Billing in Value-Based Care requires specialized tools to monitor key performance indicators (KPIs), automate quality measure reporting, and ensure accurate risk adjustment calculations for optimal reimbursement.

OpenPM serves as a value-based care practice’s watchdog.

Our software analyzes existing capitation agreements, per member per month (pmpm) rates, and defined carve-outs. It will then properly assess all care provided, and ensure that no potential revenue slips through the cracks. Providing care outside of the previously agreed-upon parameters will automatically code and bill properly within OpenPM, ensuring full and accurate billing.