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AI Augmented Platforms + GenAI enabled Analytics
VBC Transformation Consulting
Simplifying Healthcare Operations
Explore Our Amazing Core Values
Our user-friendly interface and intuitive dashboards make it easy for you to explore and analyze your data, regardless of your technical expertise
Innovation
Committed to developing innovative AI-powered HCC management solutions that meet the evolving needs of our customers.
Accuracy
Providing accurate + reliable HCC data and insights to help our customers make informed decisions.
Compliance
Helping our customers comply with all applicable regulations and guidelines, including the Centers for Medicare & Medicaid Services (CMS) Medicare Advantage Risk Adjustment Data Validation (RADV) program.
Partnership
We believe that collaboration is essential to success. We work closely with our customers to understand their unique needs and develop solutions that meet those needs.
The Platforms
RAQ +
Smart Risk Adjustment in Valuebased Care
RAQ+ is an AI-powered platform designed to empower healthcare providers to achieve comprehensive success across revenue integrity, quality improvement, and health equity
By leveraging cutting-edge technology and deep domain expertise, Bulwark Health delivers an integrated VBC platform
ARC +
AI enabled Pre-Bill + Post-Bill CDI & IP Coding Audit solution
Simplifies the operational complexity of IP-DRG reviews – reducing costs for managing complex Pre-Bill/Post-Bill review program operations and processes
Our CDI and IP coding audit platform enables accurate billing, leading to accurate claims submission to Payers, thus eliminating the risks of adverse audit actions, DRG downgrade, denials, and achieves accurate risk adjustment & reporting
Submission+
EDPS data submission solution for Medicare Advantage Health Plans
Empower Medicare Advantage health plans to actualize fair compensation from CMS for the valuable services they provide, through highly accurate and timely EDPS claims data submission
Elevate your compliance and financial performance via our advanced EDPS Submission Platform
Consulting and Services
End-to-End Transformation
Experience a comprehensive digital transformation of your VBC & mid-revenue cycle programs.
Achieve greater financial stability, improved clinical outcomes, and a healthier member population.
AI Augmented Workflows
Facilitates follow-up workflows to resolve unclear HCCs
- Assign tasks to coders
- Track resolution progress
- Document resolutions
Batch Validation and Tracking
- Enables efficient review of large datasets through batch processing
- Tracks progress and identifies trends in coding accuracy
Human-in-the-loop Auditing
- Combines predictive analytics for automated issue detection with human expertise for comprehensive integrity checks.
- Allows focusing coder expertise on the higest risk areas and quality assurance.
Overall, these intelligent features embedded into our platforms provide a comprehensive solution enabling healthcare organizations to improve operations , revenue integrity and compliance.
About Us
At Bulwark Health we are transforming healthcare operations through advanced technology and innovative solutions. Our goal is to streamline and optimize every aspect of healthcare delivery, from patient management to clinical workflows, ensuring a seamless and efficient experience for providers and patients alike.
By harnessing the power of data analytics, automation, and AI, we enable healthcare organizations to operate at peak performance, reduce costs, and deliver high-quality care. We’re dedicated to driving the future of healthcare with technology that simplifies and enhances every touchpoint in the healthcare journey. We solve for operational excellence, improving patient outcomes, compliantly maximizing revenue streams, and decreasing the risk of revenue loss for our clients.
Our Vision
Bulwark Health is not just another tech startup; we are a catalyst for transformation. Our mission is to revolutionize healthcare operations by eliminating the inefficiencies and waste that hinder doctors, frustrate patients, and lead to ineffective healthcare administration.
By automating tasks, streamlining healthcare data, and providing critical insights, we empower healthcare professionals to deliver exceptional care while optimizing their operations. We solve for operational excellence, improving patient outcomes, maximizing revenue streams compliantly, and decreasing the risk of revenue loss for our clients.
Our Impact
Our three pilot programs have validated product market fit and demonstrated the power of our VBC platform to reduce administrative burden, maximize revenue, and help stay within guardrails of compliance with federal programs. Bulwark Health has set up a stellar team that includes several subject matter experts from healthcare, data analytics, and technology. Our company is growing through word-of-mouth referrals, and we are confident of gaining a significant market share in this multi-billion-dollar opportunity. With your support and advice, we can scale our impact, reaching more healthcare systems across the United States.
Request A Demo
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