The trend of shifting financial risk from payers to providers through value-based reimbursement models — accountable care organizations, bundled payments and capitation — is driving healthcare organizations to engage in clinical practices that improve patient health at the population level.
As volume continues to increase in the ambulatory care setting, organizations must ensure the right provider is performing appropriate care at the right place and at an affordable price for the patient, while also documenting the encounter at the time of service to support full reimbursement.
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