Use One Tool for Many Plans
RevenueMax™ shows provider groups ALL their members from ALL their plans, in ONE easy tool. It is currently the only tool that offers Provider groups a way to close the HCC data loop – to see what the plans see (i.e., which diagnoses have actually been accepted by CMS, not just what has been sent via a claim). The tool is refreshed monthly with real-time, actionable intelligence.
RevenueMax™ is a hosted, subscription-based HCC analytic solution that provides Medicare Advantage health plans and providers an undeniable value proposition with low-cost, monthly billing. With ready-to-use functionality, RevenueMax™ delivers immediate value on HCC, clinical, compliance and financial levels, and expands HCC Risk Adjustment management capabilities, even when time and resources are limited. It is designed to simplify the complicated Risk Adjustment methodology, while providing users a 360° view of all their Medicare Advantage members.
HCC management has never been this simple in one multifunctional, easy-to-use Medicare Risk Adjustment solution, with a high ROI, averaging 20:1.
Review the Case Study of ContinuCare: "Florida MSO uses RevenueMax™ for Four Plans”
RevenueMax™ Features:
- Automatic “Quick List” reports
- Views across payment years
- HCC gaps by RAF & dollar weight
- Automatic patient evaluation forms
- Single occurrence of an HCC
- All reports & screens downloadable
- RAF stats by plan, group or physician
- Inter-departmental intelligence
- Financial revenue projections
- Fully compliant with CMS & HIPAA
- Built-in CMS Sweep calendars
- Automatically updated with CMS changes
- Filters for instant data mining