Risk Adjustment Services

VLMS Global Healthcare works to help you in achieving financial success and high revenues. We offer best-in-class end-to-end risk adjustment solutions along with empowered partnerships. As our partner, you will be able to access real-time risk insights, AI-enabled health management tools, risks and quality insights and much more.

As a leading provider of end-to-end Risk Adjustment solutions, all partnerships include :

  • Real-time Risk DNA insights
  • Access to our team of risk adjustment physicians.
  • Dedicated and experienced Risk Adjustment Account Managers.
  • Access to our robust list of comprehensive health management tools
  • Prospective, Concurrent, and Retrospective HCC clinical-coding experts
  • Transformational data-based intelligence
  • Complete risk and quality performance reporting insights
Discover how we can assist you

Prospective Risk Review

Prospective Risk Review VLMS Healthcare

We used our AI-based tools for prospective clinical review before point of care. We interact with the physicians prior to the point of care to derive smart insights from the patient-physician interaction. Read More

Retrospective Risk Review

Technology is a major part of our analytics solutions to derive insights. Our retrospective HCC coding review uses service dates to extract HCC codes with specific parameters.
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Retrospective Risk Review VLMS Healthcare

Concurrent Risk Review

Concurrent Risk Review VLMS Healthcare

Concurrent review enables medical coders to access EHR systems and HCC codes within real-time before submitting the claims to the payer. It uses technological support to enable medical coders to have a real-time view of the EHR system. Read More

Risk Adjustment Optimization

We thoroughly analyze clinical documentation, EHR systems, HCC codes, and intensity of nursing care needed by patients for efficient healthcare service and to identify the severity of a patient's medical condition.
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Risk Adjustment Optimization VLMS Healthcare

Frequently asked questions

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VLMS Healthcare specializes in Revenue Cycle Analytics, offering a comprehensive snapshot of business functionality. Key features include denial analytics, analysis of payer behavior, automated RCM execution metrics, data incorporation, insights on write-offs and appeals, and in-depth dashboard visualization. By addressing these parameters, VLMS Healthcare aims to boost revenue for healthcare organizations, providing valuable insights into denial patterns, payer behavior, and other critical aspects.
Revenue Cycle Analytics from VLMS Healthcare brings several benefits, including:
  • Hiked Revenues: Organizations can observe a significant increase in revenues while keeping overall costs minimal.
  • Actionable Insights: The solution provides targeted and real-time insights, offering a clear understanding of denial patterns, delayed payments, and payer behavior. This empowers organizations to strengthen reimbursements.
VLMS Healthcare contributes to better decision-making by providing advanced analytics that present a clear snapshot of healthcare industry trends and competitiveness. This distinctive analytics approach assists organizations in making informed decisions for improved business outcomes.
VLMS Healthcare stands out in Risk Adjustment Services by offering end-to-end solutions, including real-time risk insights, AI-enabled health management tools, risk and quality insights, and more. The benefits include access to a team of risk adjustment physicians, dedicated account managers, comprehensive health management tools, and transformational data-based intelligence. These services aim to help healthcare providers achieve financial success and high revenues.
VLMS Healthcare's Risk Adjustment Services contribute to financial success by providing real-time risk insights, access to experienced physicians, dedicated account managers, and robust health management tools. The incorporation of prospective, concurrent, and retrospective HCC coding experts, along with transformational data-based intelligence, sets VLMS Healthcare apart in the market. The company's focus on comprehensive risk adjustment solutions and empowered partnerships aims to empower healthcare organizations and optimize their risk adjustment processes for success.