medicaidriskadjustmentsolutio

[medicaidriskadjustmentsolutio]

Let Us Lighten the Load: How Risk Adjustment Coding Can Ease Your Transition to Value-Based Care

As the shift to value-based care (VBC) carries on, many provider organizations are grappling with a dramatic change in the way in which they’ve traditionally been reimbursed. And for some groups who lack sufficient resources or infrastructure, value-based care may seem like a significant undertaking that feels too tough to tackle. To read more about visit https://www.pinterest.com/pin/914723374306104578

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Understanding Patient-Centric Care in Risk Adjustment

Patient-centric care in risk adjustment entails redesigning care plans and strategies to prioritize patients as individuals, with a focus on their success, satisfaction, and overall well-being. This approach recognizes that each patient is unique, with specific needs, preferences, and circumstances that must be considered when assessing and managing their health risks. To read more about visit https://www.pinterest.com/pin/914723374305458610

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Practical Steps to Implementing Patient-Centric Risk Adjustment

Transforming to a patient-centric model of risk adjustment requires a systematic and comprehensive approach. Here are some practical steps healthcare organizations can take to embrace patient-centricity in risk adjustment. To read more about visit https://www.4shared.com/office/256xdbndge/Practical_Steps_to_Implementin.html

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The Next Wave: 5 Key Healthcare Sectors to Watch in 2024 and Beyond

With the end of the Public Health Emergency (PHE), the advent of ChatGPT, and the changing market landscape, 2023 was an unprecedented year for the healthcare industry. 2024 promises to be no different. As the pandemic continues to impact health systems and patient needs, these sectors are poised for significant growth in 2024 and beyond. This content is originally published here https://www.episource.com/resources/the-next-wave-5-key-healthcare-sectors-to-watch-in-2024-and-beyond/

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The Power of Three: A Guide to Prospective, Concurrent, and Retrospective Risk Adjustment

The healthcare industry is in the midst of a monumental shift towards value-based care, driven by CMS’s mandate for provider groups to embrace downside risk by 2025. To navigate this transformation successfully, provider groups, pay-viders, and ACOs must develop robust coding programs. That means having a strong understanding of all three methods for risk adjustment. Let’s explore exactly what retrospective, prospective, and concurrent risk adjustment are and how you can incorporate each to create a fully optimized risk adjustment program. This content is originally published here https://www.episource.com/resources/the-power-of-three-a-guide-to-prospective-concurrent-and-retrospective-risk-adjustment/

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Navigating the New Wave: Understanding CMS’s Interoperability and Prior Authorization Final Rule

You’ve probably heard about the Centers for Medicare & Medicaid Services’ (CMS’) Interoperability and Prior Authorization Final Rule — CMS-0057-F — which represents a pivotal change in healthcare data exchange and accessibility. This rule introduces essential modifications aimed at improving the efficiency of healthcare interoperability, particularly in the realm of data sharing access and prior authorization processes. For more information visit https://www.episource.com/resources/navigating-the-new-wave-understanding-cmss-interoperability-and-prior-authorization-final-rule-copy/

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Risk Adjustment Solutions

Episource Analyst is a comprehensive, risk adjustment analytics workflow platform that turns data into actionable insights at the touch of a button. Our advanced risk adjustment analytics and suspecting solution identifies areas of opportunity, assesses program performance, and measures impacts over time. For more information visit our webiste https://www.episource.com/analyze/

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Three Value-Based Care Takeaways from the APG Annual Fall 2023 Conference

For three days at the end of October and beginning of November, health practitioners, population health professionals, and healthcare technology experts from around the nation converged on Washington, DC for the America’s Physician Group (APG) Annual Fall Conference. One of the biggest topics of discussion was the transition to value-based care. Presenters and participants shared their experiences with value-based care, the challenges they are facing, and strategies to succeed in this transformative era of healthcare. This content originally published here https://www.episource.com/resources/three-value-based-care-takeaways-from-the-apg-annual-fall-2023-conference-2/

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Episource Highlights the Importance of Risk Adjustment Audit Prevention in Healthcare Compliance

Episource, a leading provider of healthcare solutions, sheds light on the critical significance of Risk Adjustment Audit Prevention in maintaining compliance and efficiency within the healthcare industry. In an increasingly complex healthcare landscape, regulatory compliance is paramount to ensure the delivery of high-quality care while mitigating financial risks. Episource's latest insights underscore the pressing need for proactive measures to prevent risk adjustment audits, safeguarding both patient care and financial stability for healthcare organizations. To read more about visit https://webpressrelease.blogspot.com/2024/02/episource-highlights-importance-of-risk.html

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4 Benefits of Prospective Coding in Risk Adjustment

In an industry projected to reach a market value of $7.28 billion by 2027, healthcare’s swift move towards value-based care (VBC) underscores the importance of ensuring that healthcare organizations adopt risk adjustment strategies that aim to improve quality of care​​. Among these strategies, prospective coding offers a fresh take on traditional risk adjustment coding methodologies. This approach involves identifying historical and suspected patient conditions before a visit, helping physicians make the most thorough evaluation of patient health at the point of care. Here are four compelling benefits of incorporating prospective coding into your risk adjustment program. For more information visit https://www.episource.com/resources/4-benefits-of-prospective-coding-in-risk-adjustment/

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Top 7 Trends That Shaped the Healthcare Industry in 2023

2023 has unfolded as a year of pivotal trends and landmark shifts. From technological innovations to regulatory changes, the healthcare sector is witnessing a big shift in its operations and strategies. Let’s explore seven major trends that shaped the industry over the year, each with its own nuances and implications for healthcare organizations. To read more about visit https://www.episource.com/posts/top-7-trends-that-shaped-the-healthcare-industry-in-2023

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Risk Adjustment Encounter Submissions

Episource Analyst is a comprehensive, risk adjustment analytics workflow platform that turns data into actionable insights at the touch of a button. Our advanced risk adjustment analytics and suspecting solution identifies areas of opportunity, assesses program performance, and measures impacts over time. For more information visit https://www.episource.com/stage/analyze