AUTOMATION/AI
WHAT OUR AUTOMATION CAN DO
Auto-Load Templates: Quickly populate charts and forms using customized workflows
Integrated Pre-Visit Planning: Prepare for patient visits with automatic retrieval and compilation of relevant health data
Claim Scrubbing: Prospective & retractive claims: Automatically validate codes and documentation to minimize rework
WHY IT MATTERS
Close Gaps in Care: Ensure timely follow-up, screenings, and Interventions with automated prompts
Improve HEDIS Performance: Meet quality measures more consistently and effectively
Enhance HCC Coding: Support accurate risk adjustment through automated documentation and review
RESULTS
• Fewer administrative errors
• Higher compliance rates
• Optimized revenue cycle
• Better patient outcomes
(631) 561-9202
INCREASE ACCURACY. REDUCE RISK.
REVENUE RECOVERY
We help Community Health Centers reclaim lost revenue through our comprehensive Revenue Recovery Solution. Through decades of deep expertise in Community Health Center revenue cycle management, advanced data analytics, and process automation, we offer a powerful system to uncover and rebill your missed claims.
2-YEAR LOOKBACK ANALYSIS
Our automated tools and analytics platforms scan historic revenue cycle data to identify overlooked, unsubmitted, or rejected claims.
AUTOMATED AI-POWERED REBILLING
Intelligent automation to rapidly process and rebill claims.
CUSTOM REPORTING & DASHBOARDS
Receive clear, actionable insights into recovered revenue, patterns of missed billing, and future prevention strategies
IMPACT
$8 Million in missed revenue discovered for a single client $450,000 in missed opportunity for another — with more in progress
WHY CHOOSE US?
• Decades of expertise in large and small community health systems
• Proven nationwide track record
• Data-driven, actionable insights
• Community Health Center billing specialists
RECOVER YOUR REVENUE.
INCREASE YOUR CASH COLLECTIONS
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SCREENING
Our Screening Solution enables patients to complete critical health screenings privately and efficiently — right from a tablet or computer in the waiting room. No paper forms. No extra staff time. Just actionable data, delivered directly into the EMR.
HOW IT WORKS
• Easy Interface — Patients access user-friendly screening forms at check in
• Private & Secure — Responses are completed confidentially and stored securely
• EMR Integrations — Answers are automatically entered into the patient’s chart for that day’s visit — no manual entry required
SCREENINGS CURRENTLY SUPPORTED
• PHQ-9
• TAPS
• Sexual History
• SDOH / HRSN
• SOGI
SCREENING QUESTIONNAIRE
Over the last 2 weeks, how often have you been bothered by any of the following:
Not at all
Several days
More than half the days
Nearly every day
SIMPLIFY DATA CAPTURE.
ANALYTICS DASHBOARDS
To compete with agile systems, we understand that you need to access your customized community health system data with a click or a tap.
Our dashboards help you close gaps in care, enhance value-based care, and drive smarter interventions to shift your performance into a sustainable growth trajectory.
SOLUTIONS DETAIL (Powered by Cognos)
• Comprehensive Reporting: Access a rich suite of reports across clinical, operational, quality, and federal metrics.
• Drill-Down Capabilities: Zoom into finer details to uncover root causes.
• Customizable: Develop and modify reports to match your unique needs.
SOLUTIONS INSIGHT (Powered by Spotfire)
Interactive Dashboards: Visualize, filter, and drill through key metrics at a glance for clinical, operational, and quality initiatives.
• Work Queues: Drive action by populating work queues for care teams including:
Ο Chronic Care Management
Ο Transition of Care
Ο General Care Management
• Pro-active Approach: Provide care teams with a clear view of priorities and gaps to close.
CLOSE GAPS IN CARE. DRIVE BETTER OUTCOMES.
TRANSFORMATIVE CONSULTING
We deliver tailored consulting services that empower community health centers to achieve their mission/margin goals.
EXECUTIVE INTERIM
Bridge leadership gaps with experienced interim executives who provide stability, insight, and momentum during times of transition. We deliver c-suite leaders who understand the unique needs of community health.
FQHC READINESS
Our team brings decades of community health center expertise, and guides you through assessments, compliance readiness, HRSA application support, and operational optimization to ensure a successful transition.
STRATEGIC PLANNING
Align your mission with actionable, measurable goals. Create pragmatic, board-approved plans to enhance performance, growth, and community impact.
TECHNOLOGY
Streamline operations, improve care coordination, and meet compliance needs. We evaluate your current systems, recommend enhancements, and implement solutions from EHR optimization to RPA and analytics platforms.
PLAN TO WIN.
AUTOMATED CODING
Today’s coding process is complex and prone to oversight.
Our Autonomous Coding Solution combines automation and artificial intelligence (AI) to streamline your workflow and maximize revenue — without adding administrative burdens.
HOW IT WORKS
AUTOMATED APPEAL FOR MISSED OPPORTUNITIES:
Our solution reviews previously coded encounters to identify opportunities for additional reimbursement. It files appeals automatically — securing revenue you may otherwise miss.
RISK ADJUSTMENT ENHANCEMENT:
Using proprietary algorithms, we uncover and code conditions that affect risk adjustment scoring — strengthening your financial position under value-based care models.
GAP CLOSURE THROUGH HCPCS VALIDATION:
We identify missed HCPCS codes to close gaps in care, ensuring a more complete and accurate health picture for each patient.
MODIFIER ENHANCEMENT:
Our automation intelligently adds necessary modifiers to codes to reflect service complexity and maximize reimbursement, while staying compliant with guidelines.
KEY BENEFITS
BOOST YOUR BOTTOM LINE:
Identify missed opportunities, maximize reimbursement, and increase revenue — without adding administrative cost.
REDUCE RISK:
Improve coding accuracy and completeness, strengthening your risk adjustment scores.
IMPROVE COMPLIANCE:
Stay within coding guidelines while adding appropriate modifiers and HCPCS codes.
ENHANCE EFFICIENCIES.
REIMBURSEMENT.
