Diverse & Bespoke
Our Suite of Services
VALUE-BASED CARE SOLUTIONS
We equip commercial, private, and government payers (including managed care organizations) with the resources to develop & implement integrated, sustainable, person-centered, and cost-effective solutions. Our solutions serve as the groundwork for elevated end-to-end administration of beneficiary services. Our team utilizes a holistic approach that includes a thorough knowledge of industry standards, compliance requirements, emerging technologies, model analysis, and care professional orientation.
- Population Health Management
- Quality Improvement & Accreditation
- Risk Adjustment Management
- CMS Innovation Models Implementation
- Health IT Support
PRIMARY CARE INNOVATION
Our Primary Care Innovation and Transformation approach is multidisciplinary, holistic, and at times, out-of-the-box. Whether a delivery solution rests in technology, infrastructure, education, organization, or simply, the human element, our team is equipped with the insight necessary to deliver tangible, sustainable results that achieve peak efficiency.
- Capacity & Capability Building
- Education & Training
- Process Redesign & Workflow Optimization
- Data Analytics & IT Solution Support
CORDINNATE EHR
Cordinnate is a full‐service technology-based platform that provides a result and data-driven electronic health record solution to health plans, medical centers, private practices, and other healthcare centers to document care management, and care coordination services, and improve care team delivery.
Cordinnate interface provides swift & easy connectivity between healthcare providers for the patients they serve; promoting quality, efficiency, choice & and accessibility.
- Increase patient/member engagement & retention
- Practice care transformation support
- Complex Care Management support
- Social Determinants of Health solutions
- Community & Population Health Technology
ADVISORY & MANAGEMENT
Our approach involves the implementation of a methodology that is, above all, comprehensive, unified, and thorough. We have extensive experience in providing advisory & management support to clients that include individual practitioners, medical groups, and large-scale healthcare systems. The first step involves consulting with leadership to determine the needs their particular organization requires. From there, we establish a complete cost-effective strategy. Ultimately, the acceleration of action and meticulousness of care that results goes to benefit the patient the most.
- Program Management & Change Management.
- Revenue Cycle Management
- Executive Consulting
- Staff Training
REVENUE CYCLE MANAGEMENT
The revenue cycle for your outpatient care services starts with registering your patient and successfully ends when all reimbursement and patient payments have been collected.
Billing for a single patient visit can take weeks or months and involves many stakeholders through the process, which opens the door to errors that can reduce revenue. A revenue cycle management (RCM) audit can alert you to errors or delays that can be remedied in order to ensure you get the revenue you're owed.
Our RCM audit uncovers barriers to reimbursement accuracy and efficiency by assessing activities before the healthcare service, at the time of the service, and after the service is provided.
OUR PROGRAMS
Featured Medicalincs Programs
MCO Executive Advisory
Medicalincs Service Area: Healthcare Advisory & Management
Our executive consultants support healthcare executives with strategy planning and opportunity assessment to improve organizational performance, and also prep for board presentations. This “top-down” attention takes particular care to keep the value of the executives’ time closely in mind, which is why we pride ourselves in our ability to be thorough in brevity.
Post-Acute Care Advisory
Medicalincs Service Area: Value-Based Care Solutions
We work with hospital and post-hospital systems to identify post-acute care solutions. We understand the health system incentives and market challenges driving collaboration with post-acute care providers. Our solutions address avoidable utilization (readmissions and average hospital length of stay), and ensure patient care management across healthcare settings.
MDPCP Learning Academy
Medicalincs Service Area: Primary Care Innovation & Transformation
Medicalincs established a Primary Care Transformation Learning Academy. Our curricula are bespoke from client to client. We developed and conducted a series of comprehensive, in-person and web-based, hands-on training sessions on advanced primary care (Maryland Primary Care Program [MDPCP]), tailored to practice staff, providers, and community workers.
REM Program
Medicalincs Service Area: Healthcare Advisory & Management
Medicalincs is a Rare and Expensive Case Management (REM) Program provider. The REM Program is a part of the Maryland Medicaid HealthChoice Program, and supports individuals with specified rare and expensive conditions, with an integrated, community-based methodology. This provides the patient access to appropriate, high-quality, care coordination. Medicalincs is a sub-contractor of the REM Program.
Healthlincs CTO
Medicalincs Service Area: Primary Care Innovation & Transformation
Healthlincs Care Transformation Organization partners with the Maryland Department of Health and Centers of Medicare and Medicaid (CMS) to implement the new Maryland Primary Care Program (MDPCP), launched January 1, 2019. As a Care Transformation Organization, we provide primary care providers with support via care management personnel, infrastructure, and technical assistance.