Solutions

Enhance Value-Based Care

Risk-based payment models allow providers to showcase their considerable patient and quality expertise but frequently present challenges that can be difficult and time consuming to resolve. Our HF360 Blueprint methodology takes a customized approach to each provider’s needs to create a personalized roadmap for success in value-based arrangements.

Understand Population Risk

Obtaining a complete and accurate picture of your patient population’s acuity is critical to performance, yet many risk-bearing providers lack the infrastructure and tools to do so. Whether you are participating in public or private risk-sharing arrangements, we take a patient-centric approach to understanding the risk underlying all covered populations by setting up a comprehensive risk adjustment program.

Elevate Performance

  • Increase Risk Capture Completeness & Accuracy
  • Better Engage Physicians with Actionable Data
  • Optimize ROI through Risk Stratification
  • Ensure Compliant Practices
  • Reduce Administrative Burden with Technology

HF360 Risk Adjustment
for Risk-Bearing Providers

Our flexible suite of services and technologies can be tailored to meet any risk-bearing entity’s needs, regardless of size or risk-sharing maturity. HF360 Risk Adjustment can be adopted in a phased approach in order to capitalize on available resources and organizational readiness.

Pre-Encounter:
Identification

  • Analytics based on administative and NLP-clinical data
  • Targeted patient outreach and scheduling
  • Physician and staff education on coding and documentation guidelines

During Encounter:
Documentation

  • Delivery of verified gaps in care and documentation
  • Gap closure at the point-of-care
  • Accurate and complete encounter documentation

Post-Encounter:
Coding

  • NLP-enabled coding review for completeness and compliance
  • Accurate diagnoses on outbound claims
  • Analytics updates allow for tracking additional gaps as needed

The Health Fidelity Approach

We use our proven model to understand the key business characteristics of our clients, identify and assess the opportunity for risk optimization, determine network readiness, and finally implement our solution to measure the improvement and delivered ROI.

HF360 Blueprint

1

Discovery & Data Collection

Review current processes


Evaluate current
state


Compilation of all current activities and processes

2

Financial Opportunity

Search for revenue opportunity


Analyze historical
data


Financial opportunities

3

Clinical Data Landscape

Document data availability


Discuss chart retrieval efforts/vendors


Inventory of all data sources

4

Network Readiness

Understand organization readiness


Reflect on internal readiness


Gaps in organizational alignment

5

360º
Blueprint

Develop your HF360 Blueprint


Identify methods of improvement


Roadmap to improvement

Connect with us to schedule a demo or get a customized assessment and action plan to transform your risk adjustment program. Contact us to get started.