MSO Services
Our team of experts works alongside you, providing strategic guidance, innovative tools, and actionable insights to help you navigate the complexities of value-based care. Whether you are looking to improve care coordination, reduce readmissions, or increase preventive care efforts, we have the resources and expertise to help you succeed.
Risk Adjustment
Realizing Accuracy | Mitigating Liability | Optimizing Revenue
With 30+ years in healthcare, we provide an AI-driven Risk Adjustment Ecosystem that integrates prospective capture, retrospective validation, and compliance monitoring to enhance financial integrity and patient care. Our advantages include predictive modeling for high-risk members, fast AI-driven chart reviews, and real-time audit risk scores for proactive compliance.
Prospective Capture
While many vendors use analytics to predict risk, they often rely on separate tools for clinical intervention.
VBC Advantage: Our Predictive Modeling identifies high-risk members and provides point-of-care alerts and EMR integration, encouraging providers to document essential information during visits. This promotes accurate coding from the start and reduces costly post-visit delays.o font for titles, paragraphs & more.
Retrospective Precision
Traditional services often depend on lengthy retrospective chart reviews.
VBC Advantage: Our AI-Powered Code Validation Engine pre-screens charts before human review, decreasing the number of cases needing manual attention and achieving a 30% faster turnaround with a 99.5% coding accuracy rate. Our coders focus on complex cases flagged by AI, maximizing efficiency.
Compliance & Integrity
Many solutions emphasize revenue and compliance optimization but often lack real-time feedback, vital for proactive audit defense.
VBC Advantage: Our continuous monitoring system cross-references claims data with clinical documentation and CMS guidelines, offering real-time "Audit Risk Scores" for each member and provider. This proactive strategy enables compliance teams to tackle potential issues before audits, significantly lowering recoupment risks.
Applied Efficacy
We go beyond traditional fragmented approaches. Our platform utilizes proprietary machine learning to identify risk gaps early and integrates findings into clinical and administrative workflows, delivering substantial value.
Our AI-Powered Code Validation Engine pre-screens charts before human review, decreasing the number of cases needing manual attention and achieving a 30% faster turnaround with a 99.5% coding accuracy rate.
