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Unlimited Financials supports the demands of value-based care
Unlimited Financials enables efficient and effective participation in the Advanced Payment Models currently transforming reimbursement of healthcare services. Financials eases the adoption of new Value-Based Care frameworks, including episode-based lump-sum payments, quality measure reporting requirements, and cost accounting to support risk-based agreements. Workflows and reporting are also optimized for established models such as capitation, case rate payment structures, and Division of Financial Responsibility (DOFR) arrangements.
Automated management of patient-specific treatment episodes –Unlimited Financials recognizes when the combination of a patient’s demographics, insurance coverage, and medical condition(s) qualifies their encounter for a treatment episode as defined by an Advanced Payment Model. Contract-specific billing events linked to the initiation or termination of the episode are also driven automatically via a configurable rules engine.
Conditional addition or suppression of line-item billing codes – whether achieved via systematic rule configuration or inherently ‘trained’ as a byproduct of recurring billing, Unlimited Financials conforms its claim and data outputs to comply with any novel format(s) required by Value-Based Care agreements.
Analytic tools designed to optimize contract performance – ensure that every Value-Based Care revenue opportunity can be accurately and independently evaluated. Rely on Unlimited Financials to make smarter decisions about your Advanced Payment Model portfolio.