Designing & Launching a Value Based Care Program
Medicare Clinical & Regulatory Compliance
Medicare Clinical & Regulatory Compliance
Value Based Care Programs are incredibly well documented. Unfortunately, this takes times and knowledge of where and what to look for. Our training programs have the most recent materials available for your staff so as to ensure compliance with Medicare regulations.
Revenue Cycle Management (RCM)
Medicare Clinical & Regulatory Compliance
Getting paid by Medicare is pretty straight forward. The challenge is knowing that your RCM team has properly reviewed every claim submitted so as to ensure that there will never be the potential for clawbacks or claims of healthcare fraud. We have multiple tools to ensure success with your RCM team and work-flow processes.
Health Risk Assessments (HRA)
Social Determinates of Health (SDOH)
Health Risk Assessments are utilized to assess the patient's history and then create a "Risk Stratification" so as to assign the most appropriately trained staff member to their care. We also utilize HRA's to build clinical activities for the patient's individualized needs.
Social Determinates of Health (SDOH)
Social Determinates of Health (SDOH)
It has been said that as much as 60% of a patient's overall health is determinated by their unique social surroundings. We capture baseline SDOH measures and use them to improve patient health interactions. We also engage Community Support services based upon SDOH assessments.
Validated Clinical Model
The Chronic Care Model was developed to provide validated practice and patient assessment tools and techniques. Clinical pathways are also provided for multiple patient disease clinical activities.
Provider & Staff Training
We provide staff training for Care Management and other VBC programs. Your staff we learn how to build stronger patient relationships and engage them as it relates to their health behaviors.
Clinical Documentation Improvement (CDI)
Clinical Documentation Improvement (CDI)
Is your clinical documentation ready for prime time. We make sure it is. We also train your staff on how to optimize your clinical record to chronic disease management.
Motivational Interviewing (MI)
Clinical Documentation Improvement (CDI)
One of the key concepts of Motivational Interviewing is "Open Ended" patient questions, vs. "Closed Ended". Our training curriculum includes this key feature of patient engagement.
HCC/RAF Scoring
HCC/RAF Scoring
While Hierarchial Condition Categories (HCC) and Risk Adjustment Factor (RAF) scoring may not be applicable to your practice yet, it will be. We prepare your and your team for when it is.