Ethical reimbursements
Reimbursements are made easy with effective risk review and adjustment. Also, gain a full understanding of HCC coding and HEDIS review.
Retrospective HCC Coding 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. This way, we assist you to identify the dark areas of missed opportunities and care gaps to further streamline your workflow to introduce efficiency. Retrospective review also offers another angle of HCC capture and HEDIS review.
Our retrospective risk adjustment services :
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NLP scrubbing
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HCC adds/edits/deletions
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Accurate RAPS/EDS submission
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Maximum and ethical reimbursement
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HEDIS review
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HCC capture
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Dual abstraction
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Chart backup
Discover how we can assist you
Retrospective risk review benefits
Identifying dark areas
Opportunities missing can be difficult, we ensure to present you the dark areas to identify missed opportunities
and revenues.
Identifying loopholes
Joining the dots to bridge the gap for operational efficiencies. Witness optimized workflow and increase your business analytics and other operations.
Why VLMS Healthcare
VLMS Global Healthcare is your partner in tech-driven billing and coding solutions.
Putting clients as paramount to develop a relationship that lasts forever.
Streamlining your RCM, clinical and administrative tasks at the same time is complex and we
understand this. When it comes to the next-generation healthcare system, VLMS Global
Healthcare is a prominent name. We have handled several complex business situations and took
them to the next level.
We value business relationships
We understand that relationships we nurture and forge are more than just to enable organizational success or patient experience. The base of any relationship is trust and we ensure seamless medical coding and billing services along with streamlined revenue cycle management. Our RCM solutions redefine your revenue cycle that minimizes denials and maximizes your claims and reimbursements.
Frequently asked questions
You’ve got questions and
You’ve got questions and
we’ve got answers
Our Retrospective Risk Review is a crucial component of our healthcare services, utilizing technology for in-depth HCC coding review. By examining service dates and extracting HCC codes with specific parameters, we help identify missed opportunities, care gaps, and optimize workflows for enhanced efficiency.
We employ advanced analytics solutions, including Natural Language Processing (NLP) scrubbing, HCC adds/edits/deletions, accurate RAPS/EDS submission, and dual abstraction. This ensures a comprehensive retrospective review, offering insights into reimbursement, HEDIS review, and HCC capture.
Retrospective Risk Review facilitates ethical reimbursements by providing a comprehensive understanding of HCC coding and HEDIS review. It simplifies the reimbursement process and ensures maximum and ethical reimbursement for healthcare services.
Our retrospective review methodology is designed to identify dark areas by presenting opportunities that might have been missed. This comprehensive approach allows us to bridge operational gaps, optimize workflow, and enhance business analytics and other operations.
Why should healthcare providers choose VLMS Healthcare for tech-driven billing and coding solutions?
VLMS Global Healthcare stands out as a leading partner in tech-driven billing and coding solutions, prioritizing clients and lasting relationships. We excel in streamlining Revenue Cycle Management (RCM), clinical tasks, and administrative operations. Our solutions redefine the revenue cycle by minimizing denials and maximizing claims and reimbursements.
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