The Value-based Care Software Solution
Capabilities that Unlock New
Revenue Streams with Confidence
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.
CORE CAPABILITIES
Value-Based Care framework Features
Unlimited Financials enables efficient and effective participation in the Advanced Payment Models currently transforming specialty healthcare services.
Platform Features
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.
Platform Features
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.
Platform Features
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.
The Differentiator
Value-Based Care For Specialty HEalthcare Practices
Unlimited Financials supports the demands of value-based care. Unlock new revenue streams with confidence for your specialty practice.
Cancer Care
Specialized authorization logic for high-complexity oncology treatments and biologics.
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Dermatology
Rapid eligibility verification for surgical and cosmetic dermatology procedures.
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Diagnostic Imaging
Precision authorization matching for MRI, CT, and PET modalities to prevent radiology denials.
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Gastroenterology
Streamlined financial clearance for clinical consults and endoscopy center procedures.
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Infusion Services
Biologic-specific authorization rules and foundation assistance tracking at clearance.
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Mental / Behavioral Health
Longitudinal clearance workflows for recurring therapy and behavioral health services.
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Multi-specialty
Enterprise-grade eligibility hub unifying diverse specialty rules in one platform.
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Neurosurgery / Neurology
Complex surgical clearance and global period validation for neuro-clinical cases.
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Ophthalmology
High-throughput eye care clearance for surgical center and clinical exams.
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Rheumatology
Integrated clearance for clinical visits and high-cost infusion therapies.
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Urology
Procedure-focused authorization management with integrated lab and clinic sync.
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Can’t Find Your Specialty?
Our architectural engineers can configure the platform for over 40 distinct medical disciplines. Contact our solutions team to discuss your practice’s specific clinical registration needs.
Contract Analytics Node
Performance & Risk Assessment
Rely on Unlimited Financials to make smarter decisions about your Advanced Payment Model portfolio. Our analytic tools ensure every revenue opportunity can be accurately and independently evaluated.
Trusted by 6,000+ Providers
across the United States
