SHAI FOR VALUE-BASED CARE SERVICES

Empowering
Healthcare Providers to

Transition to Value-Based Care ModelsPerform Effective Risk AdjustmentImprove Cash Flow

SHAI helps healthcare providers maximise reimbursement accuracy, reduce compliance risk and ensure documentation integrity.

Helping Healthcare Companies
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Helping Healthcare CompaniesHelping Healthcare CompaniesHelping Healthcare Companies

Get the Infrastructure, Training, and Processes To Ensure Seamless Transition From FFS to Value-Based Payment Models

Comprehensive Risk Adjustment Coding For Precise Cost Predictions

SHAI uses CMS-HCC, HHS-HCC, Rx-HCC, and CDPS models to optimize reimbursements, deliver higher care quality, manage risk and control cost.

SHAI uses CMS-HCC, HHS-HCC, Rx-HCC, and CDPS models to optimize reimbursements, deliver higher care quality, manage risk and control cost.

Improve Documentation Integrity

SHAI fixes under-documentation issues to help you achieve superior financial and clinical outcomes. Reduce the likelihood of claims denials and match the compliance requirements of regulatory standards.

SHAI fixes under-documentation issues to help you achieve superior financial and clinical outcomes. Reduce the likelihood of claims denials and match the compliance requirements of regulatory standards.

HEDIS Abstraction to Maximize Data Collection Accuracy

SHAI reviews medical history, lab results, problem lists, and specialist consultations to streamline the NCQA submission process and improve reporting accuracy while adhering to submission deadlines.

SHAI reviews medical history, lab results, problem lists, and specialist consultations to streamline the NCQA submission process and improve reporting accuracy while adhering to submission deadlines.

Auditing-as-a-Service to Optimize Patient Outcomes

Rigorous and periodic audits of coding practices and documentation from certified experts alongside systematic provider education to accurately reflect patient risk, ensure compliance, and deliver world-class care.

Rigorous and periodic audits of coding practices and documentation from certified experts alongside systematic provider education to accurately reflect patient risk, ensure compliance, and deliver world-class care.

How SHAI Handles Transitions and Quality Assurance

How SHAI Handles Transitions and Quality Assurance

Refresher Sessions and 1:1 Training

Weekly EBTs (Error-Based Trainings) and PKTs (Process Knowledge Tests)

RCA, 5 Whys, Fishbone Analysis, Pareto Chart, and CAPA (Corrective Action Preventive Action)

Proactive Daily Team Huddles With Peer Audits

Periodic Calibrations For Continuous Improvement

The Numbers Speak For Themselves

98%+

Transaction Accuracy

40-60%

Payroll Cost Reduction

98%

Financial Accuracy

<5%

AR Time Reduction

20%+

Increase in Collections

99%+

Vendor SLA Compliance

<2%

Denial Rate

90%+

Increase in First Pass Rate

95%+

Claims Adjudicated Within 30 days

Secure. Compliant.
A Hospital Services Provider You Can Trust.

ISO 27001

ISO 27001

HIPAA ,[object Object], compliant

HIPAA
compliant

PHI Policy Rigor With ,[object Object], Clean Desk Policy

PHI Policy Rigor With
Clean Desk Policy

Purpose-Built SSO ,[object Object], Login and Cloud Infra

Purpose-Built SSO
Login and Cloud Infra

The SHAI Promise

Not just a Hospital Services provider, but a reliable business partner who works continuously to drive growth & operational efficiency through talent & tech-solutions

STEP 01

Payer Process Audit

Payer Process Audit

STEP 02

Gap Analysis

Gap Analysis

STEP 03

Solutioning Scope with 24-48 Hours TAT

Solutioning Scope with 24-48 Hours TAT

STEP 04

Systematic Monitoring and Feedback Loop

Systematic Monitoring and Feedback Loop

Related Healthcare Insights

Minimize Risk and Maximize Cash Flow Through Value-Based Care Delivery With SHAI