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Provider Services

Saisystems Health Medical Coding and Billing


As a provider you are required to do extensive reporting within the value-based care and alternative payment models.

Long Term Care, SNF and other Post-Acute providers practicing in the new “Pay for Performance” landscape depend upon a facilitated infrastructure that allows them to focus their attention on delivering care.

Risk Assessment and Management Services

HCC Risk Coding

The Hierarchical Condition Category (HCC) risk adjustment model is used by CMS (The Center for Medicare & Medicaid Services) to calculate risk scores and it is imperative for your practice to maintain accurate diagnoses records to achieve the maximum reimbursement.

Pre-Procedural Risk and Resource Management

Post-Acute medical management specializing in reduced hospitalization and emergency department visits through medical management and home visits, social determinants of health, advance care planning, medication reconciliation and transitions of care.

Post-Acute Medical Management Services in the Home

Nurse Practitioners are sent to the patient’s home for all medical management services for a period of 90 days post acute event to complete evaluations and management visits.

Transitional Care Management

Professional transitional care management will ensure high-risk patients receive the proper care needed immediately after being discharged from a medical facility.

Coordination of Medical Care Across Providers and Continuum

Care coordination specialists organize and maintain all patient care activities will all parties involved to optimize care outcomes.

Telehealth Service

Eligible beneficiaries benefit by remotely engaging with care providers.

Non Risk Services

Long Term Care, SNF and other Post-Acute providers can also benefit from services that optimize back office functions.

Managed services provide the benefits of a back office that your practice needs without the burdensome administrative overhead.

Revenue Cycle Management experts provide your practice with a proven process for increasing collections and strengthening your bottom line.

Providers in the post-acute clinical space serving patients in long term care facilities, skilled nursing facilities, assisted living facilities and at home can benefit from a digital healthcare platform as a service that will cover a spectrum of automated back-office processes required to run a provider’s practice efficiently and with high productivity. Credentialing, scheduling, real time charge capture, on-call services, and analytics can all be used as stand-alone applications and/or as a full suite of applications on a subscription-based model.