© 2019 ExlService Holdings, Inc

BEST PRACTICES

THE SOLUTION

Improving Documentation Accuracy and Outcomes Using Analytics

The transition from fee-for-service to value-based care has thrown every

aspect of healthcare – patient care, quality measures, reimbursement,

operations, and supply chain – into a period of unprecedented turbulence.

To help your organization achieve a 360-degree view for accurate

population risk and quality management, here are seven best

practices to help overcome common challenges.

In today’s healthcare environment, accurate, comprehensive documentation

is critical to delivering the highest quality care – and being reimbursed

properly for the care delivered. Ensure your organization is:

Accurately managing your risk profile and gaining a

complete view across patients/members and

providers.

Using the right data paired with advanced analytics for

a faster, surer path to success in this connected,

value-based healthcare ecosystem.

Applying the recommended best practices to your

strategies in order to help you achieve successful Risk

Adjustment & Quality outcomes.

Build a core team including

a physician champion

Measure and track comprehensiveness

and accuracy in coding

Clearly demonstrate and communicate the

value created

Use analytics to provide

transparency into prioritized gaps

Leverage an expanded care

team to address gaps

Create a single view across all

patients, providers and CMS

Gain visibility into CMS’ reality

best practices 7

THE CHALLENGES

HOW TO IMPROVE

To learn how SCIO Health Analytics® (an EXL company) delivers end-to-end

risk adjustment and quality analysis programs to drive quality compliance

and accurate revenue, contact info@sciohealthanalytics.com.

Are you getting properly

compensated?

Are your providers documenting patients’ full

health status annually?

Are your patients receiving high quality

care?

Do you know if your data is getting

accepted or rejected?