Amy Curry Email & Phone Number

Austin, Tx, Us

Austin, Tx, Us

Kibutz Shfayim, Il

Areas of Focus: Appointment Scheduling- Identified gaps in appointment scheduling and implemented processes to significantly decrease no-show rates, increase preventative visits, and decrease avoidable hospital admits.Medical Record Retrieval and Review- Developed and implemented chart retrieval and review process. Resulting in the capture of additional HCCs per chart review.- Implemented SOP surrounding coder communication with providers, improving the capture of HCCs. Increased capture of Type 2 Diabetes with complications by 35% and Morbid Obesity by 40%. - Developed templates to standardize coding team’s workflow allowing for prioritization of medical record review and increasing medical record retrieval for hospital records.Billing Accuracy- Analyzed EMR data and payer claims data to identify trends in billing leakage among provider groups and created solutions to reconcile these errors. Chronic Disease Identification- Improved MRA Score 0.2 in 90 days by educating physicians on HCC coding and documentation.- Used data analytics to identify areas of opportunity in the capture of HCCs, increasing prevalence rates across the patient panel. - Created provider education tools surrounding HCC coding and documentation.

Miami Gardens, Fl, Us

Responsible for building the specialist network to which our primary care providers utilize for our MA patients. Utilizing claims data to determine which specialists are cost efficient and deliver better quality outcomes for our patients, I help build a secure specialty network that ensures our patients get the best care possible. Responsible for managing Part A, B, and D costs as well as managing the operations of our Transitional Care team. Current Total Medical Costs at $647 PMPM. Current Medical Expense Ratio in low 40's. Surplus $699 PMPM

Miami Gardens, Fl, Us

Using my expertise in identifying Hierarchical Chronic Conditions and Medicare Risk Adjustment, I help primary care providers manage their Medicare Advantage Panel. Identify areas of opportunity in coding, documentation, operations, and cost savings. Train providers on how to accurately identify and document chronic conditions in their Medicare Advantage Panel. Create strategic plans to help address and close both clinical and operational gaps. Identify chronic condition trends in multiple markets and create a strategy on how to best address these trends. Increased the MRA from 1.6 to 2.1 on a Medicare Advantage panel of 3800 in 12 months.

Miami Gardens, Fl, Us

Ran the market operations for our KY MSO that served 8 practices with over 20 primary care providers. Consulted providers on how to deliver better quality care, including improving HEDIS measures, increasing revenue on their medicare advantage panels by teaching them how to identify Hierarchical Chronic Conditions in their patients, and reducing their hospital admit rates.

Miami Gardens, Fl, Us

Provider Consultant is responsible for working closely with multiple clients in the Greater New Orleans region, providing clinical operations guidance, quality improvement recommendations, deployment of utilization tools and operational support to help improve performance of managed care plans.Providing a lead role in building long-term partnerships in the market by working with clients on improving quality scores, patient outcomes and fiscal performance. Helping establish business objectives by practice and create a tangible plan that will lead to their realization.Functions as the single point-of-contact for all PMR initiatives and services at a practice levelBuilding collaborative relationships and work with employees at all levels of the client organization (both clinical and administrative roles). Lead the deployment of tools, new software and technologyAssess client performance regularly by reviewing both quantitative metrics and qualitative factorsIdentify root causes of issues and recommend and/or implement solutions. Act as liaison between the client and Payer to ensure a coordinated effort in patient care. Perform targeted quality control and quality assurance reviews of clients documentation and workflowLead projects that impact all providers PMR is partnering with. Support other team members in accomplishing their objectives

Miami Gardens, Fl, Us

Functions as the single point-of-contact for all PMR initiatives and services at a practice level.Build collaborative relationships and work with employees at all levels of the client organization (both clinical and administrative roles).Lead the deployment of tools, new software and technology.Provide training and frequent coaching on operational best practices (onsite at each client at least weekly).Assess client performance regularly by reviewing both quantitative metrics and qualitative factors Identify root causes of issues and recommend and/or implement solutions.Act as liaison between the client and Payer to ensure a coordinated effort in patient care.Perform targeted quality control and quality assurance reviews of clients documentation and workflow.Lead small/medium projects that impact all providers PMR is partnering withSupport other team members in accomplishing their objectives.

Master Of Health Administration, Health/Health Care Administration/Management

Bachelor Of Science (B.S.), Kinesiology And Exercise Science