Recover Lost Revenue
Optimize Care Workflows
Elevate Patient Outcomes
Features
How we’re different
We put clinicians in control of validating the work they do—in real-time.
Real-Time Billing
Capture revenue immediately with clinician-led, precise billing.
Clinician Focused
Target high-value billing codes to significantly boost HEDIS-aligned care.
EHR Native
Seamless EHR integration, no software, or external user training required
Our research collaborators
how we bring value
Consulting
We guide healthcare systems in optimizing value-based care. From refining clinical workflows to integrating automated validation tools, our data-driven strategies align with HEDIS requirements, ensuring clinicians are compensated for the care they already provide.
CigStopper™
The first clinician-facing, real-time automated validation tool for tobacco cessation care. Presented at the 2024 AMIA AI Showcase, CigStopper is being piloted at Vanderbilt University, addressing the known underbilling of smoking cessation counseling to unlock missed revenue opportunities.
Research & Analytics
At ValueStream Health, everything is rooted in academic research. Our consulting strategies leverage the latest market innovations, payer policies, and evidence based medicine—focused on improving patient outcomes.
A Snapshot of Health System Data
UCLA, Vanderbilt, WellSpan and Virtua from 2021-2023
2,351,359
Total Patients
6,105,992
Total Visits
13,500,00
Revenue Potential
* Rates are based on data from a 4-system multi-institutional research study on tobacco cessation counseling.
Values are based on 3-year historical averages from 2021 to 2023. Dollar amounts are derived from peer-reviewed, published research conducted within a large integrated health system. All values likely underestimate the true impact on ambulatory care, as the studies focused only on primary care specialties.
Vicious Cycle for Health Systems
Patients
Smoking increases morbidity and adverse health outcomes resulting in costlier treatments.
Providers
Administrative burden on clinicians contributes to burnout.
Practices
Inefficient processes result in lost revenue for health systems.
helpful insights
FAQ’s
How do we improve billing?
We automate the extraction and processing of billing information from clinical notes using advanced natural language processing (NLP) algorithms, tailored for seamless integration into clinician workflows. This reduces the time clinicians spend on administrative tasks, increases revenue by ensuring that commonly missed services are billed correctly (e.g., smoking cessation counseling), and allows clinicians to focus on providing higher-value patient care.
Who benefits from our services?
Clinicians and staff benefit from enhanced clinical workflows and automation tools that seamlessly integrate with EMR systems, reducing administrative burden and mitigating burnout. Health systems directly gain from recovered revenue and indirectly benefit through improved quality performance. This additional revenue can be reinvested to further enhance patient care infrastructure.
What are the long-term benefits on health care?
We enhance the accuracy of clinical documentation, ensuring that health data is reliable and actionable for population health initiatives. Our solutions streamline billing processes, securing proper provider compensation, and driving compliance with quality measures such as HEDIS. By improving both operational efficiency and care standards, we help elevate patient outcomes and contribute to long-term healthcare sustainability.
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The world of AI in medicine and clinical informatics is always evolving, and we’re a company that innovates every step of the way. Join us on the journey.
