How do we help each Department achieve its Goals?
Increase membership understanding by grouping, classifying, and stratifying the members into multiple groups and segments which define and isolate the areas that need more attention. It does not only point out the problem areas, but It also advises you of what needs to be done, when, how. Better management of the membership will drive better members retention and allows for well-managed membership growth.
Providers are the backbone of this program and in this platform, providers will be closely involved in taking care of the members and closing all the gaps simple by having access to our platform that interactively guides them through the gaps and quality measures for their patients. Also, with the providers’ scorecards, you will be able to identify the great performers to clone their workflow to help the underperforming ones.
Risk Adjustment and Quality
With all the complex, always changing models and rules for Risk Adjustment and Quality measure, TheHealthcare360 will provide all that is needed to keep Risk Scores and Quality measures where they need to be easily and efficiently. With our AI-based modules, we are not only providing a deep insight of where you stand, but we also provide – based on a complex AI, Machine Learning, NLP, and Data Mining predictive and analytics processes and engines – what is missing, what needs to be done, when and how and also provide a state of the art NLP and AI-based coding tool to capture all kind of Gaps. Shortly, we are providing an end to end solutions for your Risk Adjustment and Quality needs.
TheHealthcare360 provide the finance team with multi-views of past, current, and future payments from CMS. This eliminates any surprises in the forecasted numbers since it gives them a future view of what they will get which will allow them to plan accordingly to avoid payments drops and to increase revenue. With our AI-based tool, you will increase revenue, decrease cost, and have a positive bottom line.
IT and BI
Thehealthcare360 has highly skilled healthcare IT engineers, programmers, data scientists, and architects who are ready to jump in and help with all your IT needs. Regardless, if it is a small task or a huge project. Our team is ready to help with all your risk adjustment needs.