The best healthcare analytics programs start with this premise: Healthcare data often is imperfect, generated by numerous sources in multiple formats. To improve the quality of the data, organizations must access information from various sources such as the health record to fill in the gaps, correct the errors and provide a longitudinal picture of the patient. To refine results, comprehensive programs must include in-depth healthcare audits and expert analysis, resulting in improved, actionable data sets to be repurposed for multiple initiatives.

That approach holds true for many programs like risk adjustment, HEDIS®, and health advocacy programs. Frequently, organizations will pay separate contractors for each of those healthcare analytics projects, losing efficiency and wasting money.

Outcomes Health, though, has a better idea when it comes to healthcare audits. Our strategy boosts return on investment by paying for data acquisition only once. We call it Eco-Scaling™.

Why Pay Twice For Data Acquisition When Much of The Labor and Comprehensive Healthcare Audits Are Already Done?

Outcomes Health uses our proven, efficient healthcare analytics technique of acquiring data once to be used for multiple purposes such as HCC Management and quality initiatives – HEDIS®.

For instance, Outcomes Health’s objective approach for risk adjustment ensures compliance by auditing every encounter for every member within the project-specific timeframe. We enter this information into ODIS™ which maps the HCCs and RxHCCs. This “blind auditing” process does not allow for “targeting” or focusing only on HCC codes that could produce the most reimbursement. Outcomes Health delivers a fully compliant, objective process which improves revenue performance and the quality of your healthcare data. Analytics is a crucial element.

We’re just as thorough with quality initiatives like HEDIS® and health advocacy programs, and both can benefit from Eco-Scaling™.