Why Shearwater Health CPO

Shearwater Health differentiates from the competition in the following key areas

Global Clinical Solutions Model

Shearwater is the only outsourcing company with a proven global model that delivers consistent results both domestically and offshore.

Industry Expertise

Our U.S.-based account management teams are led by industry experts, who manage each relationship throughout the engagement.

Quality

The high caliber of our clinical staff separates Shearwater from the competition and enables us to ensure quality results on time.

Management Focus

Shearwater’s core-centric approach of being outcomes-driven experts gives us an edge over BPO providers whose current focus is managing platforms.

Flexibility

Shearwater is a partner to its customers, offering a flexible, quickly scalable organization that is responsive to customers’ specific needs and seasonal demand for services.

Cost Savings

Shearwater’s blended U.S. and Philippines model delivers quality results with cost savings of 30% – 50% compared to onshore options.

A recent snapshot of the metrics for some of the work that is delivered in each of the Shearwater Health verticals

SERVICE

SCOPE and/or SIZE

Coding and HIM 

Process > 1.5 million patient discharges annually (inpatient, outpatient, ED, HCC/risk adjustment, CDI, and DRG audits)

Workers’ Compensation UR & Disability reviews

Process > 1 million cases annually

HEDIS Abstraction & STARs Maximization

> 1,000,000 cases annually; developed to help create a full service offering

Work Comp UR Intake, Nurse First Response

> 500,000 cases annually; developed to help create a full service offering

Complex Case Prep

Process > 9,000 annually.  Includes case “purging” and summaries on large files (avg. page count = 500)

Group Health and Specialty UM

Process > 1.2 million physician orders annually

For more information about any of these services, please fill out the form to the right.

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