The Challenge: Prohibitive labor cost and considerably higher turnaround time due to large number of manual adjudications resulting from mismatched information between enrollment data and provider data.
The maturity of an organization determines its scalability and operational agility to adjust to shifting reimbursement structures, specifically alternative payment models.
Most providers participating in risk adjusted contracts view risk adjustment optimization as a function of revenue enhancement. Most providers participating in risk adjusted contracts view risk adjustment optimization as a function of revenue enhancement.
A Vee Healthtek referral team was tasked with processing a large backlog of physician referrals for a large physician group in the U.S. Our client was experiencing long delays in processing physician referrals which led to a loss of patients, low patient satisfaction scores and ultimately, cash delays.
Late in 2015, Vee Healthtek was approached by a new client having difficulty with their radiology coding system. They were depending on a computer-aided tool that did not adapt well to the type of radiology work being done, causing a three-month backlog.
The Vee Healthtek coding team was tasked with identifying solutions to improve the delay in coding unbilled charts for a large hospital. The client was facing a financial crisis and had to significantly reduce staff.
When faced with a problem, do you immediately get to work trying to solve it? If you are like most of us, your focus is on finding answers quickly rather than spending time asking clarifying questions. Now think about problem solving in the context of outsourcing.
Business as a Service (BaaS) is a business model that offers real-life services such as accounting, marketing, or IT to other businesses. BaaS is characterized by an instant, on-demand service where businesses pay only for what they use (some refer to this as a utility model).
What are Client Relationships? In all business, client relationships are all about the management of interactions with clients. Chittaie (2012) sees the management of these interactions as client relationship management that combines individuals, processes, and appropriate technology in a bid to develop and retain clients.