Case studies

Understanding the “why” of coding and documentation

Provider
Risk adjustment

Christopher Beney, MD, didn’t go to school for coding. With years of experience serving on local hospital boards, Dr. Beney saw firsthand “how woefully underdiagnosed patients can be.” Having the Vatica program saves him a tremendous about of time. “Accurate coding and documentation is a means to ensure that the appropriate amount of resources go to each patient. It benefits everyone to show the full complexity of a patient’s burden of illness. The process helps patients, providers and insurers,” he says.

Case study

Relieve the burden of coding and documentation with Vatica

Provider members of the Kentucky Primary Care Clinically Integrated Network found support in the Vatica program at no cost. Vatica relieved the burden of coding and documentation while generating additional health plan compensation. Read our case study for the noteworthy results.

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Blog

Key metrics for value-based care

Value-based care (VBC) is designed to incentivize providers to improve outcomes in a cost-efficient manner. In other words, payment and quality of care are inextricably linked.

Blog

What’s behind the move from retrospective to prospective risk adjustment?

Health plans across the country are recognizing the superior value of prospective risk adjustment programs, and rightfully so.

Blog

Another blow to detached health risk assessments

Health Affairs recently published a study of data from 4 million Medicare Advantage (MA) members indicating that health risk assessments (HRAs) contributed up to $12 billion per year to risk adjusted payments in 2020.

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