Charge Capture System With Value-Based Alignment

Value-based alignment

Success in value-based care requires aligning physician performance with Triple Aim goals: reducing per capita healthcare costs, increasing care quality, and improving population health. We monitor quality measures and metrics that help you reduce costs, manage utilization, and support appropriate transitions across the healthcare continuum.

Accurate Charge Capture With Value-Based Care Alignment Tools

Value-based success often fails when organizations treat it as a separate administrative task disconnected from clinical care. By using physician alignment software, your organization establishes a single source of truth for both billing and quality data. Value-based rounding aligns physicians with value-based goals and requirements by accurately tracking quality metrics.

Automatically identify and track patients who belong to specific cohorts, such as BPCI, ACOs, or OCM, and/or high-cost patients.
Align providers on cost management and care transitions.
Reduce unnecessary bed days and avoid readmissions.

Maximize Reimbursement Under Value-Based Payment Models

Advanced quality metrics software helps your organization pursue every dollar by addressing the distinct requirements of value-based reimbursement:

Simplify MIPS reporting: Integrated workflows capture necessary data points naturally to streamline MIPS submissions and protect your organization from costly penalties and position you for maximum incentives.
Ensure accurate risk adjustment: Clinical quality measure reporting software supports precise HCC coding to ensure risk-adjusted payments accurately reflect patient acuity and complexity.
Capture the dual financial benefit: Integrating quality tracking with charge capture secures fee-for-service revenue while simultaneously satisfying the quality metrics required for value-based bonuses.

Enhance Care Teams’ Collaboration With Integrated Data

Siloed data creates barriers to effective care coordination. When hospitalists, specialists, and case managers work from different information, patient outcomes and financial performance suffer. Physician alignment tools improve communication and coordination across the organization regardless of location, service, or device.

Ensure continuity of care with HIPAA-secure notes and messaging.
Enable virtual huddles to quickly share patient information, disposition logistics, and more across care teams.
Connect administrators and back-office staff directly to front-line providers.

Data analytics in value-based physician alignment provides a single view of performance that connects clinical decisions directly to organizational financial goals.

Screenshot of enhanced care team collaboration

Reduce Costs While Improving Care Quality

Tools for tracking quality metrics in value-based care programs provide the real-time insights needed to identify cost-saving opportunities without sacrificing patient outcomes. Track anticipated discharges to ensure efficient throughput across healthcare settings and minimize costly avoidable bed days.

Proactively manage discharge barriers and coordinate care transitions.
Highlight estimated discharge dates for patients in value-based programs.
Reduce unnecessary length of stay where appropriate.
Identify potential readmission risks before discharge.

Early identification of high-utilization patients enables better resource allocation and cost-containment strategies that align with value-based contract requirements.

Effective Care Transitions

Automatically identify and manage bundled care patients and ensure appropriate care transitions to the correct locations and preferred network facilities.