Helping Shape Your Practice’s Success!

Transitioning to value-based healthcare delivery may seem insurmountable!
Advanced Management USA can help expedite this transition, ensuring your physician practice thrives under an Accountable Care Organization (ACO).

Technical Services
Practice Assistance
New/Existing ACO Services

Practice Assistance Services:

Practice Guidance: To ensure practice success, ACO physician and practice participants receive individualized, in-office consulting from one of our population health experts. Our Physician Consultants have expert knowledge on ACO initiatives, including; Maintaining Patient Assignment, Transitional Care Services, Hospital Operations, Utilization Review Management, and Post-Acute Management.
ACO Consultants are responsible for educating participants on performance reports, clinical and quality initiatives, telehealth and virtual patient management, scheduling and office workflows, and billing and assistance with EMR templates for accurate documentation.

In an accountable care program, it is vital patients receive the right care at the right time and in the right place. Our team of Patient Access Support Specialist act as an extension of your current staff by providing assistance in calling and scheduling your patients for preventive and routine appointments. In addition to coordinating appointments, our Patient Access Support Specialist complete appointment audits to monitor patient adherence to plan of care and verify practices are billing appropriately for services rendered. Ensuring patients get the care they need improves health outcomes and quality, which in due course drives practice performance, growth, and profits.

With the movement towards value-based care, enhancing the quality of care your patients receive is vital. We provide ACO members with optimal workflows to meet quality standards for Medicare and commercial ACO programs. In addition, we provide ACO members with the most up-to-date measure guidance and individual practice quality performance scorecards to drive quality improvement. When the time comes to submit Quality for the Merit-based Incentive Payment System (MIPS), the Advanced Management USA team guides ACO members through the process step-by-step and submits Quality on behalf of ACO members through the Quality Payment Program.

Advanced Management USA provides ACO Members with Practice and Provider level reports on a quarterly basis designed to optimize care coordination, improve quality, and reduce unnecessary healthcare spend. Our actionable reports assist with better managing patient health outcomes by informing you of high risk patients, low performing facilities/agencies, and practice performance. In addition to quarterly reports, our team of Data Analyst build custom reports to identify practice revenue and savings opportunities, so you can make informed, patient centric decisions regarding patient care.

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Technology Focused Services:

BlueSky Analytics is the leading ACO Analytics Platform integrating payer claims data to provide comprehensive insights for patient care and practice management. The platform provides valuable, actionable insights of your patients utilization and cost metrics, so you can spend less time deciphering data and more time taking care of what matters most, your patients.
The BlueSky Analytics platform is provided to all ACO practices at no cost to ensure physicians are equipped to make informed decisions regarding quality, affordable patient care.

The Super DocACO App integrates data from across the care continuum, so you can engage the right patients, at the right time in the right place. With the app, practices have access to real-time hospital, skilled nursing, and home health agency event notifications.
The apps Care Tracker feature creates actionable patient worklist identifying preventive care and care coordination opportunities to generate savings. By leveraging the Super DocACO App’s features your practice will be better equipped to keep your patients healthy and out of the hospital.

To ensure the primary focus of physicians is on patient care, Advanced Management USA manages all ACO data requirements.
The Advanced Management USA team compiles and stores payer claims data in a secure, HIPPA compliant database and works with ACO vendors and partner organizations (such as HIEs, hospitals, etc.) to ensure data is transmitted securely without delay.

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New And Existing ACO Services:

As of January 1, 2020, Advanced Management USA has partnered with more than 1,200 health professionals who collectively manage over 50,000 Medicare-Fee-For-Service beneficiaries throughout California, Florida, District of Columbia, Georgia, New Jersey, and South Carolina. Advanced Management USA’s goal is to preserve physician independence. As a result, our physicians are best positioned to provide high-quality care and increase efficiency in the United States healthcare system. To learn more about Advanced Management USA and how we can work together please contact us!

Interested in starting an Accountable Care Organization?
The Advanced Management USA team is well-versed in contracting with both Medicare and commercial insurers to establish Accountable Care Organizations.
Our team manages the Medicare Shared Savings Program 5-Step Application process from start to finish to ensure program compliance. For commercial accountable care programs, Advanced Management USA negotiates contracts on behalf of physician members.

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