Many plans fail to capture the appropriate reimbursement for care based on the health of their population and care delivered. Failure to achieve the proper compensation can result in lost revenue at best, or more significantly, could result in CMS fines and penalties.
High-performing plans understand the health of their population and look both prospectively and retrospectively to understand and develop complete risk profiles and ensure accurate coding. Revenue management means ensuring plans capture the appropriate diagnosis codes-- and proper reimbursement.
Synovia Health collaborates with provider partners to improve analytics and drive health insights that result in more accurate identification and documentation of risk, and which lead to improved health outcomes and improved financial performance.