Dr. Kirk Strawn realized the need for innovative solutions that would optimize revenue for Medicare Advantage plans quickly and effectively. To this end, he founded PopHealthMan whose mission is to work collaboratively with Medicare Advantage plans and providers to navigate the complexities of the risk adjustment payment system. PopHealthMan provides the expertise and essential resources to more accurately document the members’ disease burden through administrative data mining, medical record review, and prospective interventions. Using a consultative approach and proprietary analytic tools, PopHealthMan is able to identify gaps, forecast future revenue, and drive medical management initiatives to optimize financial results while managing audit risk.
PopHealthMan is a team of highly experienced, dedicated, and inspired individuals who have come together to make a difference for clients involved in the Medicare Advantage program. We utilize our extensive experience and multi-disciplinary skill sets to develop and implement inventive solutions that produce measurable results. This unique approach includes management services and tools that improve the performance of the risk adjustment process. We use data management and proprietary algorithms to analyze the plan’s data and processes to identify opportunities for improvement. In addition, we employ an advanced suspect identification methodology to drive medical chart review actions, resulting in improved diagnosis capture. Our highly qualified team works as one to build a strategy that optimizes revenue for our clients involved in the Medicare Advantage program.
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