ACO Reach Calculator

In 2022, CMS MANDATED Deadlines will either REWARD or PENALIZE Providers Revenue based on your Compliance!

CALCULATE YOUR RISK/Opportunity
(based on your actual NPI)
Practice and Clinical Analytics
ACO Reach Incentive (Beginning in 2023)
Compliance
PVBM Platform and Ancillary Service Revenue

We drive the highest accurate and compliant Patient Complexity Scores for Medicare Advantage and ACOs to assure maximum shared savings!

Solutions for value-based scoring & revenue challenges far beyond the capabilities of your EHR

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Are you eligble for PMPM

New opportunities are available for those providers who qualify through the new ACO Reach Program to get a PMPM beginning in January 2023 and up to 100% of the Medicare Fee For Service reimbursement.

SEE EXACTLY HOW CMS VIEWS YOU

What’s your risk score and how much revenue are you not taking?

our story

Ancillary Service Revenue

  • What medically necessary services are needed based on each individual provider?
  • What services need to be added, removed, enhanced, etc.?
  • What service providers, by ancillary, are the best fit for the practice and patient population needs?
  • What specific staffing team will PVBM assign?
  • Are the targets, Medicare, Medicare Advantage, ACO and/or commercial patients, or all of the above?
How Much Will Your Revenue Change? Free Calculator

COMPLIANCE OPTIMIZATION

We drive the highest accurate and compliant Patient Complexity Scores for Medicare Advantage and ACOs to assure maximum shared savings

Improved provider risk scores (RAF) and triage of high risk patients

Increased coding accuracy and gaps in care closure

Customizable program based on the needs of the provider

Are you eligble for PMPM THROUGH THE NEW ACO REACH PROGRAM?

New opportunities are available for those providers who qualify through the new ACO Reach Program to get a PMPM beginning in January 2023 and up to 100% of the Medicare Fee For Service reimbursement.

SEE EXACTLY HOW CMS VIEWS YOU

What’s your risk score and how much revenue are you not taking?

Date Drives Decisions

Program/Incentive

New program (5 Years) introduced by CMS beginning 2022 (Formerly DCE, now ACO Reach) Receive enhanced payments monthly for traditional Medicare beneficiaries

  • Hybrid Eligible Provider Compensation
  • Capitation bonus $30 per Medicare beneficiary per month
  • 1,000 traditional Medicare patients = $30,000 per month
  • Bill 100% of applicable Medicare Fee Schedule (MFS)
  • Choose your Level of Risk
  • Great addition for ACO partners stuck with MFS only
Free Report

HOW DOES MEDICARE / CMS see you?

We leverage analytics along with proprietary technology to compile CMS public data and our technology to provide you the provider with data based on of your NPI to show you where your strengths and weaknesses are based on CMS data providing you a true roadmap to higher levels of healthcare!

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Microvision Analytics

Snapshot or Initial Practice Valuation (“IPV”) of exactly how CMS views you

Dynamic Clinical syncronization

MACRA/MIPS, HEDIS, STAR – PVBM Pivots to maximize scores while incorporating the CMS Standard of Care (SOC)

Stratigic Coding optimization

Identify coding weaknesses – make recommendations

Are you eligble for PMPM

New opportunities are available for thse providers who qualify to get a PMPM up to 100% of the Medicare Fee for service reimbursement

SEE EXACTLY HOW CMS VIEWS YOU

What’s your risk score and how much revenue are you not taking?