Risk Adjustment Services

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VLMS Global Healthcare works to help you in achieving financial success and high revenues. We offer best-in-class end-to-end risk adjustment solutions along with empowered partnerships. As our partner, you will be able to access real-time risk insights, AI-enabled health management tools, risks and quality insights and much more.

As a leading provider of end-to-end Risk Adjustment solutions, all partnerships include :

Real-time Risk DNA insights
Access to our team of risk adjustment physicians.
Dedicated and experienced Risk Adjustment Account Managers.
Access to our robust list of comprehensive health management tools
Prospective, Concurrent, and Retrospective HCC clinical-coding experts
Transformational data-based intelligence
Complete risk and quality performance reporting insights

Discover how we can assist you

Prospective Risk Review

We used our AI-based tools for prospective clinical review before point of care. We interact with the physicians prior to the point of care to derive smart insights from the patient-physician interaction. Read More

Retrospective Risk Review

Technology is a major part of our analytics solutions to derive insights. Our retrospective HCC coding review uses service dates to extract HCC codes with specific parameters.
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Concurrent Risk Review

Concurrent review enables medical coders to access EHR systems and HCC codes within real-time before submitting the claims to the payer. It uses technological support to enable medical coders to have a real-time view of the EHR system. Read More

Risk Adjustment Optimization

We thoroughly analyze clinical documentation, EHR systems, HCC codes, and intensity of nursing care needed by patients for efficient healthcare service and to identify the severity of a patient's medical condition.
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Frequently asked questions

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What sets VLMS Healthcare apart in providing Revenue Cycle Analytics, and how does it contribute to maximizing revenue for healthcare organizations?

VLMS Healthcare specializes in Revenue Cycle Analytics, offering a comprehensive snapshot of business functionality. Key features include denial analytics, analysis of payer behavior, automated RCM execution metrics, data incorporation, insights on write-offs and appeals, and in-depth dashboard visualization. By addressing these parameters, VLMS Healthcare aims to boost revenue for healthcare organizations, providing valuable insights into denial patterns, payer behavior, and other critical aspects.

Can you elaborate on the benefits of Revenue Cycle Analytics provided by VLMS Healthcare, especially in terms of revenue enhancement and actionable insights?

Revenue Cycle Analytics from VLMS Healthcare brings several benefits, including:

Hiked Revenues: Organizations can observe a significant increase in revenues while keeping overall costs minimal.
Actionable Insights: The solution provides targeted and real-time insights, offering a clear understanding of denial patterns, delayed payments, and payer behavior. This empowers organizations to strengthen reimbursements.

How does VLMS Healthcare contribute to healthcare organizations in making better decisions through distinctive analytics in Revenue Cycle Management?

VLMS Healthcare contributes to better decision-making by providing advanced analytics that present a clear snapshot of healthcare industry trends and competitiveness. This distinctive analytics approach assists organizations in making informed decisions for improved business outcomes.

In what ways does VLMS Healthcare differentiate itself in the realm of Risk Adjustment Services, and what benefits does it offer to healthcare providers?

VLMS Healthcare stands out in Risk Adjustment Services by offering end-to-end solutions, including real-time risk insights, AI-enabled health management tools, risk and quality insights, and more. The benefits include access to a team of risk adjustment physicians, dedicated account managers, comprehensive health management tools, and transformational data-based intelligence. These services aim to help healthcare providers achieve financial success and high revenues.

How does VLMS Healthcare's Risk Adjustment Services contribute to achieving financial success for healthcare organizations, and what sets it apart in the market?

VLMS Healthcare's Risk Adjustment Services contribute to financial success by providing real-time risk insights, access to experienced physicians, dedicated account managers, and robust health management tools. The incorporation of prospective, concurrent, and retrospective HCC coding experts, along with transformational data-based intelligence, sets VLMS Healthcare apart in the market. The company's focus on comprehensive risk adjustment solutions and empowered partnerships aims to empower healthcare organizations and optimize their risk adjustment processes for success.

VLMS Global Healthcare is your partner in tech-driven billing and coding solutions. Unique healthcare services and risk adjustment solutions provider with enhanced business continuity.

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