Reimbursement Optimization
Risk-adjusted PMPM and HCC capture optimized across every payer and site, so your network is reimbursed fully for the complexity it manages.
Reporting and risk capture get fragmented fast across sites and payers. eCareRevenue brings UDS, Medicaid HCC capture, and PMPM analytics into one console for every site in your network.
One platform for community health networks to optimize reimbursement, support UDS, and capture risk across every site.
Risk-adjusted PMPM and HCC capture optimized across every payer and site, so your network is reimbursed fully for the complexity it manages.
Care gaps and suspected conditions surfaced at the point of care, so visits capture the full clinical and risk picture instead of leaving revenue uncoded.
Care gaps and risk surfaced across your underserved and Medicaid populations, so the patients who need the most care don’t fall through the cracks.
UDS reporting is supported and consolidated across every site, payer, and service line, so compliance reporting is ready without manual roll-up.
Quality and preventive-care gaps surfaced and prioritized, with daily worklists that drive outreach to keep patients in care.
Risk-adjusted revenue and reimbursement tracked across the network, so leadership sees financial performance by site and payer in one view.
Four steps from a no-risk trial to consolidated capture and reporting across your whole network.
Start a 30-day free trial on a sample from one site, no credit card. See HCC capture, gap density, and reimbursement opportunity in week one.
See eCareRevenue running on a dataset that matches your network, multi-site structure, Medicaid payer mix, and UDS measures all reflected.
Connect each site’s EHR via SMART on FHIR plus claims feed, calibrate against your historical baseline and payer mix, and train coders, clinicians, and reporting teams.
Roll out pre-visit prompts, gap-closure worklists, PMPM dashboards, and consolidated UDS reporting across every site and clinician in the network.
What community health networks achieve with eCareRevenue, across every site.
Answers to the most common questions from FQHC and RHC networks evaluating eCareRevenue.
Yes. It supports and consolidates UDS reporting across every site, payer, and service line, so your reporting is ready without manual cross-site roll-up.
Yes. eCareRevenue rolls up HCC capture, PMPM analytics, and reporting across all your sites including multi-state networks, in a single console, with drill-down to any individual site.
It captures state Medicaid HCCs and analyzes risk-adjusted PMPM across your Medicaid and managed care payers, so you’re reimbursed for the complexity your patients carry.
Yes, it connects via SMART on FHIR or HL7 v2 and ingests claims through your clearinghouse, with no rip-and-replace, across every site in the network.
No, the goal is fewer clicks. Gaps and suspected conditions surface in the EHR before and during the visit, so capture happens in the room rather than creating downstream rework for already-stretched teams.
By optimizing risk-adjusted reimbursement, surfacing missed capture, and giving leadership a clear view of financial performance by site and payer, so the network is paid fully for the care it delivers to underserved populations.
In a 30-minute session, bring a sample extract from one site and we’ll demonstrate RAF projection, gap detection, and risk-adjusted PMPM analysis on your real data.
Pick a 30-minute slot — we’ll walk you through the platform live.
No credit card required. Free data migration included.
No credit card required. Free data migration included.
Pick a 30-minute slot that works for you.