Optimizing Payer-Provider Interactions with Veradigm Collaborate

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Optimizing Payer-Provider Interactions with Veradigm Collaborate

Efficiently Engage Providers for Effective Gap Closure

Healthcare providers (HCPs) are now moving towards a value-based care model, receiving reimbursement based on patient care quality rather than quantity. Veradigm Collaborate offers a suite of solutions designed to enhance payer-provider interactions, ensuring effective gap closure efforts. By delivering consolidated alerts for risk adjustment, quality, and pharmacy opportunities, Veradigm Collaborate streamlines communication with providers, minimizing abrasion and alert fatigue. Through customizable prioritization algorithms, providers receive only the highest confidence level alerts, facilitating faster gap closures and reducing the need for costly Medical Record Reviews (MRR). By integrating a secure, self-service web portal, providers can efficiently close gaps and upload supporting documentation, ultimately reducing workflow disruption and enhancing efficiency.

Identifying Engagement Opportunities with Veradigm Collaborate

Veradigm Collaborate connects risk adjustment and quality data at the provider and group level, allowing the identification of opportunities for engagement. This data-driven approach enables the assessment of individual providers or groups that present the best engagement prospects, optimizing outreach efforts for maximum effectiveness. With Veradigm Collaborate's intuitive dashboards and scorecards, health plans can evaluate and benchmark provider groups and individual providers based on various parameters like case mix, clinical performance, coding efficacy, and diagnostic capture rates. By consolidating data from multiple sources into single-member alerts, provider burden is minimized, and confidence-based analytics ensure targeted outreach and education initiatives.

Delivering Value to Provider Networks with Veradigm Collaborate

Physicians are facing increasing demands on their time, with an average of over 16 minutes spent per patient visit on EHRs alone. Veradigm Collaborate addresses this challenge by streamlining payer-provider communications and integrating alerts from all Pulse8 products. By facilitating communications, supporting secure document transfer, providing education materials, and offering continuing education opportunities, Veradigm Collaborate enhances provider engagement and collaboration. The platform delivers value to providers by improving patient care quality, facilitating practice coding staff education, and reinforcing the critical role of providers in Quality and Risk Adjustment programs. Educational opportunities, including live webinars and AAPC CEU-approved webinars, contribute to improving gap closure and strengthening provider efforts during patient visits.

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Maximizing Revenue and Reducing Risks with Veradigm Risk Mitigator for RADV Audit

Understanding the Financial Consequences of a RADV Audit

Undergoing a Risk Adjustment Data Validation (RADV) audit from entities like the Centers for Medicare and Medicaid Services (CMS) or the Department of Health and Human Services (HHS) can pose significant financial risks for health plans and payers. Unsupported Hierarchical Condition Categories (HCCs) found in such audits may be extrapolated to represent an error rate affecting the overall population, impacting organizations profoundly. Even a single unsupported condition in a RADV audit sample can lead to substantial financial implications.

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Streamline Patient Care with Practice Fusion EHR Software

Efficiency in Patient Care

Practice Fusion EHR offers a cloud-based solution that allows healthcare providers to access information securely and effectively. The platform is designed to streamline workflows, making charting more efficient and simplifying the management of patient care plans. With features like certified e-prescribing, imaging and lab integrations, and automatic updates to meet best practices and regulatory compliance, providers can save time and focus more on patient care.

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Optimizing Healthcare Management with Veradigm Payer Analytics

The Importance of Effective Risk Adjustment in Healthcare

Effective risk adjustment in healthcare plays a vital role in ensuring accurate funding allocation and optimizing patient care. Veradigm Payer Analytics offers a comprehensive suite of solutions that cater to the needs of Health Plans and At-Risk Providers, helping them navigate the complexities of the healthcare landscape with ease. By addressing various functional areas such as Finance, Actuary, and Pharmacy Program Management, Veradigm ensures that every aspect of the healthcare strategy is covered, leading to improved outcomes for all stakeholders involved.

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Veradigm Real-World Evidence: Unleashing the Power of Data-Driven Insights

Understanding Real-World Evidence

Real-world evidence (RWE) is crucial in today's healthcare landscape as it offers a deeper understanding of how therapies perform in real-life scenarios, beyond traditional randomized controlled trials (RCTs). RWE is derived from real-world data, encompassing clinical evidence on the benefits, risks, and usage of medical therapies. By utilizing various research methods like observational studies, RWE provides a comprehensive view of treatment effectiveness across different patient groups.

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Revolutionizing Healthcare with Veradigm Connect

Innovative Healthcare Solutions

Veradigm Connect serves as a bridge between cutting-edge health technology solutions and the healthcare professionals and patients who can benefit from them. By eliminating the typical barriers associated with implementing new technology, Veradigm Connect empowers innovators to make a tangible difference in the healthcare ecosystem. Through a free developer portal account, users can access a vibrant community of like-minded individuals dedicated to transforming healthcare and driving value and insights.

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