Understanding ICD-10 risk down to the physician, coder, and
code levels means that you can better prioritize all of your ICD-10
efforts in a way that minimizes financial impacts while maximizing the opportunities that come with the new code set
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:
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: