Concurrent Review
Improve coding and billing processes with comprehensive real-time support
Key Benefits of Concurrent Review
Improved Clinical Documentation
Accurate chart notes ensure payments accurately reflect the work done by clinicians
Simplified Process
We use a single workflow to support value-based care (VBC) and fee-for-service (FFS) requirements to help you achieve your clinical and financial goals
Reduced Denial Rates
Comprehensive review against payor-specific medical policy improves coding specificity and accuracy
Accurate Risk Scores
Embedded risk adjustment reviews for VBC organizations ensures FFS claims edits do not override valuable diagnostic information
Scalable Support
Eliminate staffing, training, management, and retention costs while meeting regulatory requirements at scale
Skip the Trade-off:
Value-Based vs. Fee-For-Service
Chirok Health’s Concurrent Review adapts to your reimbursement model, offering distinct strategies for both Value-Based Care and Traditional Fee-For-Service in a single solution
Value-Based Care Solutions
Meeting risk adjustment requirements and comprehensively reporting on quality measures is key to accessing favorable risk economics
Risk Adjustment Coding
Understand performance in real-time and directly support clinicians learning and meeting documentation requirements
Quality Reporting
Embed payor-specific quality reporting requirements in the revenue cycle process, along with the flexibility to immediately adapt as requirements change
Clinical Documentation Improvement (CDI)
Resolve documentation issues prior to claim submission and provide meaningful provider education for improved accuracy without unnecessary administrative burden
Revenue Cycle Management Extension
Expand into full Revenue Cycle Management (RCM) for end-to-end performance improvement
Fee-For-Service Solutions
Accurate coding and billing are vital to success, but it’s tough to do alone—leveraging external expertise allows managing guideline changes efficiently, ensuring scalability, optimizing costs, and capturing opportunities
Professional Fee-for-Service Coding
Ensure accurate coding to support proper reimbursement
Facility DRG Coding
Optimize claims accuracy with precise DRG coding for facility-based care
Clinical Documentation Improvement (CDI)
Resolve documentation issues early and continue education without burdening clinical teams
Revenue Cycle Management Extension
Extend improvements in overhead costs and performance with full RCM support
Why Chirok Health for Concurrent Review?
- Proactive: Early issue detection and real-time interventions
- Tailored: Customized services for both VBC and FFS models
- Expertise: Ongoing provider education and documentation compliance
- Cash Flow: Right-size reimbursements with accurate coding, streamlined billing, and cost-effective workflows