Although health plans annually perform both Risk Adjustment reviews and HEDIS quality abstractions, there is significant duplication of efforts when obtaining the charts needed for both programs because there is often little communication between them. Imagine the frustration at a provider’s office while they fax the same records to the same health plan, but to two different fax numbers.
As business continues to evolve and as mergers and acquisitions increase, the need to rethink operational workflow has never been more apparent. As a labor-intensive industry that is experiencing change almost daily, the healthcare industry is at the forefront of this new frontier.
It’s probably easy to believe that with the technological advances available today, consistent, quality customer service is no longer important to businesses. Everything is automated and it sometimes appears computers and robots can do most any job cheaper, faster and better.
The story of Vee Healthtek and its ability to grow as a Business Process Management solution is reminiscent of the David and Goliath story of Compaq Computers taking on IBM in the 1980’s.
The economics of health care is complex and highly regulated. Health systems, hospitals, physician practices, ACOs and providers of all types find it harder and harder to stay out of the red. Efficiencies must be gained, and healthcare business executives looking to alternative delivery models and cost cutting measures where possible.
Proper Coding And Top HCC Diagnoses: According to the Centers for Disease Control and Prevention (CDC), chronic disease is responsible for seven of ten deaths each year, and treating people with chronic diseases accounts for 86% of our nation’s total healthcare costs.
There are multiple processes in the healthcare revenue cycle world that considerably ramp up in activity on a periodic basis. This is the story of how Vee Healthtek solved a hospital’s last-minute problem when they couldn’t finish it alone.
The manual processes being used by health plans and provider groups lack sustainability, in an environment realizing a rapid expansion of value-based care payment models.
Teamwork in a Risk Adjustment Program. The Process within the Process: In the best and most stable of times, change in any kind of business strategy can be risky.
