ACOs
At Annova Solutions, we empower health plans with technology-driven solutions to optimize risk adjustment, compliance, and financial performance. Our expertise spans medical record retrieval, HCC coding, HEDIS abstraction, and revenue cycle management, ensuring accuracy, efficiency, and regulatory adherence. By streamlining operations and enhancing member outcomes, we help health plans reduce audit risks, improve quality reporting, and maximize revenue in an evolving healthcare landscape.
Services for ACOs
Chart Retrieval
We specialize in chart retrieval for ACOs, supporting HEDIS Star Ratings, closing care gaps, and enhancing population health initiatives. Our services ensure timely access to comprehensive medical histories, enabling better clinical decision-making and optimizing shared savings.
HCC Coding
Annova collaborates with ACOs, PCPs, and providers to improve chronic condition management and close care gaps. Our solutions enhance value-based care delivery, capture the full clinical profile of patients, and drive performance-based incentives that contribute to shared savings.
Retrospective Coding
We help ACOs optimize population health management through accurate retrospective coding. By identifying risk factors and addressing coding gaps, we support ACOs in meeting performance benchmarks, improving shared savings, and delivering high-quality, value-based care.
Concurrent Coding
Our concurrent coding solutions provide real-time risk adjustment and support holistic care delivery for ACOs. By capturing SDOH data and identifying care gaps, we improve population health management, financial sustainability, and value-based care alignment.
HEDIS, Stars & Quality Measures
We help ACOs track and improve quality performance by capturing key HEDIS and STAR rating measures. Our solutions provide population health insights, enhance regulatory reporting compliance, and drive better patient outcomes and shared savings.
Member Engagement Services
We support ACOs in achieving optimal performance by implementing personalized engagement strategies, addressing social determinants of health (SDOH), and promoting preventive care initiatives. This leads to improved patient health outcomes and cost reductions.
Revenue Cycle Management (RCM)
Our RCM solutions help ACOs improve claim accuracy, reduce denials, and streamline reimbursements. By providing data-driven insights, we enable financial sustainability and help ACOs meet shared savings goals within value-based care models.
Social Determinants of Health (SDOH)
Annova helps ACOs integrate SDOH data into care coordination workflows, allowing for effective population health management. By identifying social risk factors, we enhance value-based care performance, reduce avoidable hospitalizations, and improve patient engagement.
Benefits for ACOs
Key Benefits:
- Coordinated Care Delivery: Our services facilitate seamless collaboration among healthcare providers, ensuring patients receive timely and appropriate care.
- Quality Improvement: By providing comprehensive performance measurement and analytics, we help ACOs enhance care quality and patient satisfaction.
- Financial Sustainability: Our expertise in risk adjustment and coding ensures accurate compensation, contributing to the financial health of ACOs.
- Regulatory Alignment: We assist ACOs in meeting CMS requirements and quality benchmarks, reducing compliance-related risks.
FAQs
Annova offers tailored analytics and AI-driven solutions that streamline operations, enhance outcomes, and ensure compliance, thereby supporting ACOs in achieving financial sustainability and shared savings.
We facilitate comprehensive performance measurement and population health insights, enabling ACOs to drive better patient care and align with regulatory reporting frameworks.
Our RADV services include advanced analytics, expert coding with a proprietary Confidence Rating system, efficient record retrieval, and mock audits to proactively identify compliance gaps and mitigate risks.
Yes, we assist ACOs in leveraging Social Determinants of Health data to enhance population health management, reduce avoidable hospitalizations, and improve patient engagement strategies.
With a team of seasoned professionals and a history of successful collaborations, Annova brings deep industry expertise to support ACOs in delivering coordinated, high-quality care while achieving financial sustainability.