Welcome to Star Quality Partners
Empowering Health Plans and Providers
At Star Quality Health Partners, we specialize in customized Healthcare Risk Management services to optimize care, reduce costs, and ensure the best outcomes for your populations. Together, let’s create a healthier, more sustainable future.
Transforming Healthcare Outcomes
We provide expert Healthcare Risk Management services to elevate the quality of care and reduce costs. Our customized strategies help health plans and providers navigate complexities, mitigate risks, and deliver superior care to their populations.
“Effective health risk management isn’t just about preventing issues; it’s about creating a proactive strategy that ensures long-term well-being and sustainability for all.”
Our Expertise
At Star Quality Health Partners, our team of experienced healthcare professionals excels in navigating the complexities of the healthcare system.
Care Coordinated Services
Streamlined Patient Care
Our integrated care coordination systems ensure patients receive timely and appropriate care, resulting in improved treatment outcomes and enhanced patient satisfaction.
Personalized Health Plans
By utilizing comprehensive health assessments and detailed patient histories, we develop personalized care plans tailored to each patient's unique needs and preferences. This customized approach helps manage chronic diseases, prevent unnecessary hospitalizations, and promote sustainable health improvements.
Integrated Care Teams
Our multidisciplinary teams, including physicians, nurses, and specialists, collaborate to provide holistic, patient-centered care. Effective communication protocols ensure all team members are well-informed and aligned with each patient's care plan, enhancing coordination and efficiency.
Accurate Health Condition Representation
Our risk adjustment services ensure meticulous documentation and coding of patient health conditions, accurately reflecting their true health status. This precision guarantees appropriate compensation for healthcare providers under Medicare Advantage plans, accounting for the complexity and severity of patient conditions.
Revenue Maximization
Our team leverages advanced analytics to identify opportunities for optimizing risk scores, thereby maximizing revenue potential. Regular audits and reviews ensure that all patient diagnoses are accurately captured and reported.
Data-Driven Insights
We analyze clinical data to deliver actionable insights that enhance patient care and financial performance. Our comprehensive reports and dashboards facilitate continuous monitoring and improvement of risk adjustment practices.
Medicare Risk Adjustment
Physician Network Development
Building Robust Networks
We assist healthcare organizations in building and expanding high-quality physician networks tailored to meet the diverse needs of patients. Our development strategies prioritize recruiting and retaining top-tier healthcare providers to ensure comprehensive care delivery.
Strong Provider Relationships
By fostering strong relationships with physicians and healthcare providers, we create a collaborative environment that benefits both providers and patients. Our network management team offers ongoing support to meet provider needs and optimize network performance.
Physician Services
Healthplan Services
- OMRA (Medicare Risk Adjustment)
- Full cycle encounter process enhancement to ensure complete and accurate documentation.
- Increase a provider's population, through intense marketing and financial support.
- Medical coding and Quality Reporting Initiative
- Provider/Physician office recurring educational inservices.
- Care Coordination, Authorization, Notification and Referrals.
- Call/Data Center
- Securing the best possible risk arrangements with payors.
- TPA (Third Party Administrator) Services and claim repricing.
- Consistent monitoring of all payor capitation contracts.
- Financially optimizing the payor subcontracting high cost level health services.
- Ceding risk with outside financial partners.
- Covering liability issues on a group basis to reduce the financial liability to the individual provider.
- Provide technology support to the provider's offices.
Why Choose Us
Choose Star Quality Health Partners for a dedicated, knowledgeable partner committed to improving healthcare outcomes and creating a sustainable healthcare system.
Expertise and Experience
At Star Quality Health Partners, our team of seasoned healthcare professionals has an in-depth understanding of the complex healthcare landscape.
Comprehensive Services
Our offerings span risk assessment, strategic planning, and the implementation of customized risk management solutions.
Proactive Approach
We take a proactive stance on risk management, identifying potential issues before they arise and developing solutions to mitigate them.
Strong Provider Relationships
We build robust physician networks and foster strong relationships with healthcare providers, creating a collaborative environment that benefits both providers and patients.
HEDIS Compliance
Expert Compliance Assistance
Continuous Quality Improvement
- Our team of HEDIS experts assists healthcare organizations in achieving and maintaining compliance with HEDIS quality
measures. - We provide guidance on best practices and strategies to meet and exceed HEDIS standards, ensuring high-quality patient care.
HIPAA Compliance
Strict Adherence to Guidelines
— We rigorously follow HIPAA guidelines to ensure the privacy and security of all client and patient information. Our compliance team regularly reviews and updates our policies and procedures to stay aligned with the latest HIPAA requirements.
Advanced Security Measures
— We use state-of-the-art security technologies and best practices to protect sensitive health information from unauthorized access and breaches. Regular training and awareness programs keep all staff members informed about their responsibilities regarding data privacy and protection.
At Star Quality Health Partners, we deliver exceptional medical billing and coding services with a client-centric approach, meeting the unique needs of medical centers and physicians.
Our goal is to give you peace of mind by handling your medical billing and coding needs with trusted professionals. With Star Quality Health Partners, you can focus on providing excellent patient care while we take care of the rest.
Opening Hours
Weekdays 9:00 – 17:00
Saturday 9:30 -17:30
Sunday 9:30 – 15:00
Contact Us
200 S Broad Street, Suite 420 Philadelphia, PA 19102
E-mail: info@starqualityhealthpartners.com
Call Star Quality Health Partners Today!
Experience top-tier healthcare risk management and billing services designed to optimize your operations and improve patient care. Our expert team is ready to provide customized solutions that meet your unique needs. Contact us now and let us help you achieve the best outcomes for your healthcare organization.