Prospective Chart Review – Beacon Alert

With the rapid growth of Risk Sharing and Value-Based Payment models, health care providers, ACOs, and health plans must make every effort to ensure that patients’ diagnoses are accurately documented in a timely manner.

Using the results generated from our proprietary software analytics, reviewers evaluate the patient’s diagnostic history, prescription drugs, lab results, physician notes, radiology reports and consultants’ reports. Additionally, access to out-of-network claims helps establish a 360° view of available clinical information. New opportunities for capturing HCC diagnoses are identified and recorded and passed on to the physician in the form of a Beacon Alert.

Beacon Alerts provide busy doctors with helpful information while teaching correct documentation techniques in accordance with CMS guidelines. In consultation with practicing physicians, Beacon Review has carefully designed the Alerts to fit into the workflow of a physician’s daily schedule.

The Alerts greatly improves the accuracy of HCC diagnoses documented at the point of care. The result is a significant positive impact on patients’ RAF scores, and improved revenue to clients that are under risk and value-based payment arrangements.

Beacon Review’s prospective review process typically yields greater than 20:1 ROI for our clients.

Our services cover PCPs as well as specialists including, but not limited to Cardiology, Podiatry, Endocrinology, Nephrology, Gastroenterology and Hematology/Oncology.