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Integra Connect launches specialty revenue cycle management service supporting both fee-for-service and value-based payments

Press releases may be edited for formatting or style | May 09, 2017 Health IT Revenue Management
May 9, 2017 – West Palm Beach, FL – Integra Connect, the leading provider of technologies and services for value-based specialty care, today announced the availability of a new, turnkey revenue cycle management (RCM) service optimized for specialty practices operating under both fee-for-service and value-based payment models. The initial focus of the service is large urology and oncology practices, who see a larger percentage of Medicare recipients than other physicians and face significant disruption this year as CMS pursues its goal of converting reimbursement to the Merit-Based Incentive Payment System (MIPS), with half of all payments in Alternative Payment Models (APMs) by 2018.

Integra Connect’s cloud-based RCM service is designed to maximize revenue through the transition to value-based reimbursement, by augmenting its best-in-class payment and denial management capabilities with MIPS measurement, APM quality measurement, analysis, and contract oversight, enabling a holistic and actionable view of practice finances.

“The rise of value-based care is quickly transforming our practice’s revenue cycle. As we embrace MIPS and alternative payment models, revenue cycle management has had to take on a much more strategic role to ensure that we accurately project revenue across fee-for-service and fee-for-value activities alike,” said Dr. Mitchell B. Hollander, co-president of the Michigan Institute of Urology, a leading practice with 51 urologists across 22 locations. “Integra Connect has built the only revenue cycle management solution we have seen that can plan, execute, and collect against a diverse range of reimbursement models – all in service of our providing the highest-quality, financially sustainable care to our patients.”

Integra Connect’s value-based RCM service includes the following components:

• Executive-level strategy review and refinement to manage the practice’s transition to value-based care models, including holistic evaluation of the timing and magnitude of revenue shifts;

• Expert implementation and operations teams with deep urology- and oncology-specific domain expertise to seamlessly manage the practice’s revenue cycle, from claim submission to collections across all contract types;

• Analytics with real-time, decision support capabilities focused on MIPS and APM performance measurement and associated alignment of RCM processes across the practice, including action plans to identify proactive clinical and/or operational intervention to improve value-based outcomes.

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