About OptiCore Quality Solutions
OptiCore Quality Solutions was founded on a simple truth: healthcare organizations deserve partners who understand both the technical rigor of compliance and the human impact of care.
With over two decades of experience in clinical care, documentation integrity, risk adjustment, quality improvement, and regulatory compliance, OptiCore helps healthcare organizations strengthen the workflows that drive both better outcomes and stronger financial performance.
We support health plans, provider groups, hospitals, and healthcare organizations in navigating complex regulatory requirements with clarity and confidence delivering strategies that protect revenue, reduce audit risk, and elevate the quality of care.
Our Services
We provide strategic consulting that strengthens documentation integrity, compliance, quality performance, and revenue‑impacting workflows for healthcare organizations across all care settings.
• Risk Adjustment Strategy
RAF optimization, documentation accuracy, and provider education that protects revenue and reduces audit exposure.
• HEDIS & Stars Performance
Improving quality metrics, reporting accuracy, and care gap closure.
• Provider Engagement & Compliance
Audit‑ready workflows, clinician training, and documentation support that makes compliance easier and more meaningful.
"Working with OptiCore felt like having a true ally in healthcare. Darcea and her team didn’t just provide consulting—they empowered our clinicians with practical training and tools that made documentation easier and more meaningful. OptiCore cares about people, not just metrics."
PHS, Inc
