ModusOne Health

The Problem

Many providers struggle with accurate diagnosis and documentation of their patients’ conditions leading to:

• Lost reimbursement due to undercoding or denials.
• The inability to achieve the highest possible quality scores.
• Being at greater risk of compliance concerns.
• Possible quality score impacts and compliance risks from missed coding opportunities.

The Solution

ModusOne Health offers a unique CDxI® system that:

• Uses data analytics to focus on specific conditions and key providers.
• Provides physician-led provider education targeted on evidence-based medical and coding standards.
• Conducts intensive physician-led gold standard chart reviews.
• Delivers ongoing leaderboard-style reporting and performance management of provider, group and facility accuracy rates.

The Benefits

• Revenue at an average ROI of 10x. Increased reimbursements of $150,000-$200,000 per provider per year.
• Fast implementation. Does not require a hospital hiring additional personnel, purchasing equipment or installing software.
• Complements traditional CDI efforts, whether in-house or vendor-led.
• Improves reimbursements by capturing the true severity and complexity of patients’ conditions.
• Improves quality scores by closing care gaps and enhancing outcomes.
• Reduces legal risk by ensuring compliance and reducing errors.