Risk Adjustment
Risk Adjustment Assessment: Perform an assessment of your current Risk Adjustment profile. We will review risk score accuracy, accuracy of YoY coding, and the top and bottom performers when it comes to risk capture.
We deliver enterprise-scale healthcare products and services that drive significant ROI. Our experienced, US-based team excels in delivering secure, private, and integrated solutions that enhance user experience and ensure compliance with healthcare regulations.
Embracing value-based care shifts focus from volume to value. We help organizations deliver personalized, preventive, and coordinated care, fostering healthier populations.
We innovate in life sciences by optimizing pharmaceutical value chains, expediting drug discovery to commercialization, and crafting software ecosystems.
Custom digital solutions drive efficiency, transparency, and better decision-making, transforming the way academia, government orgs and NGOs function and serve its constituents.
We are a seasoned team of multi-disciplinary experts in digital product, design, development, and customer success. Through proven and repeatable processes, our team creates transformative solutions with lasting impact.
Our advisory services encompass a range of strategic, operational, and technological guidance aimed at optimizing performance, improving patient outcomes, and achieving financial sustainability within the value-based care framework. We audit your technology ecosystem to understand sources of cost, complexity, & missed opportunity to suggest a value-added path forward.
Risk Adjustment Assessment: Perform an assessment of your current Risk Adjustment profile. We will review risk score accuracy, accuracy of YoY coding, and the top and bottom performers when it comes to risk capture.
MDS Accuracy Assessment: We will perform a review of discrepancies in functional, cognitive and psychosocial assessments to determine the accuracy of assessment scores and evaluate the necessary evidence for audit.
Our Quality and Custom Reporting Advisory Service equips healthcare organizations to excel in value-based care by developing tailored reporting systems that enhance data-driven decision-making and ensure compliance. We provide expert guidance on advanced analytics tools and processes, enabling continuous improvement in care quality and operational efficiency.
Leveraging historical data to forecast future healthcare outcomes, optimizing preventive care and resource allocation.
Providing convenient, remote healthcare access via telemedicine applications that support real-time patient-provider interactions.
Enabling continuous monitoring of patients outside traditional clinical settings to enhance proactive care.
Facilitating seamless data exchange across different healthcare systems to improve care coordination and patient outcomes.
Integrating clinical guidelines and patient data to assist healthcare providers in making informed treatment decisions.
Employing artificial intelligence to enhance diagnostic accuracy, treatment personalization, and healthcare process automation.
Streamlining administrative and clinical processes through integrated electronic health records and practice management tools.
Analyzing broad health data and social determinants to improve population health strategies and interventions.
Enhancing patient involvement in their own care through interactive tools that encourage communication and education.
Adjusting financial or care priorities based on predictive risks to better manage patient care and outcomes.
Providing web-based applications that support healthcare delivery, patient management, and administrative tasks.
Integrating patient relationship management and case tracking to optimize care pathways and patient follow-ups.
Partnering with $2bn Communicare Health System, we modernized telehealth and care management for more than 26,000 patients.
Custom telehealth and virtual care ecosystem
Medical transcription and documentation service
Value based care analytics platform
HIPAA compliance is crucial for ensuring the security and privacy of Protected Health Information (PHI). At Digital Scientists, our extensive experience with PHI underscores our commitment to developing custom solutions that adhere to stringent data protection standards. This expertise not only helps prevent data breaches but also positions us as a trustworthy partner in the healthcare sector, adept at navigating complex regulations and maintaining the confidentiality and integrity of sensitive information.
We prioritize compliance with data and reporting standards from regulatory bodies like the Centers for Medicare & Medicaid Services (CMS) and the National Committee for Quality Assurance (NCQA). Understanding and adhering to these regulations is essential for our custom healthcare solutions, ensuring they deliver accurate reporting and high-quality patient care. This commitment not only helps avoid penalties but also strengthens our reputation as a reliable partner in the healthcare industry.
Launch a new service or product in as little as 8 weeks
Consulting services for technology integration in Value-Based Care.
An evaluation to guide critical business strategies and decisions.