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NPI Data Services – Healthcare Data Solutions

NPI Data Services healthcare solutions platform, enhanced with tools and integrations by CodingFlock.

Overview

Established in 2009, NPI Data Services is a leading provider of Value-Based Care solutions, offering risk analytics tools and comprehensive healthcare data services. They cater to a diverse clientele, including providers, payors, Accountable Care Organizations (ACOs), revenue cycle management firms, Electronic Medical Record (EMR) systems, and population management companies. Their suite of intuitive tools is designed to enhance operational efficiencies and financial outcomes for healthcare medical coders.

Our Contribution

CodingFlock collaborated with NPI Data Services to develop and enhance several key features of their platform, ensuring seamless integration, efficient workflows, and data accuracy.

NPI Lookup Tool:

We developed an intuitive interface for the NPI Lookup Tool, allowing users to search for National Provider Identifier (NPI) numbers by provider name, organization name, or NPI number. This streamlined tool simplifies the process of retrieving accurate NPI numbers essential for Medicare and Medicaid applications and claims forms.

US Healthcare Provider Data Directory:

Our team built a comprehensive, state-wise e-directory to provide users with quick access to a vast database of healthcare providers. With advanced search capabilities and multiple filtering options, this tool ensures users can efficiently locate healthcare provider records across the United States.

Medicare Enrollment Data Integration:

We integrated reliable Medicare Enrollment Data, enabling secure and real-time updates to provider master records. This feature ensures accurate NPI verification and data management, enhancing the overall efficiency of the platform.

CMS HCC RAF Tools Development:

We also developed a comprehensive suite of CMS HCC RAF Scoring and Analysis Tools to streamline the risk adjustment process. These tools cater to both individual scoring and batch scoring needs across pre-prospective, post-prospective, pre-retrospective, post-retrospective, and post-concurrent review stages. The tools allow healthcare coders to efficiently calculate and analyze RAF scores, improving accuracy and decision-making.

Developed Tools Include:

    • CMS HCC RAF Score Calculator
    • CMS HCC RAF Score Analysis Tools
      • Pre-Prospective Coding
      • Post-Prospective Coding
      • Pre-Retrospective Coding
      • Post-Retrospective Coding
      • Post-Concurrent Review
    • CMS HCC RAF Batch Scoring Tools
      • Pre-Prospective Coding
      • Post-Prospective Coding
      • Pre-Retrospective Coding
      • Post-Retrospective Coding
      • Post-Concurrent Review

These tools enable NPI Data Services’ clients to efficiently manage risk adjustment processes, enhancing operational efficiencies and improving financial outcomes.

Technologies Used

    • Backend Development: PHP, Laravel
    • Frontend Development: HTML, CSS, JavaScript, jQuery, Blade Template
    • Database Management: MySQL
    • API Integration: RESTful services

Results

Our collaboration with NPI Data Services resulted in an enhanced platform that delivers exceptional healthcare data solutions. By smoothen workflows, ensuring secure data integration, and providing user-friendly interfaces, NPI Data Services has solidified its position as a trusted leader in the healthcare data industry.

The tools and solutions we developed have not only improved operational efficiencies but also significantly enhanced the financial and operational outcomes for NPI Data Services’ diverse clientele.

For more information about NPI Data Services and their offerings, visit their official website: NPI Data Services.

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