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HealthRev Partners HHVBP

by HealthRev Partnershealthrevpartners.com
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OVERVIEW

AI-powered Revenue Cycle Management (RCM) and consulting solution for home health and hospice to maximize reimbursement and ensure HHVBP compliance.

HealthRev Partners' HHVBP Solution, powered by the proprietary Velocity™ SaaS platform, is a comprehensive Revenue Cycle Management (RCM) and consulting service designed specifically for home health, hospice, and palliative care agencies. The solution is built to help agencies navigate the complexities of the Home Health Value-Based Purchasing (HHVBP) Model by driving financial stability, ensuring compliance, and accelerating cash flow.

Velocity™ Platform Capabilities:

  • RCM Transparency & Analytics: Provides real-time, centralized data and operational insights via customizable RCM dashboards. This allows agencies to track billed-to-paid trends, monitor key performance indicators (KPIs), and identify growth opportunities.
  • Claims Management: Features a centralized Claims Queue with intuitive filters, detailed timestamps, and real-time notifications to ensure no claim is left behind. It includes NOA and NOE tracking to help avoid costly penalties. [cite: 6, 4 in step 3]
  • Denial & AR Management: Utilizes AI to reduce denials by up to 40% and boasts a 98% first-pass claim approval rate. A color-coded AR management dashboard highlights aging balances for prioritized follow-up, reducing write-offs.
  • Clinical/Coding QA: Includes AI-powered coding analysis, OASIS review, and a built-in automated Quality Assurance (QA) solution for charting and documentation, ensuring accuracy for HHVBP measures. [cite: 1, 5 in step 1, 4 in step 3]
  • Advanced Funding: Clients gain access to Advanced Funding programs, providing immediate access to up to 80% of approved accounts receivable to ensure financial stability and growth. [cite: 4 in step 1, 1]

The solution is platform agnostic, meaning the Velocity software can pull data from any existing EMR/EHR system. It is available as a full-service outsourced RCM solution or as a stand-alone SaaS for agencies with an in-house RCM team. [cite: 1, 3, 4 in step 3]

RATING & STATS

Customers
100+
Founded
2020

KEY FEATURES

  • AI-Powered Coding Analysis and OASIS Review
  • Centralized Claims Queue and RCM Dashboards
  • Color-Coded AR Management and Denial Reduction (up to 40%)
  • NOA/NOE Tracking and Compliance Monitoring
  • Clinician Productivity and QA Reporting
  • Advanced Funding/Line of Credit Access
  • Platform Agnostic EMR Integration

PRICING

Model: enterprise
Custom pricing based on agency needs, claim volume, and revenue goals. Requires a consultation for a transparent, no-obligation quote. The model is designed to incentivize collections and deliver a strong ROI. [cite: 4 in step 3, 4 in step 1]

TECHNICAL DETAILS

Deployment: cloud, saas
Platforms: web
🔌 API Available

USE CASES

Home Health Value-Based Purchasing (HHVBP) ComplianceRevenue Cycle Management (RCM) OutsourcingOASIS and Coding Documentation ReviewDenial Management and Claims RecoveryReal-Time Financial and Operational Analytics

INTEGRATIONS

Any EMR/EHR SystemWorldViewKanTimeTrella HealthComplia HealthForcura Workflow

COMPLIANCE & SECURITY

Compliance:
SOC 2 Type II CertifiedHIPAA
Security Features:
  • 🔒Encryption
  • 🔒Secure Data Management

SUPPORT & IMPLEMENTATION

Support: email, phone, dedicated account manager
Implementation Time: 1-4 weeks
Target Company Size: medium, enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +Achieves a 98% first-pass claim approval rate and up to 40% fewer denials.
  • +Velocity platform offers unmatched transparency and real-time, customizable RCM analytics.
  • +SOC 2 Type II certified for high security and compliance standards.
  • +Platform agnostic, integrating with any existing EMR/EHR system.
  • +Access to Advanced Funding programs for immediate cash flow.
✗ Cons:
  • -Pricing is not publicly available and requires a consultation.
  • -Primarily focused on RCM and clinical documentation, not a full EMR/EHR replacement.
  • -No publicly available third-party review scores or review counts.

ABOUT HEALTHREV PARTNERS

Other software by HealthRev Partners:
HealthRev Velocity (Home Health & Home CareOASIS-E assessment tools)