Best Healthcare Payer Care Management Workflow Applications for Mid Size Business - Page 3

Numerous health plans and pharmacy benefit managers utilize various systems, creating isolated information silos that can hinder care quality and pose considerable challenges in processes and compliance. To address these issues, MHK CareProminence was developed to consolidate essential data and functionalities throughout the healthcare journey of members into one cohesive system. As the sole platform that integrates both pharmacy and medical services, MHK CareProminence was intentionally designed to elevate member care by bridging care gaps and maintaining compliance with continuously evolving regulations. Clients gain access to one of the most robust systems available in the industry, which significantly minimizes manual tasks. By leveraging MHK CareProminence, customers can enhance efficiency through automated workflows, uphold compliance standards, boost quality scores, foster improved engagement between providers and members, and refine the overall healthcare experience for those they serve. This unified approach not only streamlines operations but also allows for a more holistic view of member health, ultimately driving better outcomes across the board.

unisonMD streamlines the management of hospital charges for both doctors and billers, enhancing speed and ease in the process. Users of our platform report significant advancements in financial performance, efficiency in care coordination, as well as increased productivity and satisfaction among both providers and staff. By optimizing the revenue cycle for hospitals and patient encounters outside the office, unisonMD delivers tangible benefits. Clients frequently share their experiences of improved financial outcomes, enhanced staff efficiency, and elevated satisfaction levels. Additionally, our HIPAA-compliant messaging system not only saves time but also ensures the security of protected health information, contributing to a more effective healthcare environment. This dual focus on efficiency and compliance makes unisonMD a valuable tool for healthcare professionals.

Insurance Discovery enhances financial outcomes by uncovering previously unrecognized billable coverage that providers may not be aware of, thereby minimizing underpayments and uncompensated care. By employing advanced search functionalities, this solution reveals instances where patients possess multiple active payers, which can significantly improve reimbursement prospects. Additionally, it helps to prevent delays in reimbursement and accelerates revenue collection by ensuring that claims are submitted to the correct payers on the first attempt, thanks to more precise coverage details. When utilized with verified demographic information, Insurance Discovery provides reliable coverage and eligibility insights. This modern approach replaces outdated manual methods of insurance discovery with a swift and thorough search that queries numerous databases in mere seconds, yielding detailed and accurate coverage information. Furthermore, it enhances the overall experience for patients and residents by facilitating accurate estimates of out-of-pocket expenses, ultimately contributing to a more favorable financial journey for them. By streamlining these processes, providers can focus more on patient care rather than administrative tasks.

Making well-informed decisions for your patients is essential, yet it can prove difficult when those individuals receive treatment from other healthcare providers outside your institution, resulting in important data not being visible in their electronic health records (EHR). To address this challenge, your organization requires an effective health interoperability solution that can utilize and disseminate data efficiently, ensuring safer, high-quality clinical outcomes and providing a unified, coherent patient record that encompasses all actions taken within the community. Introducing the dbMotion™ Solution, which offers a structured, thorough, and actionable record with real-time patient information across various electronic health record systems and the wider care network. As a leader in EHR interoperability solutions, dbMotion consolidates and harmonizes pertinent clinical data, family background, and other risk factors for each patient, seamlessly integrating this information into your existing EHR systems, thereby enhancing the quality of patient care. This capability not only streamlines workflows but also empowers healthcare providers to make more informed decisions based on comprehensive patient histories.

Our cutting-edge platform was crafted by healthcare providers, incorporating insights from medical professionals nationwide, leading to our consistent recognition as a top-tier EHR by Black Book™ for excellence in performance, dependability, support, and customer service. Our celebrated, cloud-based EHR software empowers providers to deliver care in a more effective and efficient manner. With over twenty years of experience in the healthcare sector, we have honed our expertise to better serve our clients. Since our debut in 1999, we’ve refined our platform through significant collaboration with both our providers and specialized industry vendors. Today, we offer more than just EHR software; we serve as a vital partner in the journey toward value-based care. Our primary objective is to equip practices with state-of-the-art healthcare technology that improves clinical workflows, lowers operational costs, and strengthens the provider-patient dynamic. By continuously adapting to the evolving needs of the industry, we ensure our solutions remain relevant and effective in enhancing patient care.

GEMMS ONE integrates seamlessly with EHRs, allowing for seamless workflows throughout the patient care process. GEMMS ONE integrates with clients to allow them to track patient appointments and create charges. They can also process claims, post electronic payment, run PM reports, manage collections, and process claims. GEMMS Patient Portal provides patients 24/7 access to their personal health information. It also enhances patient-provider communication, leading to better outcomes. GEMMS ONE can be integrated with other systems in a flexible and efficient manner. Specific interoperability requirements can be met with the ability to export and import data or text. Multiple ways.

Efficient healthcare begins with effective management, and that requires having the appropriate IT tools readily available. Regardless of whether you're running a small practice or a large healthcare network, our user-friendly and adaptable solutions facilitate smoother operations for doctors, staff, and patients alike. We offer Practice Management (PM) and Electronic Health Records (EHR) software designed to enhance office workflows while ensuring patient data remains secure and easily accessible. Essentially, we ensure that all parties involved are aligned and informed. With our support, vital information is perpetually at your fingertips. Established in 2003, our headquarters is located in Charlotte, North Carolina, and we have successfully broadened our reach to various locations. Our software is a product of innovative thinking tailored specifically for the healthcare sector. Our dedicated and skilled team prioritizes customer service, which has been a cornerstone of our growth. Since the launch of our first health information system in 2003, we have experienced rapid expansion and have formed partnerships with numerous large organizations. Our commitment to enhancing healthcare efficiency continues to drive our mission forward.

Model N offers a comprehensive platform that enables organizations to enhance their revenue while modernizing Sales, Marketing, Channels, Finance, and Legal workflows. By utilizing Model N’s revenue management tools, businesses can transform isolated, tactical operations into cohesive end-to-end revenue processes through the power of automation and intelligent insights. Revenue Cloud effectively connects front-office and back-office functions, creating a consolidated system of record for all revenue-related activities. This platform empowers clients to effortlessly configure and quote intricate products, swiftly finalize complex contracts, and gain access to accurate, real-time channel data, enhancing transparency within their channels. Furthermore, it streamlines the management of incentive programs, helping to prevent overpayments. Additionally, Model N’s Rebate Management feature enhances channel engagement, leading to improved revenue optimization. Ultimately, this holistic approach allows companies to achieve greater efficiency and effectiveness in their revenue generation efforts.

HealthConnect is an all-encompassing collection of application modules designed specifically for the healthcare sector, tailored to address the diverse requirements of various industry segments. It provides standardized offerings suitable for hospitals, small to medium-sized clinics, and medical laboratories. This solution effectively manages the entire life-cycle of processes within a contemporary hospital environment, featuring detailed workflows for tasks such as patient registration, appointment management, and both out-patient and in-patient care. Additionally, it facilitates seamless interfacing with lab and radiology machines, handles patient billing, and maintains comprehensive medical records. Furthermore, the system encompasses critical areas such as surgery, blood bank operations, as well as financial and inventory oversight, ensuring a streamlined approach to healthcare management. Ultimately, HealthConnect empowers healthcare professionals to deliver high-quality care efficiently.

Patients can conveniently complete consent forms, medical histories, and various other documents through our user-friendly app on a handheld tablet. They can also electronically sign these forms directly on the device, eliminating the need for scanning. MediDocs seamlessly integrates into your office workflow, enhancing the check-in process and allowing you to care for a greater number of satisfied and healthy patients. This innovative solution guarantees that your office environment is paperless, efficient, and cost-effective by consolidating all patient documents in one secure and easily accessible location. Designed specifically to enhance the workflow of medical offices, MediDocs offers a user experience that is as intuitive as operating a smartphone. By using our app, you can reduce expenses associated with printing and the time wasted on chasing down and scanning forms. Furthermore, our platform employs top-tier secure communication methods to uphold patient privacy and ensure adherence to HIPAA regulations. With MediDocs, your practice can not only save time and resources but also elevate the overall patient experience.

Lumeon’s Care Pathway Management (CPM) platform empowers healthcare providers to design digital pathways that enhance the delivery of care and seamlessly direct both patients and care teams throughout their healthcare journey. By utilizing the CPM platform, healthcare providers can harness the power of intelligent automation and orchestration to coordinate a unified care plan across various teams and environments, dynamically modifying tasks and allocating the appropriate resources tailored to individual needs. The system integrates real-time data from patients, care teams, and bi-directional connections with applications like EHRs, ensuring everyone stays aligned by offering a comprehensive ‘care-traffic control’ perspective on patient advancement and automating tasks wherever feasible. As a frontrunner in automated care orchestration, starting with Lumeon is straightforward and user-friendly. The design of the Lumeon platform allows for quick implementation, enabling providers to experience significant improvements in care delivery almost immediately. With such a streamlined approach, healthcare organizations can focus more on patient outcomes while reducing administrative burdens.

Kranium Healthcare Systems, previously known as Kranium Technology, is a firm that focuses on a variety of Healthcare Solutions, including Consultancy, Product Development, and Outsourcing, and was founded in 2005 by a group of first-generation entrepreneurs aiming to deliver affordable and enhanced software services to their clientele. The founders bring over twenty years of expertise from leading software firms, where they oversaw both consultancy and the development of software solutions, transitioning from legacy systems to modern web-based applications, catering to a diverse clientele that includes both Fortune 100 corporations and small to medium-sized enterprises within the healthcare sector. Their commitment to innovation and efficiency has positioned them as a valuable partner in the ever-evolving healthcare landscape.

MAXIMS is an advanced, web-based, modular Patient Administration System (PAS) and electronic patient record system (EPR) that provides extensive clinical features, allowing healthcare providers to enhance patient care and streamline administrative processes. Our offerings range from large-scale systems designed to manage patient services for entire hospitals or trusts to specialized solutions for specific functions like bed management and communication of pathology and radiology orders. Built on robust and established technology, MAXIMS solutions are both functional and scalable, ensuring they are developed with clinical insights to promote usability and effectiveness in clinical settings. With the collaborative effort of clinicians, nurses, and other healthcare experts, our solutions are ready to use immediately, yet can also be swiftly customized to fit the unique requirements of various clinicians, specialties, and healthcare organizations, ensuring a personalized approach to patient care. This adaptability allows healthcare teams to optimize their workflows and focus on delivering high-quality care.

In today's fast-paced environment, healthcare professionals face the ongoing challenge of "doing more with less" while striving to "work smarter, cheaper, and more efficiently." This challenge is compounded by the continuous shifts in healthcare regulations, increasing patient demand, escalating costs, and limited resources, making it exceedingly difficult to enhance patient care without the appropriate tools. At Inforia, we understand that the efficiency with which your providers manage their daily tasks is paramount; therefore, we have developed a streamlined approach to implementing EHR systems by tailoring our software to fit YOUR specific workflows and forms. You can conveniently enter all visit information in a single location, resulting in the automatic generation of your customized Office Note! Accurately document a patient's comprehensive history, including medical, family, surgical, social, and mental health aspects, while easily incorporating valid Diagnosis and CPT codes through the visit section or an electronic encounter. With our solution, you'll never overlook a billable service again, ensuring that your practice runs smoothly and efficiently. Embracing this technology can significantly elevate the quality of care provided to your patients.

At Axxyr, we offer a comprehensive system designed to connect various healthcare facilities, including multi-location practices, walk-in clinics, hospitals, outpatient services, pharmacies, laboratories, and individual doctor's offices. Clients can anticipate a seamless transition from their current system to Axxyr, ensuring minimal disruption during the process. Our onboarding approach is tailored to meet our clients' specific needs, delivering a software solution that aligns perfectly with their requirements, timelines, and budget constraints. Built using versatile Java technology, Axxyr easily integrates with HIPAA-compliant devices and allows for customization at the screen level. With Axxyr, all essential components are readily available to facilitate the flow of patient information right from their arrival, managing wait times, scheduling human resources, equipment, and rooms, and overseeing inventory, billing, follow-up appointments, reminders, and much more. This holistic approach ensures that healthcare providers can focus on delivering quality care without being bogged down by administrative tasks.

Innovative solutions are available to equip patients with essential information and facilitate self-service options during their hospital visits, ultimately enhancing both the care experience and clinical results. By consolidating data from various systems, these tools automate processes, simplify workflows, and enhance overall care delivery. The platform is designed to be secure, scalable, and adaptable, allowing for seamless implementation and operation of both enterprise and consumer applications right at the bedside. Whether in the vicinity or across the nation, fostering connections between patients and their families through virtual means has never been more accessible! In today's world, making individuals feel at home also involves providing on-demand entertainment and streaming service access. Alongside consumer applications like Netflix and Disney+ that offer distraction and entertainment, enterprise applications such as Caregility™ and Cloudbreak Martti™ support crucial care workflows. The CXP Cloud Enterprise™ was meticulously crafted in collaboration with top healthcare systems to fulfill the diverse needs of various facilities, ranging from newly constructed buildings to older hospitals equipped with legacy systems. This holistic approach ensures that patient care is not only efficient but also enriching, fostering a more supportive environment for healing.

Health plans today prioritize population health management (PHM) as a critical focus area. The key issue lies in balancing the overall health of the population while still recognizing and addressing the needs of each individual. ZeOmega emphasizes the significance of the individual member in the context of evolving value-based care initiatives. Our Jiva solution for population health management aggregates extensive data at the population level and incorporates analytical tools that allow for real-time identification of ways to enhance care or modify patient behavior. It is designed around five vital pillars that are crucial for successful population health management. ZeOmega’s robust platform provides strategic, high-value solutions aimed at enhancing both individual health outcomes and provider performance. With our deep expertise in the field, we are well-equipped to tackle the intricate challenges presented by population health dynamics, ensuring that both collective and individual needs are met effectively.

Duplicated patient files, inadequate treatment, and overwhelming expenses plague the healthcare industry. At 4medica, we transform these data-related challenges into a foundation of dependable data quality, enhancing operational efficiency and enabling you to deliver more impactful care to those in need. Our platform significantly boosts the integrity of your health data, making the ideal of "one patient, one record" achievable. Consider us the command center for Health Data Quality (HDQ). But what does health data quality truly entail? It refers to the evolution of health data over time, including its usefulness based on how, where, and when it is recorded and managed. In our increasingly digital world, high-quality data is essential to the healthcare system. By refining data to be more sophisticated and actionable, you can unlock improved care coordination, deeper clinical insights, and ultimately contribute to a healthier community. The importance of reliable health data cannot be overstated, as it forms the backbone of effective healthcare delivery.

Ambulatory practices encounter a myriad of challenges in today's healthcare landscape. Balancing the demands of optimizing appointment schedules with the need to simplify documentation and diagnostic processes can often complicate communication with fellow physicians, insurance providers, and pharmacies, all while adhering to evolving regulatory requirements. Veradigm Professional EHR™, a system originally developed by physicians, stands out as the leading choice for medical practices aiming to enhance patient safety, operational efficiency, and financial performance. This innovative EHR features user-friendly, one-click templates that allow physicians to effectively document patient encounters based on historical data, enabling swift modifications with minimal effort—ultimately boosting provider satisfaction. Additionally, the Physician Desktop feature offers a streamlined approach for healthcare providers to oversee their patient populations, consolidating comprehensive clinical information into a single, accessible screen for better decision-making and care coordination. This integration significantly enhances the overall workflow within practices, making it easier for providers to deliver high-quality care.

With the integration of AirStrip ONE and Tricefy, users can access medical images, patient information, and waveforms from a single, comprehensive platform equipped with an advanced viewer. To discover how AirStrip and Tricefy can enhance healthcare and support better decision-making in your institution, please complete the form below. The core philosophy of the AirStrip ONE® digital healthcare platform revolves around interoperability among various technologies. AirStrip ONE® is designed with robust cybersecurity measures, enabling healthcare teams to monitor patients seamlessly across mobile devices, laptops, and desktops throughout the healthcare continuum. We at AirStrip prioritize your privacy with utmost seriousness. By fostering innovative technologies, AirStrip® significantly transforms and enhances healthcare delivery on a global scale, enabling clinicians to effectively collaborate and provide optimal patient care. Acting as a comprehensive, vendor-independent, enterprise-level mobile interoperability solution, AirStrip promotes care collaboration and serves as a powerful driver for innovation within health systems, empowering organizations to adapt to evolving healthcare needs.

By concentrating on enhancing patient flow, streamlining operations, and attaining excellence in patient progression, you will produce significant outcomes across various key priorities. Achieving Performance Excellence entails ensuring the ongoing safety and quality of patient care, boosting revenue and reimbursements, minimizing unnecessary patient days, while simultaneously enhancing safety and improving patient outcomes. The narrative of Holy Cross Hospital exemplifies how better patient flow has positively impacted both patient and staff experiences. Additionally, learn how Good Samaritan prioritized patients to tackle emergency department backlogs, restoring the joy of caregiving for nurses and doctors alike. Ultimately, at the heart of your mission lies the commitment to facilitating healing for individuals. This pivotal mission is intrinsically linked to the quality of experience established through patient care and interaction. The dedication to improving patient experiences not only transforms lives but also elevates the overall standard of healthcare provided.

Xcellence Medical Solutions introduces DoxCity, the leading medical office management software available today. Developed through thorough research and discussions with industry professionals and physicians in both the medical and cosmetic surgery fields, DoxCity offers a holistic solution for any general or private cosmetic/plastic medical practice. This software empowers you and your team to manage your medical office with professionalism and efficiency. Featuring a versatile Schedule and Resource Manager, DoxCity provides a comprehensive scheduling tool tailored for your medical office needs. Additionally, the DoxCity System enables you to oversee the operational and financial aspects of your practice effectively, ensuring an organized workflow and improved patient care. With its robust features, DoxCity aims to enhance the overall management experience for medical offices.

Sentact offers innovative digital rounding solutions that span across the entire enterprise, enabling healthcare facilities to foster safer settings, enhance patient participation, and elevate the standard of care provided. Our top-tier platform boosts satisfaction levels among both patients and caregivers by offering an extensive array of tools designed to streamline rounding processes, enhance the patient experience, enable real-time feedback, and deliver comprehensive reporting across the organization. By empowering health systems to effectively manage patient engagement, Sentact not only improves patient outcomes but also aids in cutting costs and maximizing reimbursements, thereby creating a more efficient healthcare environment. Ultimately, our solutions ensure that hospitals can thrive in their mission to provide exceptional care while maintaining fiscal responsibility.

Medinous is a web-enabled, fully integrated Hospital Management System that can be used by large and mid-sized hospitals and clinics. It was designed for simplified operations, superior patient care, and increased administration & control. Our goal is to integrate and automate your entire hospital's process flow, including clinical areas, support functions, finance, supply chain, administrative, and billing functions. We facilitate quick integrations to PACS, Lab/Medical Equipment, Drug Databases, and Payer Connections for ease of use.

We have created a comprehensive cloud-based software solution that transcends mere IT functionalities for healthcare organizations, offering a complete package that enhances collaboration among all parties involved. This innovative system streamlines daily operations within healthcare facilities, providing improved administrative oversight and ensuring high-quality patient care, ultimately leading to greater patient satisfaction. Featuring a cutting-edge, fully integrated hospital information management system, it is designed to optimize patient care experiences. The software includes a robust and user-friendly Path-Lab Management System that leverages the latest technological advancements. Additionally, our solution caters to the full range of operational needs for delivering extensive pharmacy services. It is engineered to boost profitability and grants full control over clinic operations, allowing for better management. By joining Practo's network, you can elevate both your revenue and patient satisfaction while effectively reducing costs associated with healthcare delivery. This holistic approach not only enhances operational efficiency but also fosters a more interconnected healthcare ecosystem.