Strategic Escalation in the Face of Rising MA Plan Denials Originally published on Becker's Hosptal ReviewRelationships between providers and Medicare Advantage (MA) plans have become more strained as payers aggressively deny claims. To ensure providers' financial...
Instant Case Prioritization for Maximized Revenue
VISION Clinical Validation Technology ™ is an AI-driven DRG integrity platform that instantly reviews clinical cases to ensure your hospital is appropriately paid for the care it provides. VISION identifies and prioritizes clinical cases with the highest revenue opportunities and validates DRGs, giving hospitals up to a 10X revenue lift. Its unique selection strategy is grounded in comprehensive CDI insights, DRG methodology, and backed with clinical knowledge and advanced analytics. This ensures thorough algorithmic analysis and targeted expert evaluations to optimize reimbursements, efficiently utilize resources, and protect against payer denials.
Flexible CDI Solutions Tailored to Your Hospital’s Unique Needs
Our flexible, clinically led, tech-enabled program is designed to meet current needs while equipping your team to leverage VISION for future success. You’ll work with physicians and a team of experts as they guide your team through a three-phased approach that optimizes revenue and reduces vendor dependency.
Comprehensive Solution
Our expert-led team leverages VISION to conduct all case reviews, delivering targeted insights that drive immediate financial improvements.
Support Focus
Reviews
Reviews
Highest volume of reviews for maximum compliant revenue capture
Selection
Broadest filter to maximize total capture
Guided Support
We perform targeted reviews using VISION to prioritize and enhance accuracy and efficiency, while guiding your team through the process.
Support Focus
Select Reviews & Prioritization Support
Reviews
Targeted volume of reviews, balance selectivity with coverage
Selection
Customized targeting approach, calibrated to client
Empowered Autonomy
Your team has complete control while our physicians provide a safety net, remaining available for audits and consultation.
Support Focus
Prioritization & Selection Enablement
Reviews
Audit reviews to support education and rule customization
Selection
Narrowest filter for customization and feedback
Secure Your Hospital’s Revenue with VISION
VISION doesn’t just tackle CDI – it transforms it. Solve your most pressing challenges – DRG accuracy, resource optimization, and revenue integrity – with a solution that gives your hospital the confidence to:
- Boost DRG accuracy and revenue integrity with precision
- Maximize compliant charge capture for optimal reimbursement
- Streamline resource use with intelligent automation
- Accurately capture the complexities of patient care in documentation