proactive care, accurate Risk Adjustment Factor (RAF) scores, quality measure attainment, and reduced administrative burden associated with manual chart requests.
Warranty
Warranties may vary based on the product purchased, services purchased, or both. See your licensed software agreement for details, or contact your Oracle representative.
Copyright Information
Copyright 2025 Oracle and/or its affiliates. All rights reserved.
Additional Resources
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About Oracle Health Quality Management for Payers
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