Insights

Insights

Practical data science, at your service

WPC offers a variety of opportunities to address strategic initiatives, limit liability, improve quality and improve financial strength through the skill of the WPC data science team.

Through proprietary algorithms WPC addresses unique client needs creating a visual presentation of key data that are easy to understand and further analyze. Moving from analysis to action is the hallmark of the Insights solution and the key to moving from a strategic discussion down to the tactical arena. With Taproot Insights, workflow and liability/risk scenarios can be entertained and cost, reimbursement denial and clinical quality issues can be targeted to develop an effective plan of action.

Advanced analytics improve business and clinical efficiency through data clarity.

Population Health Support
WPC is skilled in answering specific questions about a given patient population, diagnosis, or risk factor, providing the Insight necessary for effective intervention. With success in regard to predictive modeling around sepsis, identifying prediabetic populations, or patients with other chronic conditions, WPC Healthcare is a partner to ensure that the business and clinical needs of the organization are met in regard to data support.

Bundled Payment Analysis
WPC provides the descriptive statistics and data visualization necessary to receive adequate and fair reimbursement. To be successful in a value-based care environment, provider organizations must be able to analyze the care provided, the sequence in which it is delivered and then route the patient through the system to assure better quality care at an acceptable cost. This takes immediate feedback from a reliable source to drive decision-making on critical metrics related to these measures:

 

Readmission

  • 60 and 90 day monitoring
  • Length of stay (LOS) analysis
  • Cost per case

Patient safety alerts

  • Infection rates
  • Medication reconciliation

Quality measures

  • HCAP score analysis
  • AQI and PQRS measures
 

Services

Program Management
ICD-10-experienced project and large program management for any number of facilities.

Remediation Planning
No matter where you are in the transition, efficient and effective assessment and planning to ensure an actionable, comprehensive plan is in place to ensure ICD-10 migration success.

Clinical Documentation Audits
ICD-10-specific documentation review based on high risk areas and specialties. There is no other way to ensure documentation is ready for ICD-10.

Code Audits
Risk-based, statistically valid auditing of ICD-10 codes based on dual coding. There is no other way to ensure coder preparedness.

Code Equivalency and Mapping
ICD-10-certified coders available to assist with any code equivalency needs for your transition to ICD-10.

 

Training

Basic Class
This class is suited for senior management, Finance and IT/IS professionals, and staff that does not directly work with ICD codes.

Implementation Class
This class is suited for a wide array of data users of the clinical and adminisrative systems including Billing, Patient Access, Utilization Review, Compliance, Data Analysts, and others

Documentation Overview Class
This class is suited for clinical personnel whose daily activities involve utilizing or updating clinical documentation, and those who will be participating in documentation reviews during the implementation of ICD-10 or post transition. It is a pre-requisite for the Specialty Documentation Classes.

Speciality Documentation Class
This class is suited for doctors, nurses and other personnel whose documentation is used for coding purposes based on specialty or subspecialty.

Full Documentation Class
This class is suited primarily for cross-specialty nursing staff and those operating in the role of Case Managers, Clinical Documentation Specialists or reviewing documentation for quality and accurateness.

Coder CM Only
This class is suited for the general Outpatient coder, physician office coder, or others who do not currently utilize the Volume 3 procedure codes and will not need ICD-10-PCS.

Coder PCS
This class is suited for the inpatient coder who currently utilize the Volume 3 procedure codes.