At RAI, our team brings over 30 combined years of expertise in clinical chart abstraction as part of comprehensive health system strengthening services. Chart abstraction is a vital component of contract monitoring—verifying eligible expenses, ensuring compliance with service standards, and ultimately improving health outcomes and patient experiences.

Broad EMR Proficiency
We have hands-on experience working with a variety of electronic medical records (EMRs) such as EPIC, AllScripts, eCW, CareWARE, e2, HMIS, and customized systems for municipal and state clients. This includes grant monitoring activities at local, state, and national levels (CMS, RWHAP, BPHC), along with HEDIS measure abstraction for quality assurance.

Unique Strengths
Our team’s blend of skills includes:

• In-depth Federal Grant & Coding Knowledge: Understanding ICD-10, CPT-5, SNOMED, LOINC, and HL7/FHIR.
• Technical Expertise: Navigating and improving data system interoperability, ensuring secure data transfers, and protecting client confidentiality under HIPAA.
• Lived Experience: Direct insight into service delivery, which supports accurate monitoring and robust evaluation.

Remote & Cost-Efficient Solutions
We leverage artificial intelligence tools to complete chart abstractions remotely, helping control costs without compromising quality. In accordance with PCN1502 and HRSA guidelines, we note that these chart abstractions, as defined, are considered grant administration activities rather than clinical quality management. While clinical quality management focuses on endpoint HIV health outcomes, these abstraction services ensure quality assurance, minimum standard compliance, and targeted resource allocation to help you meet your program goals.