Advancing Health Plan and Practice Excellence Across Florida’s Value-Based Marketplace
Transform Your Practice Today
Advancing Health Plan and Practice Excellence Across Florida’s Value-Based Marketplace
Xtra Health MSO
Overview
Our Managed Services for Healthcare Providers
We provide comprehensive managed services to healthcare providers and payers. Our innovative tools and technology, combined with administrative and clinical support services, help achieve value-based clinical outcomes. services include but not limited to revenue management, medical billing and coding, compliance and regulatory services, and clinical support.
Provider Relations
Our Managed Service Organization (MSO) offers comprehensive provider relations services designed to enhance collaboration and communication between healthcare providers and health plans. We assist with provider contracting to ensure favorable terms and smooth negotiations, while also providing vital health plan credentialing support to facilitate timely onboarding of new providers. Our onboarding process includes thorough training on health plan processes, ensuring that providers are well-equipped to navigate the system effectively. We also offer access to provider portals, accompanied by dedicated training to optimize their use. In addition, our team is committed to issue resolution, acting as a liaison between health plans and providers to address concerns and streamline operations, ultimately fostering a supportive environment that empowers providers to focus on delivering quality care.
Data Management, Reporting, Coding & Billing Services
Our success is built on a robust data management and reporting service that empowers healthcare providers to make informed decisions and enhance patient outcomes. We specialize in Medicare Risk Adjustment (MRA/RAF) score analysis, enabling providers to understand and improve their risk profiles effectively. Our comprehensive MLR reports offer insights into financial performance, while inpatient hospital census data helps track patient admissions and resource utilization. We generate detailed membership and disenrollment reports to assist in managing patient populations, alongside HEDIS gap reporting to ensure compliance with quality care measures. Collectively, these data management services enable our partners to optimize performance, enhance operational efficiencies, and deliver high-quality care.
Our coding services encompass comprehensive chart audits and tailored recommendations designed to enhance the accuracy and compliance of medical coding practices. We conduct thorough reviews of clinical documentation to ensure that codes assigned align with the services provided, identifying any discrepancies that may impact reimbursement and compliance. Our team of certified coders analyzes charts for completeness, accuracy, and adherence to payer guidelines, providing actionable insights to improve documentation practices. After the audit, we deliver detailed reports that highlight areas for improvement, along with strategic recommendations for optimizing coding processes. . We handle the complete billing process by utilizing advanced billing software and adhering to the latest regulatory guidelines, we streamline encounter billing processes and enhance operational efficiency.
Dedicated Software
Xtra Health includes a dedicated software platform designed specifically for healthcare providers, providing a comprehensive solution to streamline operations and enhance patient care. This powerful software includes critical data components such as membership information, chronic conditions, and utilization management metrics, enabling providers to efficiently track and manage patient populations. By leveraging our dedicated software, healthcare providers can enhance their operational efficiency, optimize resource allocation, and ultimately deliver higher quality care to their patients.
Sales & Marketing
Xtra Health provides comprehensive sales and marketing support to help healthcare providers expand their reach and optimize patient engagement. Each client is assigned a dedicated sales agent who works closely with them to develop a customized growth plan tailored to their specific goals and market dynamics. We offer marketing recommendations that target the local patient demographics and their healthcare needs, empowering clients to enhan their visibility and attract new patients. Additionally, we provide health plan support for marketing activities, ensuring alignment with payer requirements and maximizing the impact of outreach efforts.
Contract & Payment
Xtra Health prides itself on offering a seamless contract process that simplifies the onboarding of healthcare providers. We understand the complexities involved in contract negotiations, so our team is dedicated to ensuring a straightforward and efficient experience from start to finish. Once contracted, providers can rely on dependable monthly capitation payments, or depending on contract alignment FFS, affording direct billing / encounter submissions ensuring all are processed accurately and punctually. Contract Payments are always direct.
MSO Services
Data Analytics
Real-Time Inpatient Notifications
CMS STAR Measure Education
At Xtra Health, we specialize in providing in-depth analysis of medical utilization, pharmacy trends, gaps in care, and overall financial performance for healthcare providers. With our comprehensive data analytics services, we offer valuable insights that precisely depict how your practice is performing. Our reports and visualizations empower you to make informed decisions and optimize your operations. Whether it’s identifying patterns in patient utilization, tracking pharmacy trends, or evaluating your financial performance, our data analytics services provide the information you need to drive success.
CMS STAR Measure Education
Real-Time Inpatient Notifications
CMS STAR Measure Education
We understand the importance of the CMS STAR rating measures in assessing and improving the quality of healthcare. That’s why we offer comprehensive STAR measure education to medical practices. Our team will provide in-depth education on measures, documentation requirements, and best practices for data collection and reporting. With our training, your practice will gain the knowledge and skills needed to successfully navigate program requirements and improve performance.
Real-Time Inpatient Notifications
Real-Time Inpatient Notifications
Real-Time Inpatient Notifications
Our built-in process alongside our dedicated team allows us to provide real-time notifications regarding inpatient activities. We understand the critical nature of timely communication and coordination between medical practices and patients. Our team follows up regularly to ensure ongoing support and a seamless care transition. With our real-time inpatient notifications and ongoing follow-up, you can rest assured that you’ll always be informed about your patients’ progress.
Dedicated Risk Adjustment Coders
Real-Time Inpatient Notifications
We assign a risk adjustment coder to work closely with your practice. They will provide ongoing training and support, focusing on Medicare Risk Adjustment (MRA) coding best practices, prioritizing accuracy and compliance. With their expertise and guidance, your practice will improve coding accuracy and reduce the risk of errors. The assigned risk adjustment coder serves as a valuable resource, providing continuous education and support to ensure your practice maintains high coding standards.
Encounter Submissionsq
Encounter submission shouldn’t take time away from running your practice. That’s why we offer a professional submission service to remove the burden from your team. Our experienced specialists gather documentation, verify coding accuracy, and submit encounters on your behalf with precision and compliance. Let us save you time, reduce stress, and improve efficiency.
Care Gap Management
Identifying and addressing care gaps is essential for improving patient outcomes. Our Medical Management team provides comprehensive care gap support to help practices close gaps and enhance quality of care. Using advanced tracking and analytics, we identify issues such as missed screenings and medication adherence challenges. We then partner with your practice to implement targeted strategies, ensuring patients receive the preventive and proactive care they need.