Visaya KPO's Healthcare Information Management services provide hospitals, clinics and group practices with cost effective, technically advanced and flexible solutions. Our variety of healthcare information management programs effectively integrate and balance technology with client needs in delivering high performance services. We deliver accuracy, timeliness, flexibility and security – Everything you require. We are fully HIPAA compliant and follow all protocols necessary to ensure security of information and integrity of all data.

We help Accountable Care Organizations and Independent Physician Associations manage their Healthcare Information. We provide either AAPC or AHIMA certified medical coders and billers that are RNs, NCLEX-RNs, and MDs. We help doctors focus on what they are supposed to do, i.e., treat patients.

Value Based Care

As US Healthcare costs continue to climb, alternative payment methods have been proposed as a replacement for fee-for-service reimbursement based on quality rather than quantity. Value-based care reimburses providers for the quality of the delivery of care provided and rewards them for both efficiency and effectiveness. The Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) has spawned a two-track Quality Payment Program (QPP) that emphasizes value-based payment models for providers.

The Advanced Alternative Payment Model (AAPM) offers physicians incentives to provide high-quality, cost-effective care and move away from the fee-for-service (FFS) model. In 2019, the Merit-Based Incentive Payment System (MIPS) adjusts payments to providers based on performance in four performance categories: 1) Quality based on the Physician Quality Reporting System, 2) Cost based on the Value-based Payment Modifier, 3) Promoting Interoperability based on Meaningful Use through the Medicare EHR Incentive Program and 4) A new category called Improvement Activities. Performance categories carry different weights that will shift as the program progresses.

We, at Visaya KPO, can lower your costs and help your organization improve the Quality of Care to increase your quality scores through the use of our RNs (registered nurses), NCLEX-RNs and MDs and Achieve Better Patient Outcomes.

  • Oncology Care Management
    • In the United States, more than 1.6 million people are diagnosed with cancer each year. The costs to Medicare for cancer patients has been rising without the corresponding effect to the quality of care of patient.
    • In 2016, the Center for Medicare and Medicaid Innovation launched a program called the Oncology Care Model (OCM) with the goal of better quality care, smarter spending, and healthier people. In OCM, physician practices have entered into payment arrangements that include financial and performance accountability for episodes of care surrounding chemotherapy administration to cancer patients.
    • This proof of concept will last until 2021 to see if this value-based model will be an effective way to provide higher quality and more highly coordinated oncology care at the same or lower cost to Medicare.
    • We at Visaya KPO, can help your organization with a comprehensive approach to patient care through care coordination, better patient navigation, improved access to care, reduce avoidable emergency room and urgent care visits, better advance care planning, and provide access to psychosocial support.
  • Cardiovascular Care Management
  • Diabetes Care Management

You need is a strong outsourcing partner who can help you face the challenges posed by the healthcare industry. Visaya KPO’s revenue cycle management solutions delivers significant business impact on two critical business outcomes—increased cash flows and reduced costs—with less headache on your part, enabling your operation and your staff to focus on what’s really important – provide superior care to your patients.

  • HEDIS Abstraction, Medical Coding and Billing
    • The trend toward remote coding is accelerating as the benefits of such operations become more visible in the market. Providers of health care are learning that they can eliminate staffing shortages, employee turnover and the ever increasing expenses of recruiting coders by outsourcing the work. Visaya KPO can offer you outsourced coding through secure web-based processes or the utilization of paperless facsimile communication for your medical entity. We will handle your coding needs and we can guarantee efficiency, effectiveness, promptness and accuracy.
  • Claims Management
    • It is estimated that, on the average, almost one of every five medical claim or about 19% of claims submitted for in-network services are denied by insurers. Out of these denied claims, only a very small percentage of those denied claims are appealed. At Visaya, we can help you with lowering your denied claims percentage by having a high accuracy rate of coding, helping you with appealing your denied claims and allowing you to collect what is properly due. Our team of CPC and CCS certified coders by AAPC or AHIMA are composed of mostly RNs, NCLEX-RNs and MDs and have extensive experience in the RCM process. Our staff can handle your charge entry, medical coding and billing, abstraction and claims management requirements.

  • Medical Records Retrieval
    • Visaya KPO has achieved high medical record retrieval rates through its technology-enabled contact center with the least amount of inconvenience to the physician’s office. We have managed an annual chase exceeding three million medical records. Our Outreach Consultants have an extensive experience and knowledge of the retrieval process. We have the ability to scale with your needs and meet your provider requirements. We are able to assist you in any of these retrieval options like onsite retrieval, fax, mail, secure drop box, remote EMR, and secure FTP.
    • We can support you with coding and abstraction of charts retrieved through our highly trained and certified coders. Our staff are made up of RNs, NCLEX-RNs and MDs that have been either CPC (AAPC) or CCS (AHIMA) certified.

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Trafalgar Plaza Building

105 HV Dela Costa

Makati City, Philippines 1227



Tollfree: +1 (888) 4 VISAYA

Office: +1 (949) 705-6502

Philippine Office: +63 2 338-4574



105 H.V. Dela Costa St. Salcedo Village, Makati City PH


EROS Building, Dr V. Locsin St, Dumaguete, 6200 Negros Oriental