Care Gap Analysis
Close Gaps in Patient Care. Improve Outcomes. Boost Revenue.
At KoncordINC, our Care Gap Analysis services help healthcare providers identify, track, and close gaps in patient care that can impact both quality metrics and reimbursement. By proactively addressing preventive care, chronic disease management, and follow-up services, we support practices in enhancing care quality while aligning with value-based care goals.
Identify Missed Services
Spot patients overdue for screenings, follow-ups, or chronic care interventions.
Improve Quality Scores
Boost performance on HEDIS®, STAR Ratings, and other payer-based quality programs.
Enhance Patient Outcomes
Increase preventive care, manage chronic conditions proactively, and reduce avoidable hospitalizations.
Maximize Incentive Payments
Meet quality benchmarks and care coordination goals to secure maximum reimbursement.
Why Care Gap Analysis Matters
Care gaps—missed screenings, overdue follow-ups, or unmanaged chronic conditions—go beyond just compromising patient health. They can significantly impact your practice’s performance metrics, quality scores, and ultimately, your bottom line. In today’s value-based care landscape, reimbursement is increasingly tied to quality outcomes and adherence to clinical guidelines. Programs like Medicare Advantage, Accountable Care Organizations (ACOs), and other payer initiatives use care gap closure rates as a key performance indicator. Failure to address these gaps can result in reduced incentive payments, lower star ratings, and lost opportunities for shared savings. Identifying and closing care gaps not only improves health outcomes for your patients—it also helps your practice remain compliant, competitive, and financially strong in a performance-driven healthcare environment.
What’s Included
KoncordINC offers a comprehensive set of denial management services tailored to the needs of healthcare providers
EHR Integration
We integrate with your systems to pull real-time data on patient history and care activities.
Patient Outreach Lists
Generate actionable patient lists for follow-up, based on risk and care criteria.
Gap Identification & Prioritization
Highlight the most urgent and revenue-impacting care gaps.
Reporting & Analytics
Get dashboards that track closure rates, compliance, and payer-specific quality performance.
Custom Workflows
We tailor reminders, alerts, and outreach strategies to your workflow.
Our Unique Approach
Comprehensive Data Review
We analyze EHRs, claims data, and payer reports to identify gaps in preventive care, chronic condition management, and routine screenings.
Patient Outreach & Engagement
Our team assists in developing automated reminders, outreach campaigns, and patient education strategies to bring non-compliant patients back into care.
Real-Time Reporting Dashboards
Get access to actionable dashboards that track open gaps, completed interventions, and care compliance metrics.
Integrated Workflow Support
We align care gap closure efforts with your practice’s workflow, ensuring minimal disruption and maximum efficiency.
Compliance-Driven Strategy
Our solution is designed in line with CMS, HEDIS, and NCQA quality measures, ensuring that your practice meets evolving payer and regulatory requirements.
Why Choose Us?​
KoncordINC combines clinical insight with advanced analytics to help you identify and close care gaps efficiently. Our tailored approach improves patient outcomes, boosts compliance scores, and increases reimbursement potential for your practice.
With deep experience in population health and value-based care, QHS understands how to align care gap closure with your quality goals.
We help practices unlock revenue tied to compliance by improving HEDIS scores, Star Ratings, and Medicare Advantage bonuses.
Whether you’re a primary care clinic or a specialty provider, our solutions are tailored to your patients’ needs and your payer contracts.
We utilize powerful analytics platforms that give your team real-time visibility into performance and patient compliance.
From identifying gaps to completing documentation and follow-up, QHS supports every step of the process, so you can focus on care delivery.
Our Specialties
KoncordINC provides comprehensive Care Gap Analysis services across multiple medical specialties. We help healthcare providers identify, monitor, and close gaps in care to improve patient outcomes, meet quality benchmarks, and optimize reimbursements under value-based care models. Our specialties include
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Family Medicine
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Gastroenterology
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Internal Medicine
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Neurology
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Obstetrics and Gynecology
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Orthopedics
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Pediatrics
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Mental Health
09
Chiropractic
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Pulmonology
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Cardiology
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Dermatology
Get Appointment Today for FREE Consultations​
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