VALUE DELIVERED
Key outcomes for health SYSTEMS
Acute and ambulatory programs delivering measurable operational and financial impact.
CMI & reimbursement
Physician-led prebill reviews and DRG optimization improving case mix index and revenue.
Quality gap closure
PSI/HAC reduction, O:E enhancement, and payer-specific penalty mitigation across all quality frameworks.
Site-of-care savings
Leakage analytics and HOPD-to-ASC redirection linked to measurable route and diversion outcomes.
Offering
Coding and CDI
Quality Measures
Site-Of-Care + Leakage Reduction
Pharmacy Management and Rebate Strategy
Acute
CDI + CODING
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Physician-led post-coding prebill reviews
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DRG Optimization & Denial Support
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Clinical Validation for Denial Prevention
QUALITY REVIEWS
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Quality Measure support
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Risk Adjustment accuracy
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Query process integrates into current workflow
CARE TEAM
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Post-discharge med rec plus handoffs
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High-risk med review plus deprescribing
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Stars measure (PDC) support
ACUTE CARE
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ED strategy and preventable admissions
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Post-acute routing (SNF, Home health, DME)
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Transitions plus discharge planning
Ambulatory
HCC CDI + CODING
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Risk adjustment alerts at point of care
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Pre-visit and post-visit coding review
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Documentation education virtual and on-site
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Rx HCC Support
QUALITY REVIEWS
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Gap insights tailored to the patient at point-of-care
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CDI nudges prompt measure capture/exclusion
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Prioritization based on your unique needs
PROFESSIONAL
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HOPD to ASC, office, home redirection
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Preferred routes: infusion, imaging, ortho
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Leakage analytics plus referral tracing
THERAPY OPTIMIZATION
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Comprehensive Drug Interchange & Formulary Alignment
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Rebate alignment & optimization
Value Tracking
Reimbursement Optimization
CMI Improvement
Audit Risk Reduction & Improved Compliance
DRG Downgrade/Denial Support
Actionable Physician & Coding Staff Education
PSI/HAC Reduction
SOI/ROM Improvement
Targeted O:E Enhancement
Quality gap closure: Stars, MQRS, MSSP, HAC Reduction, Elixhauser
Payer-specific Penalty Mitigation
Reimbursement Optimization
CMI Improvement
Audit Risk Reduction & Improved Compliance
DRG Downgrade/Denial Support
Actionable Physician & Coding Staff Education