VitreosHealth offers first-of-a-kind free population assessment to identify untapped undercoding opportunities
Dallas, TX, February 22, 2017 – VitreosHealth Predictive HCC Risk Adjustment solution leverages advanced data analytics to accurately understand each Medicare Advantage member’s risk, identify any gaps-in-coding, as well as gaps-in-care to ensure proper reimbursement for a given population. This new solution helps transform the HCC Risk Adjustment process from a typical fragmented process to a technology-enabled process utilizing advanced predictive analytics.
HCC Risk adjustment is one of the top untapped opportunities for an HMO or Provider group taking on risk with Medicare, Medicaid, or dual-eligible contracts. Accurate HCC coding information helps create a more complete picture of the complexity of a patient population and improve premium revenue capture while maintaining compliance
VitreosHealth’s Predictive HCC Risk Adjustment solution identifies patients with undercoding opportunities by leveraging:
“Some of the biggest challenges faced are related to coding analyst productivity and premium revenue loss. The integrated workflows with embedded analytics helped increase our productivity by 25% and reduced our undercoding by 15%,” said Carey Ketelsen, Executive Director, GlobalHealth. “VitreosHealth organized data-driven risk adjustment process helped us increase our revenue capture by $2.5 million within the first six months.”
VitreosHealth also announced its first free State-of-Health Analysis (SOHA) to identify undercoding opportunities within a Medicare/Medicaid population cohort to establish a baseline for its pay-for-performance, outcomes-based pricing model to its customers.
“We believe the VitreosHealth solution is 3-4 times better than any solution in the marketplace in identifying opportunities,” said Jay Reddy, CEO of VitreosHealth. “By offering free assessments with an outcomes-based pricing model, we are putting our money where our mouth is.”
For more information on the VitreosHealth Predictive HCC Adjustment solution and the Pay-for-Performance program, please contact VitreosHealth.
VitreosHealth offers the first Insights-as-a-Service delivery model for advanced population health analytics. They leverage Big Data and predictive and prescriptive health insights for population risk models that provide a complete view into the healthcare continuum. Their adaptive insights achieve a patient-centric focus for each perspective within a healthcare organization that leads to quality health outcomes and improves financial performance for a measurable return on investment.
VitreosHealth was recently awarded Frost & Sullivan’s 2016 North America Award for New Product Innovation for Advanced Population Health Analytics Solutions.
Learn more at http://www.vitreoshealth.com.
VitreosHealth – 972.954.9992