6,500+ specialty providersMeasure-ready
Required quality fields are enforced while the encounter is still open.
ALTERNATIVE PAYMENT MODEL INTELLIGENCE
Value-Based Care Software for Healthcare Networks
The Leading Value-Based Care Solution Built for Risk-Bearing Specialty PracticesBridge the gap between clinical quality and financial viability. Automate compliance tracking for EOM, MIPS, and commercial risk agreements, proving high-value outcomes while safeguarding operational revenue.
Why this work is different
Standard healthcare platforms turn value-based contracts into unbounded clinical homework. Quality measures live in one system, cost performance in another, and shared-savings modelling in a consultant's spreadsheet.
Under EOM and MIPS, a documentation field missed at the point of care becomes a scoring penalty discovered weeks later, after the patient has left and the encounter can no longer be corrected.
Real-time MIPS Audits
EOM ePRO Mapping
Admission Avoidance Alerts
6,500+ specialty providersSOC 2 certified
Avoidable ED and hospital admissions
-35%
Measured across specialty practices
Value-Based Care Software
- Positive modifiers
- MIPS
- Capitation safety
- CMS-EOM
- Automated FHIR feed
- ePRO
Trusted Payer & EHR Integration Partners
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What Is Value-Based Care Software?
Value-based care software helps practices succeed under payment models that reward quality and cost outcomes rather than visit volume, such as MIPS, ACO arrangements, and specialty episode-of-care programs.
It tracks attributed patients, quality measures, care gaps, and risk documentation inside everyday workflows, and projects how contract performance will affect revenue, so value-based results are managed during the year instead of discovered after it.
Key Considerations When Choosing Value-Based Care Software
Value-based programs reward practices that can see their numbers early. Look for:
Quality measure tracking. MIPS and program measures captured from the encounter automatically.
Care gap alerts. Open gaps surfaced to staff while the patient is still in the practice.
Risk documentation support. HCC and risk-adjustment documentation flagged for completeness.
Financial projections. Shared-savings and penalty exposure modeled alongside the general ledger.
Program flexibility. Support for MIPS, ACOs, and specialty episode models in one place.
Value-based care software that meets these criteria turns quality reporting into a revenue strategy.
Designed around the work, not bolted on
One connected workflow from the first appointment to reimbursement.
Risk-ready
Patients trending toward avoidable admissions surface on the scheduler.
Contract-ready
Shared savings and downside caps are tracked in the financial ledger.
Value-Based Advantages
Align Clinical Quality With Shared Returns
Standard healthcare platforms create endless clinical homework. These workflows automate the administrative reporting so clinicians focus on patients and finance leaders capture the incentive payments.
ePRO Data Automation
Automate collection of mandated patient symptom logs under CMMI EOM standards. FHIR pipelines pre-classify severity before the patient reaches the clinic.
Cost Avoidance Trackers
Flag patients at high risk of ED visits or readmission directly on the scheduler, so triage lines can intervene early and cut avoidable hospitalization.
Automated MIPS Compliance
MIPS registry quality measures are wired into appointment pathways, and encounters are audited in the background to confirm documentation compliance.
Commercial Risk Ledgers
Track shared-savings and downside-risk caps inside unified general ledgers, avoiding surprise retroactive adjustments from payer audits.
Interactive performance calculator
Simulate Avoided Admissions & Shared Savings
Set your attributed patient panel, baseline avoidable admission rate, and target documentation tier to model the financial return.
Model your attributed panel
Adjust the panel, the baseline rate, and your target tier.
1,200
1005,000
14%
5%25%
See your full results
Enter your work email to unlock the numbers. No call required.
See Your Results ImmediatelyGoogle5/5Gartner5/5G24.8/5
Directional estimate only — bring your own payer mix and we’ll model it properly.
The cost of generic software
Every gap here is money that was already earned
These are the places practices most often lose revenue when this part of the workflow runs on software that wasn’t built for it. Unlimited Systems closes each one with rules configured for your specialty and payers.
Review your workflowWhere the money goes
- Quality bonuses forfeited over documentation fields missed during the encounter.
- Avoidable ED visits and readmissions charged against your attributed panel.
- Nursing hours spent copying symptom surveys out of PDFs into the chart.
- Retroactive payer adjustments that arrive after the performance year has closed.
What changes on day one
The work generic platforms leave to your staff is the work your margin actually turns on.
Nurses copy survey metrics out of separate PDF files by hand.
Automated HL7/FHIR mapping straight onto the scheduling screen.
Post-encounter reporting surfaces errors weeks after the patient leaves.
Real-time alerts at the point of scheduling, while it is still fixable.
No calculation, risk modelling sits in an external consultant's database.
Embedded double-entry cost-savings forecasting in your own ledger.
Side by side
Compare Quality Score Compliance Workflows
How automated APM quality capture compares against generic EMR portals and manual worksheets.
Criteria
Legacy system compromise
Unlimited Systems value
ePRO patient triagingCaptures patient-reported symptoms continuously and ties them to the schedule.
✕Nurses copy survey metrics out of separate PDF files by hand.
✓Automated HL7/FHIR mapping straight onto the scheduling screen.
MIPS performance warningsAlerts the calendar when a chart lacks required documentation before checkout.
✕Post-encounter reporting surfaces errors weeks after the patient leaves.
✓Real-time alerts at the point of scheduling, while it is still fixable.
Shared-savings projectionsSyncs commercial payer risk calculations with the accounting ledger.
✕No calculation, risk modelling sits in an external consultant's database.
✓Embedded double-entry cost-savings forecasting in your own ledger.
Still evaluating
Not Ready to Switch Yet? That's Exactly When to Start the Conversation.
You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many specialty practices talk with us months before a contract renewal, system evaluation, or operational change so they can understand where revenue leakage, denial risk, prior authorization delays, and reporting gaps may already be showing up.
You don't have to wait until your contract is up to start evaluating your options. The best time to assess your revenue cycle technology is before renewal pressure begins. Unlimited Systems can help you understand where your current workflows may be creating avoidable denials, manual work, charge capture gaps, or reporting limitations, so you're better prepared for renewal, replacement, or future planning.
Less billing work between the visit and payment
Connected data and specialty rules keep your team on the exceptions that need judgment.
Verify before the visit
Coverage and authorization stay tied to the order.
Validate every charge
Code, unit, and modifier checks happen before filing.
Work the right accounts
Denials and A/R are ranked by value and filing risk.
35%less manual workflow time
One platform
The rest of the platform your practice runs on
The same connected system handles the operational work that sits either side of this module.
Healthcare Analytics Software
Governed reporting that turns revenue-cycle data into clear action.
Explore Healthcare Analytics SoftwareHealthcare Reporting Software
Dashboards and benchmarks built for specialty revenue-cycle teams.
Explore Healthcare Reporting SoftwareRCM & Medical Billing Software
End-to-end billing from charge to close, tuned to specialty payer rules.
Explore RCM & Medical Billing SoftwarePractice Management Software
The operational core for scheduling, intake, and the full patient-to-payment workflow.
Explore Practice Management SoftwareTailored Specialty Configurations
Specialty Specific Solutions
Each clinical specialty possesses unique operational rules and claim requirements. Search or browse our fully configured Value-Based Care Software configurations below.
Infusion Care
Oncology & Hematology
Oncology Value-Based Care Software
Dose-rounding rules, multi-bay scheduling, chemo-specific drug clearance, and waste modifiers tracking.
Infusion Care
Rheumatology
Rheumatology Value-Based Care Software
Complex buy-and-bill workflows, real-time biological injection and infusion clearance, and J-code tracking.
Infusion Care
Cardiology
Cardiology Value-Based Care Software
Cardiac device and clinic appointment matrix coordinates, interventional CPT sequences, and echo prior-auth checks.
Infusion Care
Infusion Services
Infusion Services Value-Based Care Software
Advanced chair/bay slot balancing, patient duration predictive overrides, nurse-to-patient safety ratios, and EHR matching.
Surgical Suite
Urology
Urology Value-Based Care Software
High-complexity outpatient procedure flows, pathology and lab synchronization, and catheterization eligibility clearance.
Surgical Suite
Dermatology
Dermatology Value-Based Care Software
High-throughput check-list workflows, cosmetic vs therapeutic prior-auth rules, and biopsy modifier billing checks.
Surgical Suite
Diagnostic Imaging
Diagnostic Imaging Value-Based Care Software
Modalities (MRI, CT, PET) calendar balance, specialized technician scheduling, and real-time prior-auth checks.
Infusion Care
Gastroenterology
Gastroenterology Value-Based Care Software
Split facility/professional fee systems, colonoscopy screening modifier crossovers, and anesthesia codes alignment.
Surgical Suite
Neurosurgery
Neurosurgery Value-Based Care Software
High-acuity surgeon modifiers, intraoperative nerve monitoring workflows, global post-op tracking, and device inclusions.
Surgical Suite
Neurology
Neurology Value-Based Care Software
Support for sleep logs, EMG checklists, cognitive scoring, and complex specialized home health infusion clear pathways.
Clinical Program
Mental & Behavioral Health
Behavioral Health Value-Based Care Software
Psychotherapeutic codes, medication checkers, recurring outpatient templates, and multi-state compliance matrices.
Surgical Suite
Ophthalmology
Ophthalmology Value-Based Care Software
Refractive surgical billing grids, vision insurance crossovers, retina scan diagnostic checklists, and global cataract rules.
Clinical Program
Multi-Specialty
Multi-Specialty Value-Based Care Software
Unified billing ledgers across multiple high-acuity departments and seamless EHR data mapping coordinates.
Infusion Care
Allergy & Immunology
Allergy & Immunology Value-Based Care Software
Complex multi-vial antigen compounding logs, venom dose escalations, and rapid biological asthma injection pathways.
Infusion Care
Endocrinology
Endocrinology Value-Based Care Software
Continuous glucose monitor (CGM) sensor logging, hormone infusion therapies, and complex diabetic education tracks.
Infusion Care
Infectious Disease
Infectious Disease Value-Based Care Software
Outpatient parenteral antimicrobial therapy monitoring, home health nursing coordinate feeds, and J-code splits.
Infusion Care
Nephrology
Nephrology Value-Based Care Software
Renal dialysis facility coordinates, erythropoiesis-stimulating agent dose-rounding logs, and Medicare ESRD compliance.
CUSTOM ENTERPRISE ENGINES
Consult Specialty EngineerNeed customized rule configuration for other clinical programs?
Unlimited Systems templates flexible operational and billing matrices for over 25+ medical specialties. We configure local and commercial medical guidelines to protect your clinical revenue flow patterns from lost claims.
Knowledge base
Frequently asked questions
EOM participation requires continuous electronic patient-reported outcome collection, cost containment tracking, and documentation of care navigation. The platform automates ePRO collection over FHIR, pre-classifies symptom severity before the visit, and maintains the attributed-patient cost logs the model reports against.
New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.
Hear It From Our Clients
Specialty practices describe, in their own words, what changed after moving to Unlimited Systems.
Video testimonial
Hematology and Oncology Associates of Northeastern PA
Dunmore, PennsylvaniaIndependent Hematology & Oncology
“As I look back at the transition, the support and the collaboration with the folks at Unlimited really helped make us feel at ease. We had a partner that really wanted us to be successful.”
- Michelle Leandri, CEO, Hematology and Oncology Associates of Northeastern PA
- Days in A/R shrank from 21 to 15, consistently.
- Charges go out the next day.
- Less manual work, more clean claims, and stronger cash flow.
We Love Hearing From Our Users
Practices like yours, on what changed after moving to Unlimited Financials.
“
Rated 5 out of 5
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Ernelita Dacumos
Billing Manager, SHOM
“
Rated 5 out of 5
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
Melissa Shook
Medical Biller, SHOM
“
Rated 5 out of 5
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Renee Bernacchi
Accounts Receivable Coordinator, COAS
“
Rated 5 out of 5
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Mel Davies
CFO, Oregon Oncology Specialists
“
Rated 5 out of 5
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Alisha Haslem
Patient Advocate Manager, Utah Cancer Specialists
“
Rated 5 out of 5
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
Erin Wilcher
Executive Director, Commonwealth Cancer Center
“
Rated 5 out of 5
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Ernelita Dacumos
Billing Manager, SHOM
“
Rated 5 out of 5
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
Melissa Shook
Medical Biller, SHOM
“
Rated 5 out of 5
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Renee Bernacchi
Accounts Receivable Coordinator, COAS
“
Rated 5 out of 5
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Mel Davies
CFO, Oregon Oncology Specialists
“
Rated 5 out of 5
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Alisha Haslem
Patient Advocate Manager, Utah Cancer Specialists
“
Rated 5 out of 5
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
Erin Wilcher
Executive Director, Commonwealth Cancer Center
GET STARTED
Excel in EOM & MIPS With Automated Clinical Tools
Align your existing treatment regimens with value-based shared-savings payouts alongside a compliance integration analyst.
6,500+ specialty providersSOC 2 certified
Related billing & RCM glossary terms
Brush up on the revenue cycle terms that come up most with this part of the platform: clear, plain-language definitions from our RCM team.
Accelerated and Advance PaymentsOPPSPatient-Driven Groupings ModelPayer ContractingDays in Accounts ReceivableSecondary ClaimWrite-off Adjustment CodeAverage Sales PriceASP Pricing File340B Drug Pricing ProgramOncology Care ModelEnhancing Oncology Model
Browse the full RCM glossary