Who We Serve
Medicare Health Plans
Solving the challenges that health plans face is our passion. We are committed to helping our clients solve compliance, operational and revenue management challenges. Our solutions include risk management, identification of care gaps, data submission, and financial reconciliation.
Commercial Health Plans
The Affordable Care Act generated additional challenges for Commercial Health Plans from the risk adjusted payment model to data submission and RADV audits. Our commitment to help our clients solve these challenges and work through the intricacies of risk adjustment and compliance is our focus. Our solutions include risk management, identification of care gaps, and financial reconciliation.
Independent Practice Associations
With varying data formats across the different health plans, risk-based provider groups are challenged with making sense out of the data provided. Timely, accurate, and actionable information is key to the success of the practice. We are able to quickly analyze the data and provide standardized reporting.
Third Party Vendors
The services you provide to health plans is important and valuable. Whether you provide medical record coding, home assessments, or data submission services to health plans, we can support you by providing analytics and financial projections for your clients based on your activities throughout the year.