Providers

Primary Care Redesign

The journey from volume to value and outcomes-based care requires a high functioning, efficient primary care (PC) system as its foundation. This transformation requires purposeful planning and design and investment. Our team can partner with your practice to start this journey with a specialized approach focused on your needs and vision for future state. We can provide support to identify the key areas of focus for redesign, guiding principles to inform the design of frameworks and processes, outline key planning considerations, and develop a proposal for implementation and operationalization.

Population Health and Value-based Care

Provide support to providers and health systems in implementing Population Health and Value-Based Care (VBC) initiatives. Our team provides a range of services and expertise tailored to help healthcare organizations navigate the transition to value-based reimbursement models and improve population health outcomes including but not limited to strategic planning, assessments, quality improvement, practice transformation, patient engagement, and quality improvement initiatives.

Practice Transformation

Support your practice and staff with a patient-centered approach by implementing strategic initiatives and incremental changes to enhance the quality, efficiency, and effectiveness of care delivery. Through our portfolio of tools and comprehensive assessments, the team can help identify inefficiencies, gaps in care delivery, and areas for improvement and develop practice-specific action plans to implement evidence-based practices, streamline workflows, optimize operations, and integrate technology solutions for enhanced patient engagement and population health management. We provide training, coaching, and ongoing assistance so that the primary care teams can navigate the transition towards more sustainable and value-driven models of care, ultimately leading to healthier communities and improved healthcare experiences.

Care Delivery Models

Provide support in developing and/or optimizing care delivery models within primary care settings by leveraging industry best practices, risk stratification, and data analytics. Comprehensive care team assessments to help design and implement care delivery frameworks and interdisciplinary care teams that provide the right care and services to the patients. These models can range from traditional fee-for-service arrangements to value-based care models, such as patient-centered medical homes or accountable care organizations developed around the concepts of preventive care, chronic disease management, and care coordination to improve patient outcomes and reduce healthcare costs.

Patient Engagement Models

Support primary care practices to engage with the patients actively in their healthcare journey, fostering collaboration, empowerment, and improved health outcomes. Our teams and partners can help with various strategies and initiatives aimed at enhancing patient-provider communication, shared decision-making, and self-management of health through health coaching and chronic care management.

Clinical Systems Implementation

Provide guidance to primary care practices through the complexities of system selection, customization, and deployment of clinical systems. Includes assessment of the current state & future state goals, practice's workflows, recommend appropriate systems, and oversee the implementation process to ensure seamless integration with existing operations. Provide comprehensive training and support and empower primary care staff to effectively utilize these systems, enhancing documentation accuracy, enabling better care coordination, and facilitating data-driven decision-making to deliver more efficient, higher-quality care to their patients.

Documentation and Coding Services

We have a team of certified professional and experienced coders and clinical documentation improvement (CDI) specialists to offer documentation and coding services to assist primary care practices in optimizing revenue cycle management and ensuring compliance with regulatory requirements for both FFS (E&M) and VBC Hierarchical category conditions (HCC). These services involve capturing and documenting patient encounters, medical history, diagnoses, treatments, and procedures in a structured format according to coding guidelines such as ICD-10 (International Classification of Diseases, 10th edition) and CPT (Current Procedural Terminology).

They provide training and support to healthcare providers and staff on proper documentation practices, coding guidelines, and documentation improvement strategies which play a crucial role in the financial viability and operational efficiency of primary care practices. By ensuring accurate and comprehensive documentation and coding, these services help maximize reimbursement, reduce claim denials, capture risk scores, and minimize compliance risks. Additionally, they contribute to improved clinical documentation integrity, which supports better communication among healthcare providers and facilitates continuity of care for patients.

Financial Services

We have a dedicated team of certified coders, billers, CAs to provide a comprehensive set of financial services tailored to the specific needs of your practice which includes revenue cycle management, billing and coding, financial analysis, budgeting, accounts payable and reimbursement optimization.

These services may involve assessing the practice's financial health, identifying opportunities for revenue enhancement, and implementing strategies to improve financial performance. We also offer support in optimizing billing processes, reducing claim denials, and enhancing coding accuracy to ensure maximum reimbursement for services rendered. By leveraging financial expertise and industry insights, our aim is to empower primary care practices to navigate the complex financial landscape of healthcare and achieve their financial goals while maintaining focus on delivering high-quality patient care.