Solutions.We deliver solutions for mission critical business processes for the Long Term Services and Supports industry
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01 COMPREHENSIVE ASSESSMENT ANALYZER
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Complete Clinically Consistent Assessments to Achieve Appropriate Reimbursement
Use of a Comprehensive Assessment in MLTSS provides a full picture of a member across 9 core elements of assessment. Clinical consistency becomes paramount to operating a successful organization. Our solution:
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02 TIME TASKING VALIDATOR
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Ensure Time Tasking Alignment with Clinical Guidelines to Optimize Services Utilization
MLTSS plans need to estimate the type, duration and frequency of services required to meet a members individual care needs and goals. These authorizations are an important part of a individuals care plan and have a large impact of clinical, care management and financial operations of a HCBS organizations. Our solution:
- Uses Clinical Guidelines and Business Rules to trigger Discrepancy Flags for when an individualized assessment is outside the bounds of normal service expectations
- Monitor and Estimate Cost of Services across groupings by Risk Score, Chronic Illness, and levels of Functional Impairment
- Features to manage Assessor Workforce based on Productivity, Quality of Assessment, and Adherence to Business Rules
03 DATA COLLECTOR
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Collect Assessment Data and Aggregate in a Cloud Solution to Enable Data Analytics
States have a variety of approaches to assessment data collection that range from paper-based forms to a single digital platform managed by the Department of Health. In order to establish a strong analytical capability, HCBS organizations need reliable data infrastructure. Our solution:
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04 TRAINING SERVICES
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Receive Tailored Web-based or In-Person Training Sessions to Improve Accuracy of Assessments
Comprehensive Assessments for Long Term Services and Supports have 9 core elements in common regardless of the type of assessment chosen by a State's Department of Health. Our clinical staff provides training on these assessment elements. Examples of Training Sessions include:
- Assessment Approaches, Quality Measures, Comorbidities and Interventions
- Assessment and State-specific guidance on questions
- Quality measurement approaches and calculations
- Review of Case Examples from actual assessments completed by Assessors in session