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Provider Groups 2017-01-06T14:54:48+00:00

Physician Groups, MSOs and IPAs

FRG thrives on its many and diverse direct contracts with Provider Groups (MSOs and IPAs) who have entered contracts to bear substantial financial risk with one or more than one health plan or CMS directly. Groups choose FRG to organize the many large files that are shared monthly into a unified and consistent framework for analysis.

AccuReports® online analytical reports provide a single place for financial managers, risk adjustment coders and care coordinators to identify high-cost members, ER frequent flyers and unmanaged prescribing physicians. The carefully designed reports make much of this information accessible to even the newest associates.

Groups provide value to their employed and affiliated providers through a white-label AccuReports® portal that providers and care managers can access directly to quickly identify performance improvement opportunities. In addition, FRG provides a core data set each month that can be loaded to a data warehouse for ad hoc analysis and month end close documentation.

Groups that use AccuReports® also benefit from the deep relationships that FRG has with national health plans. We understand the challenges on both sides of a risk arrangement and can provide insight into strategic decisions that your data presents.

FRG is also responsive. Special data sets from electronic scheduling systems and other nuanced data feeds can be incorporated into our production processes. FRG also customizes data for clients to present downstream. Apply your provider network names to replace the way the health plans present them to you. Add administrative fee charges to profit and loss schedules to reflect affiliate service fees. We can help you make the most of your AccuReports® and do it every month quickly, consistently and efficiently.

Services at a Glance

  • AccuReports®
  • Data Warehouse Design and Core Feeds
  • Performance Improvement Advisory
  • Staff Training on Performing Under Incentive Contracts
  • Visibility into complex datasets
  • Act on opportunity instead of mining for it
  • RAPS Equivalency Modeling
  • Create value for affiliates!
AccuReports Who We Help

AccuReports®

FRG has helped health plans and physician groups manage risk by presenting their operational and financial data concisely for analysis through AccuReports®. Crisp & drillable formats enable users to spot trends, understand drivers, and improve financial performance.

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Audit Services for Accountable Care Organizations

Audit Recovery

FRG provides ad hoc and ongoing claims audit and recovery services across the spectrum of claim types. We have recovered tens of millions of dollars for national Medicare plans and across as many as ten managed Medicaid states.

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