ON AVERAGE, ICD-10 WILL REDUCE PROVIDER REVENUES BY 4-7%
Jvion can help you address ICD-10’s negative reimbursement impact and drive a revenue neutral conversion through our Big Data enabled RevCore financial risk assessment solution.
Using RevCore, we deliver a two-four week analysis of your historical claims for an accurate view of ICD-10’s exact financial impact including:
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- The percentage impact in dollars that ICD-10 will have to your revenue
- Where you need to focus your physician/coder training and education efforts
- How many backfill resources you need
- Which managed care contracts need to be renegotiated
- What you can do today to mitigate your ICD-10 financial risk
- And much more...
ICD-10 is one of the biggest changes faced by insurance companies. The new coding language impacts all aspects of operations including finance, medical management, contracting, and fraud and abuse.
Using the Big Data analytic capabilities found in RevCore, payors get the kind of insights that help prioritize all ICD-10 conversion efforts so that risks are neutralized and opportunities are optimized. We identify the high impact providers, specialties, payment models, business lines, points of services, and HCC/payment reconciliation processes, so that payors can:
Inpatient/Acute Care Outcomes
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- Isolated and mitigate high-impact providers and contracts
- Develop training priorities
- Identify documentation opportunities
- Create automated test scenarios
- Build test data
- And more…
Jvion’s RevCore solution delivers a tailored, ICD-10 financial risk assessment that reflects your business and case mix including:
Inpatient/Acute Care Outcomes
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- Financial risk summary/DRG variation report
- High risk and opportunity areas
- MDCs and DRGs
- Physicians and coders
- Departments and specialties
- Payors and contracts
- Code translation report
- CDI improvement focus report
Outpatient/Ambulatory Outcomes
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- Financial risk summary report
- Productivity (headcount) impacts
- Documentation and training impacts
- Code translation report
- Risk profile for CPT codes
- E&M coding impacts
Payor Outcomes
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- Financial risk summary/DRG variation report
- High risk and opportunity areas by:
- Providers and contracts
- MDC and DRG
- Departments and specialties
- Code translation report
- Medical policy risk report
- Documentation and training impacts
- Productivity/headcount impacts
