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Pre-Encounter Risk Adjustment: If You Try Sometimes, You Get What You Need
As the significance of provider risk adjustment grows, especially within the clinical workflow, finding the right solutions and adopting them in the right order is a critical part of success. Today, I want to discuss that, as well as exploring an unorthodox approach: using pre-encounter risk adjustment strategies that also supports care without burdening physicians […]
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Accelerating Recovery in Reimbursement for Value-based Care Post COVID-19
Implementing a post-encounter coding review is an effective way to ensure complete and accurate capture of all 2020 risk adjustable conditions - without burdening clinical teams - while informing care and stabilizing revenue. Finding and closing these gaps today, with fee-for-service revenues having bottomed out and many provider organizations in a precarious financial position, is especially critical.
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Forward Looking Opportunities of NLP in Healthcare
An in-depth look at how our technology stack processes information from our NLP engine, Lumanent Insights, to derive clinical suspects and deliver them to providers.
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Concurrent Coding Increases Claims Accuracy While Reflecting True Patient Disease Burden
Concurrent coding is an alternative audit process to correct documentation and coding errors that immediately follows the physician visit, before a claim is submitted for payment. Physicians are not coders, so concurrent coding finds billing oversights that physicians might overlook in the rush to complete electronic paperwork. Automating concurrent coding is available with the Lumanent Post-Encounter Review module from Health Fidelity.
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Value-based Care is Here to Stay: The Path to Accurate and Complete Risk Capture
As providers take on increasing levels of risk, they need to understand the maturity of their processes, the workflows they need to optimize, and the levers they can pull to improve their risk adjustment outcomes. Find out how our risk capture maturity model can help you plan your improvement path forward.
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Value-Based Care is Here to Stay: Key Strategies for Developing a Risk Adjustment Program
Our comprehensive, encounter-centric framework helps providers develop an effective risk capture program to achieve success in value-based care.
Tag: Provider
Risk-Bearing Providers
Risk adjustment is important to a provider’s success in value-based care. Implementing an effective and successful risk capture program requires providers to understand their current state (risk capture maturity), and then transform how their organizations operate and develop knowledge, infrastructure, and resources.
Whether your organization is just starting down the value-based care journey, or is a long-time risk-sharing arrangement veteran, find out how technology can transform your risk adjustment program.
Learn how to start off on the right foot and/or how to optimize your current risk adjustment programs and better collaborate with your payer partners in our blog.
