ProVizion Application Suite
CMS has focused on preventive care by increasing the financial incentives with commercial insurances to follow its lead. Its effect requires major changes in care delivery. Patient engagement requires care providers to pro-actively reach out to patients. Preventive care also injects the number of patients in the system, demanding care providers to improve its efficiency and effectiveness in care delivery to scale their bandwidth.
Zoeticx ProVizion Application suite is about Care Resource Planning, enabling care providers to effectively deliver preventive care services. And Zoeticx has proven solutions for all preventive care services – Annual Wellness Visit, Chronic Care Management, Transitional Care Management and Remote Patient Monitoring. With Zoeticx ProVizion Application suite, complying to CMS requirements (for reimbursement) is only the basic. Zoeticx ensures that care providers maximize the potential revenue without major investments – both in staff and IT resources.
- Annual Wellness Visit (AWV)
- Chronic Care Management (CCM)
- Transitional Care Management (TCM)
- Remote Patient Monitoring (RPM)
Zoeticx ProVizion Wellness addresses all CMS requirements for Annual Wellness Visit (AWV). ProVizion Wellness includes Care Resource Planning and integrated progress reporting capabilities to increase efficiency and effectiveness for care providers’ net new revenue derived from AWV service.
Zoeticx ProVizion Wellness is embedded with an accurate data analysis of eligible patients from deployed EHR system, presenting the full financial opportunity for AWV service.
Zoeticx ProVizion Wellness integrates with the deployed EHR system and improves care providers’ efficiency by removing all manual interventions. ProVizion Wellness implements a step-by-step wellness assessment guidance, reducing staff training.
Zoeticx ProVizion Wellness further assists care providers with the risk factors to medical disease mapping, personalized to individual patient. This capability further increases care providers’ revenue through follow-up visits, provides a seamless migration to further preventive care services such as Chronic Care Management Services.
Zoeticx ProVizion Wellness leverages the accountability service for Zoeticx Patient-Clarity platform for log, audit and CMS reimbursement billing support.
Elders (>65 years old) with multiple chronic conditions are eligible for Chronic Care Management Service (CCM). CCM service is the first non face-to-face reimbursement supported by CMS, aiming at encouraging primary care providers to monitor, anticipate and collaborate with other care providers. CCM service is part of the overall initiatives aiming at shifting acute care cost to preventive care cost, proven to be a 6-1 ROI ratio.
The challenge for offering CCM service is that existing health IT solutions are limited to the ‘brick and mortar wall’ of the health institutes as well as the unidirectional information flow. ProVizion CCM addresses these two limitations along with its business package further guarantee primary care providers with Net New Revenue / No Upfront Risk as compared with today challenges for adopting CCM service – new revenue with potential upfront cost leads to net loss to primary care providers.
ProVizion CCM capabilities go beyond the above two major functions including:
- Minimize impact on existing primary care providers’ workflow
- Streamline process for other care providers to collaborate with primary care provider through chronic care plan
- Secure access with both care providers and patient control and consent
- Complete audit and log reporting capabilities in support of 20-minute engagement per month as outlined by CMS.
ProVizion CareTransition focuses on addressing integration between physical and behavioral health services. It features supports for bi-direction medical information flow, with smart notification services supporting monitoring, tracking and following-up activities for both physical and behavioral health services. ProVizion CareTransition extends the collaborative model to remove the gap between physical and behavioral health services.