Take control of your compliance and Revenue Today!
The Process is simple, unobtrusive, and FAST!
Would you like a complimentary report (CMS Report Card) showing your missed mandated services in 47 different categories?
The Technology
Exclusive and Unique:
- Developed in direct collaboration with CMS
- Unrivaled in EHR & data analytics world
PVBM Identifies Medical Necessities for Each Patient
- Auto creates care plans
- Meets CMS standard of care
After Each Encounter - Potential New Medical Necessities
- Generated in 7 categories
- Assessments
- Diagnostics
- Ancillaries
- CCM, RPM, TCM & BHI
- Also identifies untreated diagnosis
- Makes inter-departmental referral
Quick and Easy Implementation Process: 3 Phases
Phase 1: Live Electronic Engagement of Your Entire Patient Population.
- Earn increased revenue from your entire patient population (99421, 99422, 99432 & G0071)
- Cashflow in 30-45 days
- Minimal staff involvement
- Technology connects with all patients electronically
- Starts with the attribution process
- We triage all of your patients
- Red (High Risk)/Yellow (Needs Monitoring)/Green (Low or No Risk)
- Learn the assigned individual risk for each patient
- Once risk level established:
- Patient self schedules
- Follows up via telemedicine
- In-person (Reds) – Elevated Risk
- $$ – 100% to Provider
Phase 2: Engaging Patients Based on Medical Necessities
- All white labeled to the practice or health system
- Use your staff or your present service contractors
- OR USE OUR VIRTUAL SUPPORT NETWORK (VSN)
VSN
- 20,000 NPs, PAs, Mid-Levels & MA’s
- 150,000 encounters a week
- Away from the office and workflow
- Don’t incur the cost of hiring additional staff
- Only pay for services performed following payment
- No Upfront Cost-Zero Risk
Phase 3: RAF Optimization
- Risk Share Services (RSS)
- We effectively help you with managing chronic conditions of your patient population.
- Critical for revenue generation
- Assist in accurate RAF scores
- Services properly & compliantly documented for patients
- Improves quality of care
- Ensures appropriate reimbursement
- Without adding minutes to providers’ labor time
Example:
Average Benchmark = $800 per RAF Score Point
Every .25 Increase = $200 PM or $2,400 PY
If the patient’s score rises .4 after PRSS Assessment:
- $320 Per Member – $3,840 Per Year – 1 Patient
- Apply to 500 patients – $2 Million
This is a conservative example
We will make you a model provider in your ACO
View Pertinent Information Below:
