SERVICES

Expand your practice and maximize your revenue potential with our expert business development services:​

• Network Expansion: Gain access to our extensive network of insurance partners, including major HMOs and PPOs.

• Contract Negotiation: Our experienced team negotiates favorable terms with payers to ensure optimal reimbursement rates for your services.

• Market Analysis: We provide in-depth market research to identify growth opportunities and help you make informed decisions about practice expansion.

• Payer Relations: We act as your advocate, managing relationships with insurance companies to resolve issues and ensure smooth operations.

Optimize your approach to Medicare risk with our specialized solutions:​

• Risk Adjustment: Implement strategies to accurately capture and report patient risk factors for appropriate reimbursement.

• Star Ratings Improvement: Develop and execute plans to enhance performance on key quality measures and improve overall Star Ratings.

• HEDIS Measure Optimization: Ensure accurate reporting and improve performance on HEDIS measures.

• Compliance Documentation: Maintain complete and accurate documentation to support risk adjustment and quality reporting.

• Provider Education: Offer training and resources to help providers understand and effectively participate in risk adjustment and quality programs.

• Audit Preparation: Prepare for and manage regulatory audits related to Medicare risk adjustment and quality reporting.​​​​​

​Navigate the complexities of the 340B Drug Pricing Program with our expert guidance:​

• Eligibility Assessment: We evaluate your organization's eligibility for the 340B program and identify potential opportunities.

• Registration Support: Our team guides you through the entire registration process, ensuring accuracy and compliance.

• Compliance Management: We help you establish and maintain compliance with 340B program requirements.

• Pharmacy Network Development: Assist in building a network of contract pharmacies to maximize program benefits.

• Ongoing Support: Provide continuous support and updates on program changes and best practices.

Optimize your financial performance and streamline your billing processes with our tailored Revenue Cycle Management (RCM) solutions:​

• End-to-End Billing Services: From charge capture to payment posting, we manage

• the entire revenue cycle to maximize collections and minimize errors.

• Claims Management: Our expert team handles claims submission, follow up, and appeals to reduce denials and accelerate payments.

• Compliance Monitoring: We ensure adherence to ever changing healthcare regulations and payer requirements to minimize compliance risks.

• Performance Analytics: Gain insights into your financial performance with detailed

• reporting and analytics.

• Patient Collections: Implement effective strategies to improve patient collections while maintaining positive patient relationships.

• Specialty Specific Solutions: We offer customized RCM approaches for primary care, specialty practices, urgent care centers, labs, and surgery centers

Elevate the quality of care you provide while improving practice efficiency with our comprehensive primary care management solutions:​

• Chronic Care Management (CCM): Implement structured programs to effectively manage patients with multiple chronic conditions, improving outcomes and reducing hospitalizations.

• Transitional Care Management (TCM): Ensure seamless care transitions for patients moving between healthcare settings, reducing readmissions and improving patient satisfaction.

• Principal Care Management (PCM): Develop targeted management programs for patients with a single, complex chronic condition.

• Inter-professional Internet Consultation: Facilitate collaboration between healthcare providers to improve patient care and outcomes.

• Remote Evaluations of Patient Videos/Images: Leverage telemedicine technologies to provide timely assessments and follow-ups without in-person visits.

• Virtual Check-ins: Implement brief, technology-based check-ins to maintain patient engagement and address minor concerns efficiently.

• Online Digital E/M (e-visits): Offer secure, online consultations for non-urgent medical issues, enhancing accessibility and patient convenience.

Harness the power of data to drive informed decision-making and improve patient outcomes:​

• Advanced Analytics: Utilize cutting-edge analytics tools to gain insights into clinical and financial performance.

• Population Health Management: Identify high-risk patients and implement targeted interventions to improve overall health outcomes.

• Performance Benchmarking: Compare your performance against industry standards and identify areas for improvement.

• Predictive Modeling: Anticipate future trends and potential issues to proactively address challenges.

• Custom Reporting: Generate tailored reports to meet specific needs of your practice or organization.

• Data Integration: Seamlessly integrate data from multiple sources for a comprehensive view of your operations.

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