Population Health AR Management Software
Reconcile claims data against ACO benchmark calculations to identify discrepancies before annual settlement.
Reconcile claims data against ACO benchmark calculations to identify discrepancies before annual settlement. The workflow is configured around the documentation and payer requirements common to Population Health care.
★★★★★5/5
★★★★★5/5
6,500+ specialty providers
Product screenshot
Population Health workspace preview coming soon
Population Health AR Management Software for Population Health
Built specifically for Population Health practices, not bolted onto a multi-specialty platform, so every rule matches how your team actually gets paid.
Specialty-tuned accuracy
Coding and prior-auth logic tuned to Population Health catches problems before claims go out.
Faster, fuller payment
Automated charge capture and posting speed up cash flow and recover dollars you're leaving on the table.
Work by exception
Automation clears the routine work so your team only touches the claims that need a human.
One system of record
Scheduling, clinical, and financial data live in one place, for a single real-time view of performance.
Deep Dive: System Capabilities & Specialized Workflows
An ACO's shared savings calculation depends heavily on its risk-adjusted expenditure benchmark, which is itself driven by how completely chronic conditions are documented and coded as Hierarchical Condition Categories each calendar year. A patient with diabetes, chronic kidney disease, and congestive heart failure who is seen only for an unrelated acute issue, and whose chronic conditions are not re-documented, causes that patient's risk score to drop the following year, understating the population's true acuity and directly reducing the benchmark against which shared savings are measured, regardless of how well the organization actually managed costs.
Configured Automation Highlights
- Address incomplete annual recapture of Hierarchical Condition Category (HCC) diagnoses, suppressing risk-adjusted benchmarks.
- Address open HEDIS and MIPS quality measure gaps that are never closed or billed within the measurement period.
- Address difficulty reconciling claims-based shared savings calculations against internal cost and utilization data.
- Address care management and transitional care management services performed but never billed due to documentation gaps.
Direct Comparison
Review the module against your payer mix and current team handoffs.
Frequently Asked Questions
We Love Hearing From Our Users
Using our product doesn't just mean quality software, but also access to a community to keep you connected to your peers and to your product team.
I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
I would recommend Unlimited Financials to other specialty practices.
We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
I would recommend Unlimited Financials to other specialty practices.
We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
GET STARTED
Your specialty isn't generic. Your software shouldn't be either.
Walk through your specialty's exact billing workflows with an RCM expert who already knows your codes, modifiers, and payer rules.
★★★★★5/5★★★★★5/5