Provider Ranking System™
Medical Specialist Referral Guidelines
Provider Ranking information based on actual experience data along with cost information for specific medical procedures.
According to CMS data:
95% of care is based on referrals
Each Primary care provider (PCP) commands an average of $10M in annual revenue, 95% of which is spent in downstream care, which is driven by referrals. When making a referral, the PCP often has very little information on specialist quality or cost. Because most PCPs rely on their clinical judgement rather than guidelines when making referrals, wide variation is inevitable.
Official Medical Specialist Referral Guidelines (MSRG) from The Centers for Medicare & Medicaid Services (CMS).
Help your patients get the best medical care.
According to referring medical doctors, experience is the most important missing factor in making referral decisions. The Stax study concluded that two-thirds of physicians do not have all the information they need to make optimal referral decisions, with the most important missing information being doctor’s experience (85 percent), hospital quality (57 percent) and patient satisfaction (56 percent). Healthgrades suggested that recent studies show that better patient outcomes occur with higher volume, across a variety of physician specialties and procedures, ranging from childbirth to angioplasty. (Healthgrades, 2014)
Key Benefits Include
-
Save Time in Researching Medical Specialists
(over 1,000,000 providers covered) - Identify High-Performing Providers by Location & Service
- Pinpoint Experience Level by Procedure
- Obtain Average Price Billed by each Provider by Service rendered (Procedure)
- Find Accepted Reimbursement by Provider for each Procedure performed
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Improve Outcomes (Less misdiagnoses,
complications, repeat procedures; faster recovery,
earlier return-to-work, better morale) - Reduce Healthcare Costs
- Increase Patient Satisfaction
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Reduce Liability from a missed diagnosis or lack
of treatment -
Nationwide Resource (Accommodate
employees’ needs whether locally,
remotely or in various areas throughout
the country) -
Encourage and Support Proactive
patients in their healthcare -
Assist patients in accessing healthcare
cost information -
Eliminate Surprises for out-of-network
care or high deductibles -
Help Health Plans to choose
high-quality physicians at reasonable rates - Evidence-Based Data. Objective. Transparent. Real.
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Unconditional Guarantee: If for any reason you are not satisfied we will refund your payment for the remainder of your term.
Only $1000 for a full year access.
(Multi-User Discounts Available)
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Access to real data on over 1,000,000 providers.
Single User annual subscription only $1000. Enterprise pricing available for organizations.