Our Core Services

Healthcare Consulting

OSP’s team of experienced healthcare experts offers quality healthcare consulting services for providers and health plans. Our team includes experts on enterprise software platforms, US government programs, digital innovation, and business operations.

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Enterprise Applications

OSP is proficient and experienced in building robust enterprise applications to address your complex and sophisticated software needs and execute your digital transformation lifecycle. We have comprehensive customized tools to solve your healthcare challenge.

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Healthcare Solutions Enhancement

Optimizing the healthcare system is essential for better productivity and quality performance. OSP’s team of developers can enhance and upgrade the healthcare solutions in modules, security, or interoperability sections with new custom components.

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Dedicated Quality Assurance

OSP’s QA team can resolve the challenges of disrupted workflow and application safety. We offer assurance in product quality with multiple levels of quality testing, including usability, performance, localization, and security testing.

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Explore Risk Adjustment Software

OSP’s healthcare risk management offers seamless integration of all the essential solutions in the gamut of liability management. We deliver standalone risk adjustment solutions that drive strategic growth by providing the ability to anticipate, assess, and minimize potential risks. Through our customized healthcare risk adjustment software solutions, healthcare organizations can easily find, decipher, and monitor residual risk score trends and related metrics like average risk scores, expected risk scores, and more. Our risk adjustment solutions can Identify risk adjustment factor score gaps and prioritize healthcare resources used for liability adjustment activities. Navigate your way to a risk-free organizational atmosphere with solutions that are as beneficial as they are easy to use.

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Another dynamic feature of OSPs healthcare risk adjustment software solutions is risk targeting – a portfolio allocation strategy that tries to have the same portfolio volatility in every market environment. Gain access to advanced risk analytics tools that offer comprehensive risk assessment and management capabilities. With the healthcare transition to population health management, the healthcare landscape has revolutionized to identify high risk and cost patients. Our medical risk adjustment solutions identify likely candidates for care management programs through comprehensive risk targeting through strategies such as pre-screening of patient outreach. Our solutions are tailor-made to create risk-adjusted algorithms to accurately predict the future costs of patients, their current status, and also patient eligibility for care management.

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Self-generate custom liability analytics and access flexible risk reports, score summary, payer and provider targeting, diagnosis history, and payment summaries. Assess potential risks and counter the system’s liability gaps to manage cost reductions and patient payment challenges effectively. OSP is committed to undertaking healthcare risk management by collecting relevant medical records, enabling coding individually and accurately, and, thereafter, delivering sound results. Through healthcare risk management, we enable customized provider-sensitive processes to create beneficial associations with providers. Our flexible reporting solutions reduce manual processes, are comprehensively HIPAA-compliant, and secure enough to carry medical data. Healthcare organizations can adjust risks based on reports that can be generated at regular intervals.

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Gain access to analytics support for decision-making and file creation for RAPS submission and EDPS coding project submission. Ensure compliance with myriad health regulations across multiple geographies within cost and time restrictions. OSP’s custom made risk solutions offer the capability to create a consolidated and detailed view of liabilities and compliance across the entire organization. Through the incorporation of advanced analytical technologies, our reach goes beyond organizational data to access and analyze patient, demographic, and specialist avenues of the healthcare industry that will aid in providing a holistic picture of the liabilities and risk vulnerability. Based on the organization’s specific needs in question, we create primary and supplemental analysis to nullify risks at every level and assist with lowered risk scores.

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Identify members with possibly undocumented suspect conditions that are appropriate for prospective and retrospective targeting. Link assessed risks to causes, events, dangers, and other elements of governance, risk, and compliance. Implement the customized risk adjustment parameters and navigate through the risk analytics metrics to monitor the potential liabilities. Identify the undocumented HCCs within targeted medical records using powerful, intuitive, and configurable risk adjustment analytics solutions. OSPs risk adjustment solutions are designed to aid a healthcare organization to create a suspect list toward optimizing revenue. This is executed by a detailed analysis and examination of patient data and using predictive analysis to arrive at sound conclusions. This is enabled through complex pattern recognition tools that are more likely to be accurate than traditional manual methods.

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OSP specializes in the transition of manual processes to automated risk adjustment solutions that include health plans, exchanges, member medical record data, and supported reimbursements through Electronic Medical Record (EMR) solutions. This eradicated complex and time-consuming procedures of emails, faxes, and couriers for documentable data. With agile retrieval methodologies that can achieve maximized goals, our solutions are customized toward efficient resource utilization, reduced turnaround time, and minimal complexities for providers. Above retrieval, we undertake provisions for aggregation, indexing, and storage or medical records, which can be used for holistic analysis. Through our high power algorithms, we extend the capacity of a healthcare organization to achieve their risk adjustment targets with minimal effort, downtime, and complete transparency.

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