Capitation Management

Physicians DataTrust offers comprehensive financial services for capitation management. Our accounting department manages all aspects of IPA finances and carefully monitors revenue and expenses. Reports are generated monthly to track financial status and ensure profitability. Read more.

Care Management

The care management program facilitates communication and enables speedy recovery without stress on patients, families, or physicians. This is accomplished primarily through our Nurse Case Managers. Our case managers work directly with patients and their families to coordinate, plan, and transition medical care. Read more.

Claims Processing

Physicians DataTrust uses modern medical software systems to log, adjudicate, and pay claims. Our Director of Information Systems developed and implemented a proprietary document management system designed to support and streamline our Claims operation. The Operation Support System (OSS) is a complete document management system designed to route received paper documents for appropriate processing. Read more.

Clinical Services

As an MSO, Physicians DataTrust strives for rapid referral turnaround to streamline the referral process. Providers submit referral requests electronically, and our interactive medical software internet suite, Aerial Care, tracks referrals from submission to authority. Read more.

Credentialing and Contracting

Physicians DataTrust performs credentialing of all our IPA Physicians and respective Specialty networks. Our credentialing process includes a detailed review of training, residency, education, licenses, and certifications. The credentialing department follows thorough procedures to ensure the legitimacy and experience of our physicians. Read more.

Pay for Performance

The California state-wide Pay for Performance program set standards for quality performance measures. Physicians DataTrust has a dedicated committee which works in conjunction with physicians to meet these health plan performance standards in preventive care and utilization management. Read more.

Provider Relations and Marketing

Physicians DataTrust is committed to our clients. Each client has a dedicated Provider Relations Specialist, who acts as a physician advocate for contracting, reimbursement, and health plan communications. Read more.

Quality Improvement

We have a company-wide initiative to continually improve the quality of care for our members. Each client has a Quality Improvement Committee, which meets regularly with the support of Physician DataTrust staff, to review and address any patient complaints or adverse outcomes. We collaborate with physicians to regularly review our policies and procedures, to guarantee staff and providers are able to comply with regulatory and health plan requirements. Read more.

Risk Adjustment

Physicians DataTrust has a Risk Adjustment team dedicated to appropriate HCC reporting and medical coding. We partner with physicians and office staff to provide training, tools, and updated CMS guidelines for proper documentation and coding of all chronic conditions. Our certified coder has over 15 years of experience in the medical industry with specific expertise in performing in-office chart audits. Read more.