Care Management Teams Serving High-acuity Populations
Coordinista streamlines CM and TOC operations and ensures accountability and continuity. Teams can complete critical tasks—like in-home medication reconciliations within 48 hours of discharge, leading to reduced readmissions and ER visits, and boosting patient engagement. The result: stronger quality scores, higher satisfaction, and better outcomes for both patients and organizations.
Mobile Primary Care Teams (ISNP & DSNP Populations)
Coordinista equips mobile and hybrid primary care teams to deliver seamless primary care, care management, and transitions of care across wide territories. By unifying scheduling, documentation, and communication, providers can optimize resources, ensure continuity between teams, and maintain full transparency while serving complex populations.
HCC Recapture Programs
Coordinista helps teams maximize accuracy and efficiency in HCC recapture. In one case, a mobile provider team completed 1,400+ chronic disease assessments across 40+ facilities in just 23 days—analyzing 1,600+ historical ICD-10 codes and increasing an ISNP plan’s RAF score by 16%. At the point of care, embedded coding tools ensured actionable, accurate condition capture, protecting risk-adjustment integrity and aligning reimbursement with actual patient acuity.
Mobile Phlebotomy
Coordinista modernizes mobile phlebotomy by eliminating manual fax and email workflows. Lab orders flow directly to the point of care, improving turn-around times, accuracy, and productivity.
