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Exclusive Services

Our A.I. Retinal platforms are placed in clinics treating diabetes. (Endocrinologist/Internal Medicine). PCP refers are welcomed. We partner with health plans and providers for Community Health Events. The exam takes less than 3 mins to provide the patients with the results. if results are positive we refer patients to local Retinal Specialist.

1 

A.I. Retinal Platform

This Platform is for providers treating patients with diabetes.  Medicare, Medicaid, and commercial carriers are mandating providers to provide a Diabetic Retinopathy exam annually for their patients.

2

EXAM

The exam is one of the HEDIS/STAR quality measures for diabetics.  Providers and health plans are having difficulty getting retinal exams performed.  Providers are missing out on incentives each year.

3

Billing

A claim is rarely billed to the healthplan for reimbursement. For the Retinal exam to count as a HEDIS measure, a provider must bill the correct CPT code. Once billed, a claim data is produced and the HEDIS Gap is closed.

4

Solutions

The Diabetic Retinopathy exam is seldomly performed by Retinal doctors.  A better solution is needed to ensure that the retinal exam is performed and billed to the health plans.

Contact our Local Distributor at 800.988.7448 or email

Marks@HCECMS.COM

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