HOMELINK Clinical Program

OVERVIEW + OUTCOMES

CLINICAL PROGRAM

CLINICAL PROGRAM OVERVIEW

At HOMELINK, We understand that every injury is unique. Our clinical program provides evidence-based, quality oversight for care, ensuring patients receive the personalized attention they deserve -- focused on good outcomes.

Our Clinical Program uses a centralized enterprise approach that offers provider quality assurance, peer clinical reviews and continuing education. We care about patient outcomes. Our primary goal is to simplify processes and identify patient outcome or care concerns, providing fast and easy reports to alert and inform claims’ professionals. Our broader vision is to combine multi-service lines, offer diverse solutions, and work together on patient solutions with predictive analytics and risk assessment.

WHAT HOMELINK CAN DO FOR YOU

• Customizable triggers for alerts and peer review

• Provider accountability for quality and appropriateness of care

• Clinical expertise across disciplines: Nursing, Physical Medicine, Prosthetics

Clinical peer reviews and engagement

• Automatic referral management for service delivery confirmation and documentation

• Direct network contracting with focus on high-qualification credentialing and provider scoring

Continuing education content and presentations

Clinical thought leadership and product development

CASE STUDY: Home Health Clinical Peer Review

Recently, a Registered Nurse evaluated a patient with a right ankle fracture, and initially recommending one Skilled Nursing visit per week for 9 weeks. However, upon peer review, HOMELINK found that the documentation did not sufficiently demonstrate the medical necessity for these visits. After discussion with the nurse supervisor, it was determined that further Skilled Nursing visits were not required, and the evaluation was amended to reflect this decision.

As a result, 9 visits were saved.

BY THE NUMBERS: Clinical Impact Rate

5.6

average # of visits saved per claim

Scan here to learn more about our clinical program. of nursing reviews have an alternative recommendation. 20%

of prosthetics reviews have an alternative device or coding recommendation, and the savings vary widely depending on the device, but can range from $10K - $60K 30% of audiology reviews have an alternative device recommendation. 45% of physical medicine reviews have an alternative recommendation with an average of 6 visits saved. 60%

$769

average additional cost avoidance per patient compared to national average

HOMELINK