Identify and quantify opportunities to optimize performance with HCC data analytics
Lost revenue stemming from inaccurate clinical documentation and problem list management is a significant contributor to the financial pressures facing healthcare providers. A key element to performance improvement is leveraging technology, analytics and interpretation.
HCS Consulting’s HCC Data Analytics solution leverages technology and content expertise to identify, quantify, and prioritize aberrant outcomes—the foundation of your risk-adjustment factors. Our approach to analytical data-driven performance improvement is to collaborate with technology strategic partners for a combined technology and consulting solution.
Approach
Our approach factors in the variability of your unique patient mix while also controlling other variables for the analysis.
- Our approach offers a suite of analytical solutions to meet the needs and complexity of the organization
- Enhanced methodology including a root cause analysis based on clients’ data unique patient mix
- Monthly opportunity analysis of client-based data outcomes to demonstrate the true opportunity
Outcomes
The capture of HCCs in the physician specialty clinic environment is critical for appropriately reporting the severity of the Medicare Advantage patient population, physician profiling and optimal reimbursement. HCC capture goes far beyond just Medicare Advantage as HCC methodology is expanding faster and wider resulting in more financial risk including Value Based Purchasing contracts, MACRA, and Medicare ACO Model Medicare Shared Savings Programs to name a few. Our solution will result in:
HCC Capture. Directly impact reimbursement by improving RAF scores and population health management.
Improved clinical outcomes. Accurately capture the severity of your patient population by improving your depth of coding and reporting of chronic conditions.
Improved data outcomes. Effective health management starts with accurate data outcomes which can only be accomplished through the integrity of your data.
