Documentation That Drives Value-Based Success
Maximize risk adjustment, improve quality metrics, and excel in value-based care with AI documentation designed for payer partnerships.
Payer Partnership Challenges
Success in value-based care requires precise documentation and comprehensive quality tracking
Documentation Quality
Ensuring provider documentation supports accurate risk adjustment and quality metrics
Coding Accuracy
Capturing all relevant diagnoses and procedures for proper reimbursement
Quality Reporting
Meeting HEDIS, Stars, and other quality measure requirements
Risk Adjustment
Maximizing HCC capture and supporting accurate RAF scores
Measurable Impact on Payer Performance
Enhanced Risk Adjustment
Capture all relevant HCCs with real-time prompts and documentation assistance for accurate RAF scores.
Quality Measure Automation
Automatically track and document HEDIS, Stars, and MIPS measures during routine patient encounters.
Gap Closure Integration
Import care gap lists and seamlessly close gaps during visits with appropriate documentation.
Value-Based Reporting
Generate comprehensive reports for payer partnerships and value-based care contract performance.
Payer-Focused Features
HCC Documentation Assistant
Real-time prompts to capture additional diagnoses that support risk adjustment
Quality Measure Tracking
Automatic identification and documentation of HEDIS, Stars, and CMS measures
Gap Closure Support
Identify and document care gaps during routine visits
Coding Optimization
Ensure documentation specificity supports accurate ICD-10 coding
Risk Stratification
Support population health initiatives with comprehensive documentation
Value-Based Reporting
Automated data collection for value-based care contracts
Comprehensive Quality Measure Support
HEDIS Measures
- Diabetes Care (HbA1c control, eye exams, nephropathy)
- Cardiovascular Care (BP control, statin therapy)
- Preventive Care (mammograms, colonoscopies, immunizations)
- Behavioral Health (depression screening, follow-up)
Medicare Stars
- Health Outcomes Assessment
- Patient Experience (CAHPS)
- Intermediate Outcome Measures
- Patient Safety and Clinical Care
CMS Innovation
- Merit-based Incentive Payment System (MIPS)
- Alternative Payment Models (APMs)
- Shared Savings Program metrics
- Quality Payment Program requirements
Optimized Payer Workflows
Risk Adjustment Optimization
Maximize HCC capture during routine visits
- 1 Review patient's historical diagnoses
- 2 Prompt for condition updates during visit
- 3 Ensure specificity in documentation
- 4 Verify coding compliance
- 5 Generate risk adjustment report
Quality Gap Closure
Address care gaps identified by payers
- 1 Import gap list from payer systems
- 2 Present relevant gaps during visits
- 3 Document completed services
- 4 Update quality metric status
- 5 Report closure to payers
Value-Based Care Support
Support providers in VBC contracts
- 1 Track contract-specific metrics
- 2 Provide real-time performance feedback
- 3 Document care coordination activities
- 4 Monitor outcome measures
- 5 Generate contract reporting
Supporting All Payer Partnership Models
Medicare Advantage Plans
Medicaid Managed Care Organizations
Commercial Health Plans
Accountable Care Organizations
Medical Groups in Risk Contracts
Independent Practice Associations
Clinically Integrated Networks
Direct Primary Care Practices
Calculate Your Value-Based Care ROI
See the potential revenue impact from improved risk adjustment, quality measures, and gap closure with our specialized ROI calculator for payer partnerships.
Payer Integration Support
Data Integration
Connect with payer systems for real-time gap lists, quality measure tracking, and performance reporting.
Contract Configuration
Customize documentation workflows based on specific payer contract requirements and quality measures.
Training & Adoption
Comprehensive provider training on value-based care documentation and HCC capture best practices.
Performance Monitoring
Ongoing monitoring and optimization of documentation quality and payer performance metrics.
Essential Payer Partnership Tools
Ready to Excel in Value-Based Care?
Join practices already maximizing their payer partnerships with OrbDoc
Specialized support for value-based care contracts and payer partnerships