We provide software and service solutions for hospitals, healthcare organizations, and patients with little to no upfront cost
Physician Conducted Chart Reviews - FairCode
Fair Code combines the domain expertise of experienced physicians with modern data science and analytics technologies. Their physicians bridge the gap between your attending physicians and hospital coders. The goal of FairCode is to improve coding documentation and compliance for client hospitals. In order to do this, FairCode remotely deploys a team of specially trained doctors who work as consultants with the client coders. The result? Patient acuity and Case Mix Index is more accurately captured; your reimbursement adjusts accordingly.
Physician-conducted medical chart reviews happen in real time, significantly impacting quality and bottom line results. From clinical chart reviews to payor denial defense, our physicians and data scientists are a part of your team! Add us to your existing CDI initiatives, and see the difference. Outcomes are measurable and significant.
The average Gross Return on Investment is 4:1.
Predictive Data Analytics
FairCode has predictive software which provides a list of which charts require review and have the highest probability of documentation error. We are the happy marriage of human intelligence with the algorithms that constitute Artificial Intelligence.
Physician Chart Reviews - DRG Validation
FairCode physician chart review means just that. 100% of your selected charts are physician-reviewed. And not just any physician: FairCode physicians undergo extensive training in the principles of inpatient coding, and excel at improving the specificity and accuracy of documentation. The competition has only nurse/coder review, with occasional physician input. Every chart is reviewed by a FairCode physician, a hospital coder, and, where necessary, the patient's attending physician, before the DRG is changed.
Denials Appeals
Let's face it: denials happen. But a FairCode-reviewed chart is 13 times less likely to be denied by the payor. And, when appealed, is twice as likely to have the denial overturned. But whatever the source of your coding or UM denials, FairCode can help. The dedicated appeals team of physicians has years of experience reasoning with recalcitrant payors -- and winning.
Raymond Telecom has nearly two decades of experience assisting clients in the healthcare industry. We produce savings that result from a thorough examination and understanding of current telecom contracts and invoices, which leads to the identification of 1) under-performing contracts, 2) non-competitive vendor services, 3) unused services, and 4) billing mistakes. Our services are based on a fee that is 100% contingent on reducing your telecom costs.
The Objective
· Review telecom invoices and contracts
· Identify overcharges and secure refunds
· Recommend immediate and future cost-reductions
· Assist with all implementation
Financial Benefits
· Receive refunds for incorrect billing
· Obtain future cost savings by identifying unused services and better pricing
· Receive a monthly report for actual savings
· No risk - our fee is 100% contingent on reducing your telecom costs
To pre-qualify patients for free or very low cost medications in "real-time" from all pharmaceutical programs using our PAP software. A task which took days to complete and was very cumbersome can now be completed in a matter of minutes with no compliance headaches which are associated with 340B programs. Our PAP software is an adjunct to 340B and can save you up to 30% or more on your annual 'drug-spend' dollars.
WebPAP™ Software empowers:
· Hospitals
· Pharmacies
· University Hospitals
· FQHC Clinics
· Community Free Clinics (CFC)
· Community Mental Health Centers (CMHC)
· Community Health Centers (CHC)
· Native American Pharmacies
· State and Local Governments
· Nursing Homes
· Assisted Living
· Insurance Company Advocates
· Patient Advocates
All service offerings provide 2x ROI in a short timeframe
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