Who & How Do We Help? Pick Your Topic!
Organizations & Providers
Transitional Care Management
Hospitals & Health Systems
This example of our typical CMS/Payer Report Card (sample link) is a real provider missing $333,901 in compliance mandated services where medical necessity was found, and he failed to act. Even worse, he is penalized for not taking it. Penalized? YES! On one sample code, a compliant provider is getting $352, and a noncompliant provider is getting $179, or 42 other payment levels between those two and you never even see it. Precision will connect these loose ends for you.
Hospitals & Health Systems
Transitional Care Management
Hospitals & Health Systems
The largest employer of physicians are hospitals, and we have CMS/Payer Report Cards on them too. It’s not pretty but easily fixable. In one case a hospital with 213 employed physicians was missing $42 million. In another, the first 10 of 704 providers in alphabetical order, were missing $353K EACH! They spent $200K on data and have 70 people on “patient engagement” and 50 people on RAF Scores. They are chasing a ghost and failing at great expense.
Transitional Care Management
Transitional Care Management
With hospital readmissions still one of the biggest healthcare and financial liabilities, you would think this would be an area of strength. Shockingly only 3.1% of hospitals have their simple patient's data together at discharge to bill for this service. We take over this navigation without changing any referral patterns. Quite simply the patient can’t and won’t hit discharge without the right directions and orders in place.
ACO & Medicare Advantage Programs
Ancillary Service & Strategic Partners
Managed care is delivering the highest level of expedient care based on payer sector resources. We separate capitated patients from fee for service patients in our AI triage, care coordination and navigation. Results?
A family practice missing $1.438 million in fee for service world could deliver that same compliance for $479,564 in a capitated environment.
This is only possible via our Precision Stealth Workflow Intelligence!
NOW we share our fee for service revenue back with your program. If capitation represents 32% of the population, you now earn on the other 68%!
Payers/Insurance Companies
Ancillary Service & Strategic Partners
Ancillary Service & Strategic Partners
Mission - Provide twice the number of services for half the price with no claim denials because every action is driven by validated and documented medical necessity.
What’s the value of a current Health Risk Assessment, General Anxiety & Depression and Social Determinants of Health for every member? Priceless!
Our price is 78 cents per response, or the cost of a stamp. Now we take that same data, share it with your providers, and apply the same AI triage and care coordination that took your ACO from $1.438 million in fee for service compliance to $479,564.
Ancillary Service & Strategic Partners
Ancillary Service & Strategic Partners
Ancillary Service & Strategic Partners
Our sample, typical, and real provider’s CMS/Payer Report Card shows $333,901 in missed compliance mandated services.
Your service offering typically only represents a small subset of the patient population between 4% to 32% of that number. Precision shares our revenue with you for the entire $333,901 while usually at least doubling your utilization by our electronic enrollment driven by medical necessity.
You're the hero to the provider and have a tremendous market differentiator while improving your own services! AND you get a new revenue silo via Precision!