RISK ADJUSTMENT FOR PHYSICIANS, BY PHYSICIANS
Accurate and effective risk adjustment solutions require buy-in from physician networks to ensure that any overlooked conditions are diagnosed, managed, and documented up to CMS guidelines. That is why Mediscore’s risk adjustment model has been developed by our team of physicians with one overarching goal--provider compliance.
Accurate and effective risk adjustment solutions require buy-in from physician networks to ensure that any overlooked conditions are diagnosed, managed, and documented up to CMS guidelines. That is why Mediscore’s risk adjustment model has been developed by our team of physicians with one overarching goal--provider compliance.
Physician Filtered Data Insights
Mediscore’s data insights are created by and for physicians. This means we can trend forward our data sets to account for new diagnostic criteria as they occur in real time. We also complete the first step for providers by using our in-house physicians to verify the accuracy of any potential gaps. As a result, providers are receiving the most accurate and up to date profile on their patient--one that they can trust as it had been pre-reviewed by Mediscore’s team of physicians. |
Patient Specific eCDI
Mediscore has developed the market’s first patient specific prospective eCDI. Integrating directly in to all FHIR compatible EMRs, our eCDIs ensure chronic disease and risk adjustment gap closures at the point of care. By having our physician-led coding team pre-review data, we are able to develop the most accurate and easy to complete eCDI’s for each patient, alleviating some of the frustrations providers have with other risk adjustment programs. The eCDI’s are integrated into the patient's electronic medical record before each patient visit so that they can be completed in real time, during a patient assessment. |
Physician to Physician Weekly Engagement
Mediscore’s physician Provider Liaisons are the heart and soul of our company. Our Provider Liaisons are medical doctors who have been extensively trained on the nuances of CMS guidelines as well as the pitfalls many providers fall into. Our Provider Liaisons are assigned to their own provider sites where they are responsible for implementing Mediscore’s program, assuring accurate completion of the CDI’s and offering training and guidance to the providers. They will be on-site working together with the providers to ensure the process is running smoothly. Most importantly, because our Provider Liaisons are Medical Doctors, they are able to communicate with providers on a peer-to-peer level to create synergy and improve compliance. |