Health Plan Services

Enabling Health Plans manage medical costs, optimize payments and measure quality of care through clinical solutions for superior outcomes.

 

VRCM is a leading provider of Risk Adjustment services, Health Plan Services and Health Plan Solutions for Healthcare Payers including Insurers, Health Plan Providers, Brokers and Administrators. We deliver value-added services in Retrospective / Prospective Chart Review, Chart Audit, HEDIS Abstraction and RADV Audit that enable healthcare payers to significantly improve revenue, reduce error rate, cut cost and improve quality objectives.

 

Services

 
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Chart Review

VRCM enables health plans to maximize their risk-adjusted revenues and improve risk score accuracy by accurately identifying coding and documentation gaps and facilitating…

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Quality Measure Reporting

Our team of Nurse Practitioners and Coders abstract and accurately report on all HEDIS measures (as per NCQA technical specifications) related to Health Plan’s…

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Payment Accuracy

Clients can leverage VRCM’s Certified Nurse Practitioners and coding resources in undertaking chart audits for Hospitals , DRG & DRG short stay audits & APC validation…

 
 

Markets We Serve

 

With VRCM, you’re assured of the highest quality and most cost effective services from highly skilled coders.

 
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Client Benefits

 

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Retrospective Chart Review and Audit -
Ensuring accurate, compliant coding practices

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Minimize Errors & Maximize Accuracy -
Cut down errors and improve precision in Raps Submission

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Detailed Drill Down -
Deeper insights into specificity of patient diagnosis through subject matter expertise

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Trained & Certified Coders -
Best coding staff certified in AAPC

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Assured CMS Compliance -
Ensure effective CMS compliance in terms of codes

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Validation of Identified Opportunities -
Validating all coding gaps in the compliant manner

 
 
 
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Mail to our Expert for further enquiries
codingexpert@trustrcm.com