Value-based Care Solutions

Value-Base Care Analytics

As healthcare continues to move to a value-based care model, healthcare organizations struggle to ensure they’re maximizing the benefit of the new process. Reaping benefits requires a strong data focus that fully demonstrates quality metrics. Keena has partnered with some of the largest value-based care organizations in the country to help ensure that they’re also some of the most financially successful.

Additionally, Keena’s deep industry knowledge in claims data management and payment has led to significant savings for customers related to claims underpayment through automated systems for claims audit and reconciliation.

Finally, for those who participate in split risk or shared savings plans, Keena has helped organizations manage the unreliable and unwieldy data feeds provided by payers. Our solution focuses on normalizing incoming data into an engine that provides advanced statistical validation on incoming data as well as leveraging a rules engine for data analysis and reporting.

Agilon Integration to Altera Touchworks EHR

Is your organization looking to add Agilon’s value-based care reporting system to your Altera TouchWorks EHR platform?

Keena can provide the integration services in a timely and efficient manner, ensuring that you have the accurate Medicare Advantage population data needed to power Agilon’s solution when you want it. Keena will integrate it’s proven color-coded flagging system into your dashboard to highlight those patient’s needing immediate attention improving provider efficiency and patient quality of care.

For more information on Keena’s Agilon integration services contact Craig Luce (craig.luce@keenahealth.com)

CPTII Coding Automation

Leverage Process Automation to Streamline CPTII Code Submission

Major insurance carriers are increasing pressure on provider organizations to link CPTII codes to certain visit charges to improve their quality scores and reimbursement levels. In many cases, this process involves extra chart lookups and manual tasks to meet new submission requirements. If you are you facing similar disruptive workflow changes, we can help.

Keena developed a client-driven custom scripting utility that streamlines manual workflows associated with new CPTII coding requirements and results in a happier, more productive coding team for your organization and the potential for improved quality scores and reimbursement.

Care Management Indicator Utility

Create a Care Management Indicator Dashboard to Track Patient Participation in Care Management Programs

Having completed several successful data projects with Keena over the years, this large multi-specialty health system in the western US asked Keena consultants to create a patient care dashboard that could provide access to essential care management program data directly through Altera TouchWorks..

Keena quickly went to work to create interfaces between CarePort Manager and Care Director within the Altera TouchWorks EHR. Keena then collaborated with the organization’s clinical and IT teams to create the UI for the dashboard. The result was a user-friendly console and query tool that the entire care management team could easily modify and expand as needed.

Read about the full success story and positive Impact on the organization.