End-to-End Program Enablement and Comprehensive Care Delivery

Orb Health utilizes a unique framework based on our extensive experience to rapidly get your practice, doctors, and nurses ready for  your program. Our proven workflows are imprinted with your Best Practices so we provide the highest quality care available.

These workflows and standards are codified into our Virtual Care Cloud that securely and compliantly connects with your EMR. Your existing billing, compliance, portals, etc. are all automatically enabled since we require no additional changes and all interaction data from the Orb Clinical staff is synchronized with your “patient record of truth”.

We then create dedicated enrollment and care staff numbers for your health system.  We then work to train your providers on awareness of the system, how to talk about it with patients, and what to expect if there is an issue that is discovered by one of Orb’s care providers.

Once this work is complete, then the practice is ready to go live, normally in 6 weeks or less.

Orb Health’s enrollment team executes a systematic outreach campaign through multiple methods of communications, including physical letter, SMS text, and phone outreach resulting in a short discussion with the patient.

A CMS code-compliant script that explains all of the benefits, requirements, and verbal consent questions needed for the patient to compliantly agree to the service is followed and each response is documented for auditing purposes.

In addition, your clinics are provided with data sheets and posters that draw attention to the benefits of the program and your providers are trained on the explaining the benefits of the program if they feel it is appropriate for the patient.

In the case of Chronic Care and using this approach, Orb Health is able to see an average 68% enrollment rate, 300% higher than the CMS average.

Depending on program, a care team may be assigned and simply reach out to the existing base to perform their care protocols including receiving inbound calls. In the case of Chronic Care, once a patient is enrolled, a care pod is assigned, a personalized care plan is created and recorded in the EMR, and the first appointment is scheduled.

Subsequently, each the month, a nurse will proactively reach out to meet the requirement for 20 minutes of non-face-to-face time between office visits. They will coordinate a wide variety of care services across multiple Medicare reimbursed codes. The nurse pod is also available 24/7 to speak with patients.

Every interaction is noted and synchronized with the EMR system so the Primary Care Physician and team is always up-to-date on the patients status.  Orb’s care team also ensures the proper coding is applied so systems such as billing are streamlined post EMR synchronization.

The infrastructure also provides predictive algorithms through AI-Driven Patient Intelligence that warn the nurse pod about any possible patient issue that could be forming. The nurse can proactively reach out to the patient to head off an incident.

If a crisis does occurs, the nurse pod will contact the Doctor to coordinate proper care for the patient.

Your existing billing systems or Revenue Cycle Management partner process the coded reimbursements as they normally would through their own normal workflows.  Once the reimbursements are received, then the appropriate split is sent from your system to Orb.

As your practice decides to add additional Medicare services, Orb Health can analyze the patient coding to identify patients who are eligible for these added services.   When you are ready, our patient enrollment services and subsequent care delivery and analysis processes will then continue to expand value for your patients while adding reimbursements for your health system.