It’s no secret that the healthcare industry is complicated.
With the rapidly evolving regulatory guidelines and consumer demands, continually adding new layers of complexity to the healthcare industry, choosing the right path for your organization is the most critical decision you can make.
Across the country, healthcare providers are searching for new ways to provide value to their patients.
Our goal is to help physicians and healthcare organizations provide patient-centered, high-value care that reduces cost and increases care quality. To meet this goal, the approach must be specific to each payer’s coverage and requirements.
This is known as “value-based healthcare.” It is the future of healthcare service technology and allows for the best sharing of information and managing workflow.
Our healthcare consulting services include:
Other services we offer include:
Edafio healthcare team is comprised of uniquely qualified senior healthcare professionals and consultants who practice extraordinary insight into the healthcare landscape, clinical models and the technology used to support clients address their most urgent concerns.
For over a decade, Edafio Healthcare consultants work with leading healthcare organizations across the region.
We are continually inspired and encouraged by the clients we serve. They continuously raise the bar to clinical excellence with their relentless dedication to the people they serve is why we feel exceptional privilege and satisfaction in the work we do.
The shift to value-based care requires a greater focus on cost and quality, but to ensure quality, you need to do more than measure results annually with
ongoing measurement, continuous course correction, and an end to end workflows. Multi-Year Quality Payer Program keeps you on the path to value-based care by bringing your plan performance into greater focus and enabling you to make faster, smarter decisions with evidence-based insights and simplified processes.
You can more effectively measure monitor, and improve performance associated with measures like the star ratings, while boosting efficiencies, saving time and resources with integrated chart chase management and medical record review validation to support your annual audit process.
Edafio Healthcare Consultants provide a review of current policies while offering recommendations, assist in the customization of policy and procedure template as well as provide education and training on HIPAA regulations. Practices find our approach to be very beneficial in their journey to put their policies into practice and action on remediations that need to be performed using a systematic approach.
Accurate and up-to-date documentation is incredibly essential for compliance and patient satisfaction. Edafio can help you understand the impact your EHR has on documentation, and we can help you review all of your documentation for accuracy and compliance purposes. To be successful in an audit, all of your documentation must be up to date and accurate
Edafio has experience in mapping and template building in many EHR’s and will be there to help you with any of your needs surrounding these tedious tasks. Our healthcare consultants are able to work with you on implementing team-based care and optimizing your care team structure at the practice. We can assist with pre-visit huddles, built-in assessments and documentation of clear roles and workflows based on staff type and position. Defining clear job duties, roles, and responsibilities will be a critical, yet effective part of this process.
We deliver practical solutions for the process and system challenges the healthcare industry face. Our teams’ comprehensive expertise with all primary EMR solutions allows us to understand the EMR and PM Vendor management, implementation and optimization difficulties healthcare organizations face on a more extensive and broader scope.
Many insurance payers’ plans have begun covering care management for their patient populations. Participating in innovative payment models like Patient-Centered Medical Home (PCMH) or the Comprehensive Primary Care Plus Initiative Billing payers or getting upfront care management fees are excellent opportunities for your practice. However, this type of practice transformation requires hands-on assistance to be successful and audit-ready for claims submitted.
Before ramping up these efforts, take careful consideration to ensure patient satisfaction and outcomes.
Edafio healthcare consultants can lead and assist in this effort as desired. We have found that our “hands-on” approach is an excellent fit for ACO groups as well. We strive to ensure the practice and the ACO can succeed in the various quality-driven programs.
Edafio takes a multi-pronged approach with Practice Transformation. We believe a combination of focus on Annual Wellness Visits, Transitional Care Management, and Chronic Care Management can genuinely move your practice to the next level.
Billing Medicare or other payers for additional services that the clinic is not providing is an excellent opportunity for your practice; however, practice transformation requires hands-on assistance to be successful and audit-ready for claims submitted.
Edafio Healthcare Consultants assist with this program as part of our multiyear quality strategy planning approach. We assist our clients in success for preparation efforts, building out audit documentation all the way to assist with audits of previous years’ attestations.
Edafio always makes my day awesome with prompt resolutions no matter the issue!
We first worked with Edafio during an SRA. Since then, I have been continually impressed by their thoroughness and professionalism. The staff was so knowledgeable and easy to work with. The deliverables and solutions aimed to eliminate vulnerabilities were very in-depth and comprehensive. Our entire team was pleased with the quality of their work and would highly recommend Edafio.
When I took on the meaningful use management for our practice, I was completely lost and unsure how I would have met the requirements or kept up with the criteria' changes. Without Edafio, mainly Lori, I am not sure that I would have been able to keep the physicians educated and on track with their measures.
I have been delighted with Edafio's IT, Cybersecurity and Healthcare Consulting Services, specifically covering HIPAA Regulations. They customized the services we needed to succeed. They go above and beyond to help their clients. I would highly recommend Edafio!
Thanks so much for referring us to the Healthcare Team. They have been such a resource in guiding the hospital through Meaningful Use and Medicare Quality Payment Program reporting requirements - we didn't even know we needed it. We are very grateful for their help!
As a start-up medical practice, we did not have the resources to get set up with MIPS. Edafio did an exceptional job helping us get set up. They also took great care to train our nurses on the various quality metrics and learning EHR and become an EHR Super User. I would not hesitate to recommend them to any practice in need of help.
Edafio’s Security Risk Assessment covered the administrative, physical, and technical safeguards of the Security Rule. The reports were comprehensive to include risks identified as high, medium, low in a working document that allows for ease of use in documenting and tracking remediation efforts.