The high cost of doing business has not been met with adequate increases in reimbursement by CMS and MA plans. And the increasing administrative burdens due to inappropriate MA plan practices have created an environment of financial uncertainty for you and your clients. And this means your clients are running ever faster (and never catching up) needing to file more claims to offset decreasing reimbursement.

We want to work with your RCM to help your client’s increase revenue / pmpm without seeing more patients while maintaining their independence and/or control of the way they practice.

Our RCM Opportunity will help you enhance prestige and earn an easy new revenue stream at NO cost. And this is obvious - when your clients’ reimbursement increases, so does your revenue.

As an RCM, you can and should play a key role in helping your clients wherever possible. With your help, we can extend our offerings to them, which you will receive a share of any resulting service fees.

We offer a comprehensive suite of services:

• Medicare CCM Program Optimization
• MACRA Optimization
• HIE Optimization
• RAF Compliance Optimization
• Patient Outreach Optimization

(See our webpages for the important details on each)

Though most TINs did a good job meeting compliance in the past, due to new complexity and the failure of vendors and health plans to provide TINs and their providers with the proper expertise, tools, and/or training, most are NOT meeting all requirement benchmarks and targets on at least one, but for some, all five categories.

Administrators even boast about their cost of care, Quality Scores, robust risk adjustment, cost of care, abstract coding teams, QA audit teams, and provider education. Unfortunately, too many are still apathetic about action needed, because up until now, the requirements have not amounted to any significant increase in revenue. But this has now changed.

All our services are on a Clinic-by-Clinic basis and tailored to each clinic’s specific needs, which can change from one year to the next. Each offering is predictable and annually renewable.  The fee schedule included in our contract means Live Well A.P.S. will remit a revenue share back to your RCM.

And it is super easy … There is nothing to sell. Just call or email your clients and follow our easy script and help schedule them to attend a 15-30 minute Zoom call with us. That’s it. We take care of the rest.

Why work with us? Requirements make up of thousands of pages of regulations in the Federal Registry. They are a very complicated beast and no small task to manage or optimize.

Optimization requires expertise from professionals that provide frequent reporting, useful analysis, and possess a knowledgeable team.

We want to help you make something of real value available to your clients that provides significant help, makes you more revenue, and works well for us too.

Your RCM is perfectly placed to supply the help your clients need and earn an easy additional revenue stream in the process at NO cost.

Things We Will Need from Your RCM to Succeed

Upon execution of our RCM Advisor Agreement, below is a suggestion list of what we will need from your RCM to ensure we succeed together:

• A short referral letter and/or video from your President or executive.
• Access to your client list.
• Inclusion on your website.
• Inclusion in your new client welcome materials.
• Booth space at expos or events.
• Inclusion in annual client value statements.
• Inclusion in client communications and promotions.

Take a few moments to download our supporting materials.

• CMS MLN CCM Booklet (pdf).
• Medicare Chronic Care Management for Seniors article (link).
• CMS Outreach and Education on CCM report (pdf).
• Mathematica 2017 report on CCM (pdf). (This is an important study, but a bit long.  See page 64 for the Bottom Line)
• 2024 CMS MIPS & PFS Final Rule Changes (zip).
• Qualified Registry - A Pathway to Success within MACRA (pdf).
• 2024 CMS RADV Final Rule Changes (pdf).
• CMS Proposes Major Changes to Medicare Advantage HCC Codes in 2024 (pdf).
• Diagnostically Connecting Data and Diagnoses (pdf).
• HEDIS Measure Subset Impacted Patient Engagement (pdf).
• NQS 2024 (pdf).
• AHA 2024 Med Industry Report (pdf).

Our Provider Partners are the leading professional service providers and consulting firms that specialize in the processes of MIPS (QPP & MACRA), RAF Compliance, Medicare CCM Program, Health Information Exchange, and Patient Outreach Optimization for financial ROI.

They support thousands of independent and hospital-based physicians & clinicians, multi-TIN, Medicare Advantage plan providers, and ACO and Advanced APM members. And our MACRA & HIE expert Provider Partner is a CMS Certified Clinical Qualified Registry (a CMS approved entity that collects clinical data from MIPS clinicians (both individual and groups) and submits it to CMS on their behalf for purposes of MIPS. Reporting options are limited to measures within MIPS and the Quality Payment Program).

They are all specialists that possess knowledgeable teams of people that handle all necessary tasks, provide frequent reporting, and useful analysis.

In a 30-60-minute Zoom call, we will talk about providing you with a financial snapshot, using data you supply us on a few of your client TINs, which will show you how much more revenue and reimbursement we can help them capture. And provide you with higher prestige and revenue.

Take a moment to download our NCND. Complete and email it to: support@livewellaps.com. Then reserve your Zoom call with us.

1. Click Here to download our Mutual NCND (pdf). We are NOT data miners. Your info will be kept strictly confidential. We will also be sharing proprietary and confidential information with you on the Zoom call.
2. Click Here to go to our Calendly page to reserve your Zoom call (complete the required fields and when asked “purpose of call,” click: Join Our Team – RCM).