RevCore


Identifying ICD-10's Exact Financial Impact

SOLUTION

Understanding Your Risk Is the Only Way to
Avoid It

Jvion’s RevCore is the leading ICD-10 financial risk analysis solution and the number one choice of providers. The tool, which is a fully integrated module within the icdcomplete ICD-10 software conversion suite, provides encounter-level analytics enabled through our Bonobo Big Data Platform™. The powerful predictive modeling capabilities that underlie RevCore enable the most robust, detailed, and tailored view into ICD-10’s potential negative and positive revenue impacts.

RevCore has helped providers from across the healthcare industry landscape address ICD-10’s reimbursement impact and drive a revenue neutral conversion. This module is the ‘core’ of our icdcomplete solution; the results from its risk assessment inform all the remaining solution components including crosswalk development, system remediation, clinical documentation, dual coding, testing, training and even post go-live operational reimbursement monitoring.

The RevCore process begins with an analysis of 12-36 month’s historical claims data. In two to four weeks for a typical hospital, RevCore identifies key patterns consistent with negative and positive reimbursement variance. From these key patterns, we prioritize efforts across the organization, from the broad system level down to the departments, coders, physicians, and payors associated with high risk and high opportunity codes. This is where the true value of RevCore is realized. By allowing your organization to focus on the highest risk areas and automate the lower risk areas of your conversion, your organization will remain revenue focused and efficient throughout the process.

Through RevCore, you will understand:

  • Which physicians and coders are associated with high risk codes
  • Where to focus documentation and training efforts
  • The specific areas where backfill resources are needed
  • The systems and interfaces associated with high business risk
  • The outpatient and professional fee specialties at highest risk of denials and extended AR cycles
  • Potential reimbursement impacts to a specific line of business
  • The ICD-9 codes that have the highest probability of medical necessity triggers
  • Where in ICD-10 you have the largest probability of RAC audits and additional documentation requests
  • How to best align your testing strategy to financial risk areas
  • Where there are opportunities for business process improvement based on business impact
  • And most importantly, what you can do today to mitigate your ICD-10 financial risk

VALUE

RevCore - Delivering the Best ICD-10 Risk Analytics

Jvion’s RevCore solution is the most comprehensive and granular financial analysis tool available on the market. This is because we are able to pin-point ICD-10’s exact financial impact by department/specialty, DRG, MDC, procedure code, diagnosis code, physician, and coder. Through this solution, providers receive a historical claims analysis that reflects their unique case mix and business model. It is completely tailored, drives risk mitigation through actionable recommendations, and better aligns to strategic and operational priorities.

Many vendors will claim that they can provide granular financial risk assessment analytics. However, looking out into the market, most of these solutions fall short. They are limited to DRG-level analysis;
are not software-enabled or are limited in the amount of automation that they incorporate; and do not provide the level of actionable information that drives real risk mitigation.
The solution that Jvion brings through RevCore:

  • Delivers financial risk down to the code level—this bottom up approach provides the most comprehensive and actionable analytics
  • Provides an intuitive and customizable reporting interface so that providers can quickly and easily see the specific financial and operational risk data needed to run the business
  • Provides an integrated solution to ensure that the financial risk is addressed through every part of remediation, testing, training, and post go-live
  • Leverages Jvion’s financial risk assessment benchmarks to help providers understand their financial risk profile relative to that of other organizations
  • Delivers training recommendations at the coder and physician level, and can integrate with established, recognized training solutions
  • Enables more focused chart review and a platform to monitor documentation practices in both ICD-9 and ICD-10

What RevCore helps you answer:

  • How can I capitalize on the ICD-10 delay?
  • How can I avoid the anticipated ICD-10 industry impacts?
  • What can I do to mitigate ICD-10 risk to my physician group operations?
  • How can I mitigate ICD-10's impacts to my hospital?
  • What can I do to optimize ICD-10 reporting
  • How can I protect my reimbursements under ICD-10?
  • How can I navigate the ICD-9 to ICD-10 transition?
  • What can I do to drive physician engagement in ICD-10?
  • Does the ICD-10 delay have any benefits for my organization?
  • What impact does the Doc Fix bill have on my ICD-10 program?
  • How can I isolate the specific codes that hold the greatest risk and opportunity under ICD-10?
  • What can a Big Data ICD-10 solution do for my organization?
  • How will the Senate decision to delay ICD-10 impact my organization?
  • Will the ICD-10 delay to 2015 cost me more money?