Business Process Outsourcing
MEDICARE BENEFICIARY APPEALS
Physician review of related medical records is accomplished following Medicare Medical Review standards for various Beneficiary appeals related to cessation of services, such as termination of hospitalization or skilled nursing admissions, and to other Beneficiary appeals.
Value Proposition: The application of medical expertise to the concerns of Medicare beneficiaries provides for knowledgeable and fair assertion of Medicare beneficiary rights under Medicare.
MEDICARE QUALITY CONCERNS
Physician review of related medical records for evaluation of Medicare Beneficiary concerns about the quality of care they receive is accomplished following Medicare Medical Review standards.
Value Proposition: The application of medical expertise to Medicare Beneficiary concerns about the quality of their healthcare as provided supports the maintenance of quality care by the Medicare Program as is ensures Medicare beneficiaries receive continual quality care.
VARIOUS MEDICAL CLAIM AND REVIEW AUDITS
BFCC QIO Team Data and Clinical Analytics join with CMS CMMI to support quality initiatives and innovations that fuel continual process improvement in Medicare healthcare across quality, cost, effectiveness, and coverage.
Value Proposition: The effective analysis of claims data and medical documentation by data and medical experts provides for on-going process improvement for the right care at the right time for the correct cost across Medicare.
BENEFICIARY ADVOCACY
As an original legislated program for Medicare Quality on behalf of the Medicare Beneficiary, the BFCC QIO provides a primary and active advocate for best of care. As the largest Medicare BFCC QIO, Livanta has perfected its voice of the Medicare Beneficiary with innovation to engage the beneficiary and caregivers and to provide for immediate advocacy to hear, engage and support rapid resolution of varied obstacles to best healthcare outcomes. With CMS, Livanta reduces hospital readmissions by over 80% through Livanta Advocacy.
Value Proposition: When Persons such as Medicare Beneficiaries and their caregivers are heard, healthcare outcomes improve. Expert Advocates, Livanta listens to Hear Persons, provides information to Engage Persons, and comes alongside Persons to support their healthcare decisions to realize improved outcomes.