Improve Risk Adjustment Accuracy – Directly Within the EHR Workflow

DxInsight surfaces diagnosis gaps directly inside the EHR and reduces provider steps through automation. It verifies diagnoses from YTD claims files, adds confirmed diagnosis codes into the progress note, and updates diagnosis statuses in payer and ACO portals—improving risk-adjustment accuracy with fewer clicks.

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Elevate Your Value-Based Success with DxInsight and DxInsight+

DxInsight displays payer and ACO diagnosis gap data directly within the EHR workflow, eliminating the need for portals and manual review. Providers can validate diagnoses faster, improve risk-adjustment accuracy, and reduce effort with automation they’ll actually use.

Improve Risk Adjustment

DxInsight identifies diagnosis gaps directly within the EHR workflow and automatically verifies diagnoses using YTD claims data. Confirmed codes flow into the progress note and update payer or ACO portals—improving risk-adjustment accuracy with fewer clicks.

Maximize Provider Adoption

By filtering out already-resolved diagnoses and automating the majority of review steps, DxInsight reduces provider effort and keeps the workflow simple. This drives higher provider engagement and more consistent, accurate documentation across clinics.

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Rapidly Deploy to Your Clinics

Powered by Smartlink Data Connector, DxInsight integrates with more than 90 EHRs through APIs, HL7, FHIR, the database, or patented UI-based RPA. This flexiblity enables fast, scalable deployment without vendor involvement.

Why DxInsight Matters for Value-Based Care

Providers can view diagnosis gaps within their EHR by using Smartlink DXInsight.

Improves diagnosis accuracy
Reduces provider clicks and documentation time
Minimizes manual chart review
Ensures diagnosis alignment across EHRs, payers, and ACOs
Helps organizations close more gaps before year-end
Drives higher provider adoption compared to manual workflows

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How DxInsight Works

Embedded in the EHR Workflow

DxInsight displays diagnosis opportunities directly in the provider’s EHR — no portals or toggling. Behind the scenes, it identifies attributed patients and surfaces gaps using:

HIE data
Payer & ACO guidance
YTD claims (auto-verified)

Providers confirm or reject diagnoses, and confirmed codes flow automatically into the progress note and back to payer/ACO portals—reducing clicks and ensuring alignment.

Powered by Smartlink Data Connector

DxInsight runs on Smartlink’s interoperability engine, which enables reliable integration with 90+ EHRs through:

FHIR & HL7
APIs and database connections
Smartlink’s patented UI-based RPA when APIs are unavailable

SDC extracts or inserts structured data needed for diagnosis validation—no EHR vendor involvement required.

Configurable to Your Organization

DxInsight adapts to your documentation and workflow needs, supporting:

Organization-specific diagnosis identification rules
Flexible confirmation workflows by provider role
Custom documentation and note-insertion preferences

This ensures DxInsight enhances your value-based care strategy without disrupting existing workflows.

What Our Customers Are Saying

“DxInsight has added value from day one. Our providers can easily see diagnosis gaps within their workflow, and the manual data entry our staff had to do for ACO participation is significantly reduced.”

Justin Glodowski, DO, Medical Director, Generations Family Practice - Cary, NC

Integrates with Any EHR

Smartlink delivers reliable interoperability across 90+ EHR systems using APIs, HL7, FHIR, direct database connections, and patented UI-based RPA when APIs are unavailable.
This flexibility enables fast, scalable integration without EHR vendor involvement, helping organizations unify data across clinics, providers, and care teams.

Nextgen, an electronic health record company.

KIPU, an EHR system used by behavioral health providers

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How DxInsight Powers Accurate, Efficient Diagnosis Capture

DxInsight automates the most time-consuming aspects of diagnosis gap closure so providers can focus on care—not documentation. Below are common workflow actions DxInsight automates to streamline diagnosis capture:

Surfacing diagnosis gaps directly inside the EHR workflow
Inserting confirmed diagnoses automatically into the progress note
Reconciling portal, claims, EHR, and HIE data to show only true gaps

Auto-verifying YTD claims–based diagnoses
Automatically updating payer/ACO portals based on provider action
Identifying new, inactive, or unscheduled attributed patients
Triggering outreach workflows (optional) directly from inside the EHR

DxInsight Frequently Asked Questions

What is DxInsight and how does it help with diagnosis gaps?

DxInsight is an EHR-embedded diagnosis gap tool that displays payer and ACO gap data directly within the provider workflow. Providers can confirm or reject diagnoses during the patient visit, reducing missed documentation opportunities.

How does DxInsight integrate with EHR systems?

While DxInsight is technically an EHR overlay, it acts like a fully embedded tool. Powered by Smartlink’s patented user interface-based integration platform (SDC), provider actions within these tools automatically update the EHR encounter—no toggling, copying, or double documentation.

How does DxInsight help ACOs and MSOs improve RAF scores?

By surfacing validated diagnosis gaps during the patient visit, DxInsight improves documentation accuracy, which often directly impacts RAF scoring and reimbursement.

Can DxInsight filter out diagnosis gaps already closed on year-to-date claims data?

Yes. DxInsight automatically removes diagnosis gaps that have been closed based on year-to-date claims data, reducing alert fatigue and helping providers focus only on what’s needed.

How is DxInsight different than other solutions specific to diagnosis gap closure?

Unlike competitive solutions designed primarily by payers, DxInsight was purpose-built in partnership with a multi-site MSO managing eight primary care clinics. It features deep EHR integration capabilities powered by Smartlink’s patented user interface-based integration engine, which enables bi-directional data exchange with more than 90 EHRs—without requiring vendor APIs or formal partnerships.

DxInsight pulls and compares diagnosis data from four key sources: payer/ACO portals, the EHR, year-to-date claims, and health information exchanges (HIEs). It intelligently filters out already coded or adjudicated diagnoses, surfacing only those that require provider confirmation. Once the provider completes the workflow, DxInsight pushes confirmed resolutions back into the originating portals, closing the loop without requiring administrative teams to re-enter data into external systems.

Summary

DxInsight helps organizations improve risk adjustment by surfacing payer and ACO diagnosis gaps directly within the EHR workflow. Providers can confirm or reject diagnoses during the visit, while DxInsight automatically verifies year-to-date claims, updates documentation, and closes the loop with payer or ACO portals. The result is more accurate diagnosis capture, fewer clicks for providers, and stronger value-based performance without manual portal work.