Providers face some financial risk under value-based care. Risk adjustment coders safeguard payments by auditing files for accurate coding.
This case study illustrates the power of partnership between Innovista and a Chicago area practice in leveraging data to make better healthcare decisions.
Patients need the right care at the right cost. Utilization management nurses ensure members receive appropriate services based on evidence-based practices.
What do providers need to do to succeed in value-based care? There are several ways to foster financial success—but providers should prioritize four key plays to truly maximize incentives.
Pre-visit planning (or chart prep) helps create efficiencies within medical offices, ensuring smooth and seamless workflows. Learn how to put this useful technique into practice.
The healthcare system can be complex and confusing. Many patients need an advocate—a case manager—who can help them get the care they need.
In value-based care, teams of professionals work together to ensure patients are well cared for and practices meet benchmarks. Community health workers are key players in achieving these goals.
The emergency department is often a patient’s first choice for acute care, but it’s not always the best option. Providers can empower patients to choose alternative care settings using these tactics.
Seasonal scheduling is a way for physicians offices to adjust their schedules to make room for wellness exams during specific times of the year. Learn how to leverage this practice.