VLMS Global Healthcare is dedicated to supporting clients in achieving financial success and maximizing revenues through their best-in-class risk adjustment solutions. Their end-to-end services come with empowered partnerships, providing real-time risk insights, AI-enabled health management tools, and access to a team of dedicated risk adjustment physicians. Additionally, clients benefit from experienced Risk Adjustment Account Managers, a comprehensive suite of health management tools, and transformational data-based intelligence, ensuring a holistic approach to risk adjustment optimization.
Prospective Risk Review with AI Insights
Under the Prospective Risk Review service, VLMS Healthcare employs AI-based tools for clinical review before the point of care. This innovative approach involves proactive interaction with physicians to derive smart insights from patient-physician interactions. By leveraging technology to anticipate and address potential risks, VLMS Healthcare aims to enhance the quality of care and improve overall health outcomes for patients.
Retrospective Risk Review Utilizing Technology
Technology plays a pivotal role in VLMS Healthcare’s analytics solutions, particularly in their Retrospective Risk Review. This service utilizes service dates to extract HCC codes with specific parameters, providing a retrospective analysis of patient data. By incorporating advanced analytics, VLMS Healthcare enhances the accuracy and efficiency of HCC coding reviews, contributing to a more thorough understanding of patients’ health conditions.
Concurrent Risk Review for Real-Time Coding Insights
VLMS Healthcare offers a Concurrent Risk Review service that empowers medical coders to access EHR systems and HCC codes in real-time before submitting claims to payers. This dynamic approach, supported by technological advancements, enables medical coders to have a real-time view of the EHR system. By doing so, VLMS Healthcare aims to streamline the coding process, reduce errors, and improve the overall accuracy of claims submissions.
Risk Adjustment Optimization through Comprehensive Analysis
VLMS Global Healthcare emphasizes risk adjustment optimization by conducting a thorough analysis of clinical documentation, EHR systems, HCC codes, and the intensity of nursing care required by patients. This comprehensive approach ensures efficient healthcare services and helps identify the severity of a patient’s medical condition. By leveraging data-driven insights, VLMS Global Healthcare aims to enhance the quality of care and streamline the risk adjustment process for improved healthcare outcomes.