Services
Move your practice into the 21st century and meet all compliance and preventive-care initiatives:
HEDIS Measures
As the senior population progressively grows in our marketplace, it becomes necessary for providers to adapt to this shift and learn how to effectively manage this key segment of the general population. One of the critical, quality-care measures that need to be managed is the Medicare-based HEDIS quality improvement program.
Additionally, there will be an influx of new patients resulting from the implementation of the Affordable Care Act (ACA) also known idiomatically as Obamacare. Many of these patients are going to allow providers to benefit from the QARR measures incentive.
Most practices have not invested enough time and resources to learning the details of these programs and therefore, are not realizing the increased revenues that these plans offer. Rayn IPA can now assist your team in optimizing the HEDIS/QARR measures and collecting the incentive funds that are offered.
By utilizing our proprietary technology, trained consultants and tested systems, we can help providers deliver the highest level of care to their patients and gain proficiency in these performance-based incentive programs.
HCC Coding
One of the most powerful revenue-enhancing performance programs available to physicians is the Hierarchical Conditional Categories coding methodology. This healthcare approach is designed to increase the level of care a patient receives while delivering significant financial rewards to the physician.
Rayn IPA has developed a proven system to assist providers take advantage of this virtually unknown program. Our specially trained HCC specialists will work with each individual practice to assess, evaluate and recommend the necessary steps for optimization of this special healthcare improvement formulation.
Utilization Management
The Affordable Care Act (ACA) was written with the basis of accomplishing three main goals:
- Improve the care of individuals
- Improve the quality of care of the general population
- Reduce the cost of the care
With these aims in scope, it becomes imperative for providers to institute an effective utilization management plan in their practice. The benefits of properly managing the medical utilization of their patients are felt by patient as well as physician.
To help you navigate your practice to becoming efficient in the utilization segment, Rayn IPA has developed a program that will deliver:
- Education and workshops on UM
- Training and resource development
- Clear and concise reporting to help you track your progress