No technology or EHR on the market that can do what our platform does. The EHR is a forensic tool that tells you what you did; not the hundreds of medically necessary mandated tasks that you missed. Not only is this missed revenue but you are being penalized for not taking it. This short video will show you how and why we are unique. Below the video, please review the Benefits to Provider and then click the Signup tab at the top to find out what revenue you are missing to the penny.
Precision VBM owns the very technology used to grade and rank providers by CMS mandated standards for health plans, hospital systems, ACOs, etc. Because of this we know exactly what is expected of every provider and the individual medical necessities of each patient. We are the only one with this technology as the architects of these proprietary and sophisticated algorithms are partners in our company. In the value based world, failure to act on medical necessities results in penalties, even if you don't know they exist. We find them all and complete the tasks on behalf of the provider. How?
Every time there is a new encounter, new medical necessities and care plans are automatically generated in seven categories (assessments, diagnostics, ancillaries, CCM/RPM/TCM/ACP, identifies a new untreated diagnosis, identifies need for a specialist and makes interdepartmental referrals in hospitals or health systems). This process is ongoing, updated with each new encounter, which allows us to accurately project the cost of care for any patient or employee population.
Whether the treatment standard is MACRA, MIPS, HEDIS, STAR or Quality Care Measures, our platform pivots to those measures to assure superb value-based metrics. We can also apply different value based measures and rules to each payer group based on their specific individual group requirements.
PVBM technology features our own proprietary Dynamic Clinical Synchronization (DCS) … Regardless of measurement platform, payor type and internally developed Quality Metrics, the provider is first and foremost responsible to meeting Standard of Care (SOC) for their patients. A large component of ensuring this is incorporated within the CMS Medical Necessity rules, as well as other non-CMS derived quality standards, that the PVBM platform can easily help manage for your patients. By seamlessly combining the management of the SOC based on your protocols and applicable necessity rules, while incorporating your own internal quality metrics and protocols, we can help maximize revenue while minimizing the risk of compliance penalties. Ensuring all these factors are managed simultaneously is critical and unique to the PVBM solution, but often overlooked by others when understanding global financial performance and delivering best in class Value Based Management Services.
How can a provider possibly service all of these new demands that are outside of the typical scope of their daily practice? They can't. We can provide a national staff of over 20,000 PAs and NPs to perform these tasks for the providers in the background away from their workflow.
In short - We maximize compliance and revenue in the fee for service space, and outperform by many multiples at a fraction of the cost on the capitated side. By the end of 2022 providers must be value based compliant or face increasing penalties and the possibility of being phased out as a Medicare provider. Presently less than 6% of providers are minimally compliant to avoid penalties.
Our best provider (Individual NPI) on day one had missed out on $554,559.26 in revenue for mandated services where medical necessity was missed or not acted upon. The only thing worse than missing out on this revenue is being penalized for not taking it and that is exactly what is happening. In five years, we have had only five providers under $1 million missed. Most are $1.2 to $1.7 million range.
Benefits to the Provider:
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Precision Value Based Management
The Woodlands, TX
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