Value-Based Care
Prepare for the New Paradigm
Value-based care contracts that pay based on quality and total cost of care are gaining momentum, including all Medicare patients by 2030.
Providers must identify patients in need of care and provide proactive care that ensures patients stay healthy and avoid costly hospital stays.
Failure to document and correctly code and bill for services results in missed incentive payments, lower risk scores, exposure to other costs.
Our coding, RCM , and staffing solutions enable your practice to reach patients and capture data on the initial claims submission rather than through time consuming retrospective reviews that frustrate staff and burn-out physicians.
Risk Adjustment Coding
Appropriate ID-10 codes
Expert coders
Prospective & retrospective review
VBC condition identification
Correct documentation on claims
Quality Reporting
Provider education on metrics
Metrics tracking and closure
Correct quality codes on claims
Provider incentive dollar tracking
Population Health
Monitoring across online resources
High risk/cost patient identification
Care-gap identification
Tech enabled, trained staff
Timely patient outreach
Post-Discharge Management
Discharge notice monitoring
Patient contacting within 48 hours
Scheduling face to face within 14 days