Ciox HealthSource Alternatives

The PHEMI Trustworthy Health DataLab is a unique, cloud-based, integrated big data management system that allows healthcare organizations to enhance innovation and generate value from healthcare data by simplifying the ingestion and de-identification of data with NSA/military-grade governance, privacy, and security built-in. Conventional products simply lock down data, PHEMI goes further, solving privacy and security challenges and addressing the urgent need to secure, govern, curate, and control access to privacy-sensitive personal healthcare information (PHI). This improves data sharing and collaboration inside and outside of an enterprise—without compromising the privacy of sensitive information or increasing administrative burden. PHEMI Trustworthy Health DataLab can scale to any size of organization, is easy to deploy and manage, connects to hundreds of data sources, and integrates with popular data science and business analysis tools.

HolCare EHR+ is a cloud-based, state-of-the-art electronic health record platform designed to meet the needs of mental health agencies, telepsychiatry groups, research organizations, and other disruptive care models. MBC has been proven to improve care, increase response to treatment, help clinicians make better decisions, and contribute to better outcomes. However, when not integrated directly into an EHR, MBC is challenging to implement and can diminish productivity. HolCare EHR+ solves for this problem with fully integrated MBC, providing an easy way to collect measures that are meaningful to patient care. HL7 FHIR native support enables the use of any third-party health care technology. This standard eliminates the need for expensive, time-consuming “custom integrations” in favor of a platform that can share both clinical and non-clinical data with partners.

Our industry-leading, artificial intelligence (AI)–driven technology converts both structured and unstructured healthcare data into a high-quality, reliable, standardized dataset that can be used across your organization. Accessing data in near real-time from disparate systems, our products and services reduce the burden of manual data abstraction so your administrative and clinical teams can recapture that time for quality and research initiatives. Our products and services allow you to collect, analyze, and act on your data, regardless of data source, therapeutic area, organizational department, or existing reporting, BI, or analytics tools. Atlas uses human expertise and the power of AI to automate and simplify the resource-consuming task of finding and interpreting patient data for clinical registries. Cartographer searches, analyzes, and interprets patient data across all platforms, standardizes those data into a consistent format, and provides relevant data recommendations.

Specialty and rare diseases have undefined patient populations, with individuals who are undiagnosed or misdiagnosed, healthcare providers who are unaware of disease states and their manifestations, as well as treatment journeys that are not well understood. IPM.ai is an Insights-as-a-Service (IaaS) company that empowers the world’s leading life sciences brands to better understand and improve the lives of patients through the development, clinical study, and commercialization of therapeutic interventions. Maximize commercialization efforts by forecasting market size, competitive landscape, and potential ROI. Uncover ideal patients who are undiagnosed and/or misdiagnosed who may be appropriate for disease interception and therapeutic intervention. Statistically model the number of disease cases present in a particular patient population at a given time. Identify physicians who diagnose and treat ideal patients and influence other health care providers.

Coordinating care, evaluating and demonstrating quality, identifying risks, and monitoring compliance all require data from multiple sources and systems — and all are key to improving the patient and provider experience. ​ ​Midas Health Analytics improves operational and clinical performance with solutions that manage risk, control cost, and turn data into actionable insights.​ Track and trend performance over time, proactively manage and mitigate risk, make data-driven decisions amid constant regulatory changes, and elevate and foster a safe care environment for all. ​ ​Reach unprecedented operational efficiency when evaluating, interpreting, and demonstrating quality of care performance results to stakeholders in today's complex healthcare ecosystem.

Enable high-value decisions and elevate cross-functional collaboration across the care ecosystem. Incedo™ Healthcare Management Platform offers a comprehensive medical management solution that seamlessly integrates care management, utilization management, care coordination, and health care navigation interventions to improve operational efficiencies and health outcomes. Facilitate communication and collaboration between Care Management, Clinical and Utilization Management teams with a shared view of the member care plan and an easy transition between UM and CM Enhanced Data Capabilities Simplify data capture and CMS compliance using a flexible data repository that is customizable for granular data tracking and reporting simplify data capture and CMS compliance using a flexible data repository that is customizable for granular data tracking and reporting System Interoperability.

Our single end-to-end platform of fully integrated health plan solutions delivers value and simplifies the complexity of healthcare for employers, members, providers, and payers. Valenz integrates member-centric services with data-driven insights, connecting the dots with personalized service and guidance for high-quality care and improved outcomes. We engage early and often with results-driven education, support, and services to avoid more serious and costly health events. With Valenz, you can have a healthier member population while also achieving plan and member cost savings, year after year. For the tools and transparency you need to make cost-effective, quality-first decisions, let’s find your path to smarter, better, faster healthcare today. With a suite of fully configurable solutions integrated into one ecosystem strategy, the Valenz healthcare ecosystem optimization platform offers extensive visualization of cost, quality, and utilization opportunities.

Equip your healthcare team with clinical-decision support software that takes the guesswork out of capacity management across the entire hospital. This evidence-based, clinical-decision support system tool helps your facility increase bed turnover and improve the patient experience. Harness the power of predictive analytics and better data to improve care coordination and patient satisfaction. The hospital bed management system provides care teams with visibility into the status of each patient’s journey and enables bed demand and capacity management across the hospital, or from multiple sites within a healthcare delivery system. Empower your physicians, nurses, and clinicians with software that eliminates clinical subjectivity and standardizes data collection. Medworxx generates predictive analytics to leverage data that anticipate trends and provides healthcare professionals with smarter data.

We help to improve the performance of thousands of healthcare facilities worldwide, as well as the experience of their staff and patients. A solution that optimizes ambulatory care pathways to bring patients peace of mind. LGI eClinibase increases patient care pathway visibility and reduces waiting times by disseminating information on each episode of care. Eliminate paper and quickly access data on referrals, wait lists, and appointments. Lists and summaries of all episodes of care from one or more clinical administrative systems. Management of referrals, appointments, and patient communications for the entire facility. Management of referrals, appointments, and patient communications for the entire facility. Automatic suggestions for corrections to patient records and duplicate matching. Management of the professional activities agenda (intake management, appointments, clinical documentation, and statistics for the MSSS).

Effectively managing patient care demands the right combination of clinical and software resources. In an industry that is typically labor-intensive, those resources should not only support and enhance the care management process, but also contribute to corporate profitability. AveCare’s seamless integration of care management functions (CM, DM & UM), streamlined workload, management capability and affordable pricing Structure allows organizations to optimize clinical and financial resources while improving quality of care and patient outcomes. Exchange data from multiple sources including: eligibility, claims, networks, pharmacy, diagnostic and lab results, predictive modeling, decision support tools and e-fax. Integrated by design allowing for the seamless integration of case management, disease management/education and utilization management functions. From a single point, view or access all CM/DM/UM activity and information relevant to a particular patient.

naviHealth is the future of senior-centered care through our partnerships with health plans and providers. Simplify and improve care transitions with technology. News, insights, and analysis from the experts improving the health care experience for seniors. naviHealth offers in-market clinical support with proprietary post-acute care planning tools to improve patient functional recoveries and reduce unnecessary medical costs. naviHealth enables our partners to effectively and efficiently manage care transitions through our unique patient care management. We pair in-market clinical support with proprietary technology to help guide the individual’s path to recover, increase patient satisfaction, reduce unnecessary post-acute care spending, and streamline processes. naviHealth employs in-market care coordinators who provide connected support between the patient, their family, and their healthcare providers.

Unleashing the power of Medius’ multi-cloud artificial intelligence platform to deliver greater than 90% accuracy and coverage on various health intelligence and risk predictions using just a few health variables. Using just a few health data co-ordinates, Medius’ multi-cloud artificial intelligence platform aggregates, and mines massive datasets to create all relevant health risk and underwriting insights within seconds, with over 90% accuracy and coverage that can help providers and payers with their health and life needs assessments, distribution, operations efficiency, and cost optimization needs. Medius’ proprietary UW Studio™ is a complete underwriting platform delivering the AI revolution that has fundamentally altered the insurance landscape whereby multiple science-based underwriting ensemble models are deployed to address the business and technical requirements by reproducing humanistic deductive actuarial reasoning with clinical accuracy.

We partner with aid organizations and governments, to design human-centered, open-sourced health information systems. Extracting insights that empower decision-makers, health workers, and patients in Africa. We specialize in digital health information systems for African low-resource settings. We focus on enterprise software and facility hardware. From design to development, then onward to implementation, training, and support. In the future, data analysis for the strategic management of those limited resources. We believe that robust health systems, and the sharing of information, will advance global health. Strengthening our health systems with local people for their own needs. Investing in and developing systems that are within reach of low-income countries. Helping build their capabilities to support their own solutions. We are an African non-profit organization improving global health by developing information systems, partnerships, and local capacity.

Connect personally and powerfully with people with the leading digital-first platform. Increase above the national average in annual wellness visits. Icario is a health action company so you only pay for outcomes. Icario uses whole-person data, behavioral science, digital-first omnichannel pathways, and smart rewards and incentives to help you connect personally with people. We know what they want, how they like to connect, and what moves them to take action. When people take proactive steps for better health, healthcare organizations get healthier, too. Icario combines your data with ours to create whole-person data, turning lines on a spreadsheet into living, breathing people. Our proprietary behavioral research and quantitative data advance your knowledge of people from clinical to deeply personal. Smart, omnichannel pathways match the right messages and outreach sequences to each individual to drive the right health actions.

AssureCare is a privately held healthcare technology company that provides innovative care management solutions to commercial and health and human service providers. AssureCare’s flagship software platform, MedCompass, is used by healthcare providers throughout the United States to deliver end-to-end care management for millions of patients daily. MedCompass transforms healthcare management by automating processes and streamlining workflows, thus allowing care professionals to make better decisions that dramatically improve the quality of care and lower costs. AssureCare is considered an industry leader in developing, modular, seamless solutions designed to improve patient outcomes and reduce avoidable costs associated with population health management.

Lightbeam provides population health enablement by transforming insights into outcomes. Closing care gaps and minimizing risks. Improving quality of care and quality of life. Lightbeam’s proven population health management platform transforms disparate data into a full 360-degree patient picture, bringing true value to value-based care. In today’s value-based care model, managing risk begins and ends with data intelligence. Lightbeam’s powerful population health management platform pulls patient data together in unprecedented ways, unlocking the value that comes from deploying the right data in the right place at the right time. Lightbeam isn’t just revolutionizing how our clients manage value-based care. It’s proving to be a game changer in driving results and saving our clients over 2 billion dollars since 2014 and we’re just getting started. Lightbeam’s tech-enabled services approach seamlessly supports these efforts.

VitalHub’s portfolio of Patient Flow, Operational Visibility & Patient Journey Optimization solutions are designed for complex hospital and integrated health environments. Our technologies empower frontline teams, clinicians, and leadership to improve patient experiences and achieve higher levels of operational efficiency, resulting in safer care for patients. We deliver solutions which optimize patient flow, perioperative care, demand & capacity, virtual consultations, clinic management, and the patient journey. VitalHub solutions improve transparency and communication through real-time whole system visibility, Integrated information for coordinated care, and optimization of patient movement. VitalHub’s EHR suite of solutions go beyond standard clinical data collection, our solutions provide a comprehensive, holistic view of patients and clients at the point of care.

Through valuable partnerships and experience, Envolve drives real healthcare transformation through value-based, affordable care solutions. Envolve MSO services provide organizations with the strategies, people, and processes necessary to provide value-based, affordable care and drive real healthcare transformation. As a leading healthcare management services provider, we bring innovation, experience, and resources to help drive performance in outcomes-focused and value-based reimbursement models. Our healthcare management services allow for better healthcare and efficiency in the delivery of care through best-in-class business administration services, data utilization, clinical excellence, and operational support. Envolve brings significant experience investing in innovative benefit designs for numerous products throughout the country for publicly funded, marketplace, and commercial programs that positively influence individuals' health and quality of life.

With an innovative suite of solutions and the most interoperable care collaboration network, we are realizing a vision of whole-person care that’s shifting expectations and revolutionizing healthcare. Enabling more informed decision-making and better outcomes starts with a promise, a promise to continue listening, collaborating, and disrupting. It’s the heart of our vision and the reason we are able to drive powerful results across all settings of care. Decide on the right care options and act with certainty with real-time insight and the largest care collaboration network in the nation. Quickly identify the optimal path forward with lightweight solutions that streamline workflows and expedite patient care. Reduce risk, lower costs and accelerate the adoption of value-based care with access to proactive intelligence that until now has been unavailable. Make whole person care a reality with valuable context that includes both physical and behavioral health experiences.

We aggregate and analyze data from socioeconomics, EHR, breath, blood, saliva, stool, urine, DNA, sweat, hair, and your vitals. Your health data has carried many answers. With current advances in artificial intelligence, machine learning, and high power computing we can cross-reference data from multiple sources providing your doctor with a comprehensive view of your health risk factors. We constantly retrain our models with anonymous health data connected to our databank via a secure channel. Large data samples are beneficial for the accuracy of data models. This increases the abilities of AI to discover health risks much sooner in comparison to traditional methods, potentially saving lives. Most doctors concentrate on detection, our machine-learning models are focused on prevention and risk assessments.

Distilling fractured health data into actionable insights. Clarify Health’s analytics platform cuts through the fog. We help you thrive in a post-pandemic world by delivering precise insights into provider performance, patient journeys, and therapy adoption. Leverage our advanced analytics software to confidently improve physician performance, match patients to the right care, and navigate value-based arrangements. Access insights to accelerate product launch and growth, demonstrate real-world impact, and enable outcomes-based commercial agreements. Identify top physicians and facilities more accurately, deliver a more personalized experience to members, and maximize value-based engagements. Timely insights through thousands of predictive models that organize data into real-time analyses to drive demonstrable ROI. Driven by big data. Powered by innovative technology. Turning health data into impact.

Connexall, ranked number one and named Category Leader in the 2015/2016/2017 and 2018 Best in KLAS awards, is an enterprise-grade event management and control platform that delivers hospital-wide interoperability to people, systems, tasks, and devices. Its capabilities act as a backbone for clinical workflow, communicating the right information to the right person, at the right time, on the right device. Based on more than 20 years of R&D efforts, the Class II medical device software is completely vendor-neutral and device-independent. Connexall has offices in Canada, the United States, Brazil, Portugal and Hong Kong and works with well over a thousand of the world’s most renowned and progressive hospitals and health systems. Connexall captures organic data from all connected systems and each interaction during an event’s lifecycle to provide high-level, real-time outcome visibility. 

Therap is the industry leader in providing electronic records and documentation in long-term care services for people with Intellectual or Developmental Disabilities. Therap is a web-based application suite that was designed to provide a comprehensive solution for the planning, documentation, reporting, communication and billing needs of organizations supporting people with intellectual and developmental disabilities in home and community-based services (HCBS) and other settings. Using secure cloud technology, the Therap system improves the quality of service within day programs, assisted living facilities, ICF/IID facilities, community support programs and state organizations. Daily communication and reporting between the states, administrators, health care professionals, case managers, quality assurance teams and families becomes seamless.

CareStat is SHP’s comprehensive post-acute analytics solution that unites acute care providers, ACOs, payers, and physician groups with skilled nursing facilities (SNF) and home health agencies (HHA). Our goal is to jointly advance the management of patient outcomes, operations, utilization, and post-acute provider partnerships. In addition to SHP’s proprietary readmission algorithms, CareStat uses real-time OASIS (HHA) and MDS (SNF) data, to support patient management across the continuum of care. Reduce readmissions and lower length of stay. Enhance collaboration and partnership efforts. Improve referral patterns and patient satisfaction. Save time by simplifying data transfer of quality and outcome metrics. When it comes to managing trends in a numbers-driven industry, your organization knows the importance of actionable insights. Your initiatives require the proper tools and know-how to operate at peak efficiency.

The Care Management Suite is a data-driven care management solution with tools and processes that deliver visibility across the continuum for high-risk and at-risk populations, facilitate more streamlined and patient-centric workflows, improve the quality of patient care, and reduce overall costs. With data analytics revealing opportunities for improvement throughout the process, the Care Management Suite improves clinical, operational, and financial outcomes. The Care Management Suite consists of three applications: Population Builder™: Stratification Module, Population Care Workflow, and Population Care Insights. An end-to-end, streamlined workflow for everything from patient enrollment, active care management, patient records, and care coordination between all care team members saves time and improves care. An analytics-driven DOS platform aggregates disparate claims and EMR data to provide a comprehensive patient view.

TAGNOS empowers healthcare workers to provide an elevated level of patient care. Perform more surgeries safely and efficiently by improving on-time starts, accelerating room turnover, increasing scheduling capacity, implementing real time situational awareness, and more. Treat and satisfy more patients with structure and accountability by decreasing left without being seen (LWBS) rates, accelerating time to treatment, streamlining intra- & inter-departmental communications, and more. Deliver improved asset utilization and reduce supply waste, eliminate search times, streamline work orders, optimize par levels, and more. TAGNOS OR Orchestration safely and efficiently empowers healthcare professionals to perform more surgeries by providing real time situational awareness and data-driven performance insights. OR Orchestration improves on-time starts by accelerating room turnover and optimizing schedule utilization for a better patient experience.

Gain a competitive advantage with AxisCore™, leveraging state-of-the-art and modularized technology for seamless automation of your health plan administration. Say goodbye to the complexities of a cumbersome core administrative processing system (CAPS) and embrace our fully integrated solution. Meticulously crafted to optimize benefits administration, healthcare claims processing, and overall health plan management, AxisCore™ empowers your organization to thrive in today's dynamic healthcare landscape.

There are patients who desperately need your home health services — yet many physicians who could be referring them aren’t. That’s likely because your sales and marketing teams aren’t seeing the 75% of Medicare claims associated with office visits. Demonstrate your ability to lower costs and improve patient outcomes. Home Health Agency A can quickly demonstrate how it outperforms Home Health Agency B on hospitalization and readmission rates. Marketscape for Home Health helps you redefine your sales and marketing strategy to ensure you’re focusing on high-potential physician and facility referral sources. Our breakthrough technology and support help you: Quickly evaluate how you compare to your peers by hospital and readmission rates, diagnostic category, acuity level, time to start of care, total cost of care, and many other quality metrics.

Improve organizational performance and validate OASIS data more efficiently with cloud-based quality reporting and analytics software for home health. Empowering home health agencies to identify actionable opportunities to improve outcomes and star ratings, reduce readmissions, boost referrals, and increase revenue. OASIS Intelligence is the go-to resource for your home health agency’s performance improvement needs. From organizational performance analysis to accurate and rapid validation of OASIS data, our cloud-based application has you covered. Access the most current data available to identify performance trends and gaps, drive faster process improvements, and increase star ratings. Ensure quality and proper reimbursement with automated alerts that help you stay on top of errors and inaccuracies on the OASIS form. View everything from monthly trends and condition-specific analyses to patient-level results with our comprehensive and flexible reporting.

Since 1992, Orion has been providing technology solutions and professional services to improve the workflow for the addictions and mental health profession. The cloud-based AccuCare EHR, Orion’s flagship software product, was designed by a highly experienced team of clinicians and engineers to improve the major areas of your agency, including clinical, financial, billing, administrative, research and analysis. AccuCare includes everything from custom-built screening/assessments, admission/discharge, treatment planning, progress notes, telehealth, e-prescribing, scheduling, electronic billing, custom reporting and more. The AccuCare Web-Based Practice Management System is supported by a dedicated team of specialists, trained to answer every question about your system and how it can be used within your current documentation and billing processes. Customer support is included in your subscription, as well as automatic updates and upgrades based on real customer feedback.

We offer a range of comprehensive products and solutions, created by computer doctors who take the online systems data and tools offered to a higher level. Cost-effective system to optimize patient flow, improving productivity, performance, and patient experience. Invest more time in your patients and less on your computer. Reduce absenteeism, presenteeism, and disability in your business. Our system allows you to make a difference and improve the monitoring and promotion of your services effectively. Let us help you take care of your older adults. We offer you the necessary tools to improve the effectiveness and efficiency of your processes. We analyze and develop to suit your requirements. We are health computer professionals who understand and speak the health language. It is the platform that offers you less time administering and more caring for patients. Any advance in technology that serves to improve the life of a human being must be shared.

Claims cycles can take months, and by then it is far too late to manage these costs. Even a delay of minutes in awareness of patient activity could result in an unnecessary, costly admission — thus when it comes to care coordination and success in value-based contracts. MemberMatch provides these insights in real time, providing care teams intelligence as early as possible so that they can rally around active episodes of care proactively and efficiently. This helps risk-bearing organizations optimize the quality and cost of member activity in the continuum of care, leading to better outcomes for patients and a better bottom line for organizations responsible for their health. Connect your care team with the attending clinical staff, providing key context to optimize the quality and cost of encounters, potentially avoiding unnecessary, out-of-network admissions and duplicate tests.

The tools of the SMAF finally reunited in a single shareable information system. Automatic calculation of the SMAF profiles. Reports facilitating the analysis of results and the development of the assistance plan. Simple and easy to use by the health care professionals. Facilitates networking and service organization. No need for software installation. The iSMAF, the fifth major release of our software, is a web software that computerizes proven clinical tools and processes supporting the SMAF tool. The iSMAF edition for Quebec includes the PRISMA-7, the SMAF evaluation grid, the social-SMAF, the Iso-SMAF profiles generator, and the care table. It also includes several functions allowing clinicians and managers to generate various reports on subjects or on groups of subjects. It is, therefore, possible to obtain an overall picture of the establishment, the evolution of profiles, or of one SMAF item through time, or to compare the profile distribution among different subject groups.

A new category of utilization management software, CORTEX provides a 360° approach to addressing the intricacies of utilization management and revenue cycle processes. Powered by real-time predictive analytics and machine learning engine, CORTEX ensures that the right cases are handled at the right time, by the right staff or by exception. CORTEX incorporates precision medicine upon a foundation of evidence-based medicine. Machine learning models operate in real-time to better assess your patient population. Our analytics have been deployed in hospitals and health plans across the nation. With clear inpatient cases, CORTEX does the heavy lifting by automating inpatient determinations on cases that meet your unique threshold. For difficult cases, CORTEX offers your staff the insight they need to make a strong determination. This approach offers incredible value to payers and providers alike.

TreeAge Pro is the leading tool for building decision trees, Markov models and event-based simulations. TreeAge Software, LLC has been a beacon in decision analysis and health economics for over 30 years. Our team of scientists, engineers, trainers and support associates have grown and developed alongside the decision analytics community to build and refine our flagship software – TreeAge Pro. TreeAge Software, LLC is a privately held company headquartered in Williamstown, Massachusetts. TreeAge Pro is the leading visual tool for creating and analyzing decision trees. Create decision trees of unlimited complexity for any type of decision. TreeAge Pro software is used in a wide array of industries, including healthcare, legal, oil & gas exploration, management consulting, investing, teaching, etc. TreeAge Software has earned the trust of more than fifteen thousand modelers globally, including in the US, Europe, Latin America, Asia, Australia and Africa.

CaseTrakker products provide a comprehensive care management solution designed to ensure that your team always has up-to-date information and the tools to manage their members efficiently. CaseTrakker's comprehensive care management software includes an extensive collection of tools to meet all of your health management software needs - from care management to utilization review and everything in between. Our products provide the tools necessary to streamline core business operations and increase efficiency without compromising care management outcomes. CaseTrakker portals provide custom branded secure browser-based access to CaseTrakker data. portals offer a tailored experience and collaboration between members, providers, clients, and care management staff from any device.

FIT eLearning is a new, accelerated, way to learn and implement feedback-informed treatment. Based on the ground-breaking PCOMS evidence-based practice, FIT eLearning is designed to help you gain capabilities and confidence regardless of your learning style. Excellent understanding of PCOMS and FIT. A meaningful outcome and session rating process for clients. Adoption of a simple red, yellow, and green signaling system to keep sessions on track. An ability to map your clinical effectiveness across clients. Identification of your professional baseline. The ability to measure micro improvements in future skills growth. A certificate for 12 hours of online psychotherapy training in feedback-informed treatment. Whether you’re an individual practitioner or part of a larger organization, FIT eLearning helps you develop a culture of feedback and incorporates the outcome and session rating scales (ORS & SRS) into your clinical practice.

Imagine having a way to support someone in treatment with a mobile secure and user-friendly tool. Wouldn’t it be amazing to have the ability to rally a client’s professional team and their natural network of support to increase the likelihood of lasting treatment success? You can give clients your best with Rallyest. Rallyest is pleased to announce the addition of video capabilities to the must-have line-up of features. By using a smartphone or computer, Rallyest captures secure video to share with a client, their support network, as well as their professionals. Making improved and confidential input, support, and connection possible for those in treatment settings. Engage clients, involve their support network, and boost treatment success for everyone. Rally a client’s extended network of select family, friends, co-workers, clergy, and professionals. Enjoy one location for a client’s photos, videos, updates, files, posts, comments, notifications, announcements, etc.

An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, prevent denials, and accelerate cash flow. Increase your first pass claim acceptance rate. Our comprehensive edits package helps you stay current with changing payer rules and regulations. Heighten your staff’s productivity with intuitive, exception-based workflows and automated tasks. Your staff can access our flexible, cloud-based technology from any computer. Manage your secondary claims volume through automatic generation of secondary claims and explanation of benefits (EOB) from the primary remittance advice. Focus on claims that need your attention with predictive artificial intelligence into problem claims. Resolve errors faster, and avoid denials before submittal. Process claims more efficiently. Print and deliver primary paper claims, or add collated claims and EOBs for secondary claims.

Making the front end your first priority. Integrated front-end solutions to improve patient financial experience and revenue cycle results. Determine address deliverability, minimizing returned mail and unpaid invoices. Reduce input errors by confirming patient identity and demographic information. Verify patient insurance eligibility at the point of service. Maximize revenue and regulatory compliance by verifying medical necessity before service. Automate PA end to end in just seconds. Automate the notification process to ensure timely notice of inpatient hospital admittance to payers. Promptly and accurately communicate patient out-of-pocket expenses. Increase collections by determining propensity to pay and financial aid eligibility. Once overlooked, patient access has become a driving force in hospitals. Our flexible platform provides a powerful synergy of integrated information from multiple verification sources combined with intelligent guidance.

The overall budgeting process for hospitals is badly broken. The typical organization spends three to six months and 100,000+ hours producing a budget that is usually tens of millions of dollars off the mark and out-of-date the moment it is finalized. There has to be a better way… and there is. StrataJazz is the deepest Advanced Planning tool on the market, radically simplifying and streamlining how healthcare providers plan, budget, forecast and manage their operating and capital expenses. The end result is a planning process that is more efficient, accurate, and agile. StrataJazz leverages top-down rolling planning approaches, seamless integration of relevant cost data, and best-practice automation, workflow, and analysis to deliver a collaborative, results-oriented budgeting process and plan that is significantly more accurate and radically less time-intensive.

Collective curates patient data into a focused alert to help ED providers make rapid, informed decisions for better patient outcomes. Get notifications for patients with patterns of high utilization or complex needs as soon as they register—notifications are also sent to other members of the patient’s care team, so they can intervene and redirect patients to more appropriate settings for care to avoid misuse of emergency room services. Collective delivers notifications directly into your systems, regardless of EHR, or sends alerts by fax, network printer, email, or text message. This ability to embrace each facility’s unique needs and workflows aligns providers, giving them a shared playbook—wherever the patient goes, the collective follows.

Acuity Advanced Care™ is an on-premise population health platform that provides flexibility to support the specific needs of case, utilization, disease, and population health management programs. The system allows organizations to have full control of their environment and is configurable to each organization’s unique care. Over 90% of our Acuity Advanced clients are NCQA or URAC accredited or hold both accreditations. Acuity Advanced Care provides the flexibility that on-premise offers and full database access. The on-premise installation provides control of where data resides. Customers with experienced IT teams that manage the setup, securing, and maintenance of complex systems. Chordline Health is the leading provider of software designed to support health plans, TPAs, ACOs, and other risk-bearing organizations. The Chordline team of US-based clinicians and developers are recognized for their best-in-class managed care expertise and customer support.

Our virtual therapy and coaching programs can help you reduce feelings of stress, anxiety, and depression, while our on-demand self-care gives you the tools you need to build resilience and cope with everyday challenges. Using evidence-informed tools, you’ll learn how to manage your emotions and feel more in control — no matter what life throws your way. Customizable and protocol-driven cognitive behavioral therapy programs are developed by the leading experts in mental health. Predictive analytics find the people in need of support and drive engagement with strategic marketing campaigns. With the support of our tech platform, clinicians cap costs by matching members to the treatment that best suits their needs. AbleTo’s seamless integration into your health plan’s existing care pathway is backed by the guarantee that you only pay when we provide value.

Built for behavioral health organizations, by a team who is passionate about helping those in recovery. We are fortunate enough to work with some of the best sober living, and recovery coaches. We support these programs by providing the digital tools they need to run data-driven programs that best serve their clients. We build software to help sober living, drug courts, recovery coaches and treatment centers provide the best programs to their clients. Our mission has always been and will always be to help the organizations who dedicate their lives to helping others in recovery. We want to help you run the best program you can by automating all the manual workflows involved with running a behavioral health organization. We help you support your clients using digital tools, and make it easier for you to run your program using an all-in-one system developed just for you. Increase your revenue and your referrals.

For three decades, health systems have relied on TeleTracking’s operational platform to manage bed capacity and track patient progression from various access points, through discharge, and into the post-acute care setting. TeleTracking creates system-wide situational awareness and operational foresight to reduce complexity and improve productivity. Our differentiated approach, coupled with our unparalleled patient flow expertise, ensures you reach your long-term organizational goals to focus on delivering the best care to patients. The bottom line is at its core, TeleTracking’s has always been focused on saving lives, giving more time back to caregivers and giving patients a positive experience—by helping ensure patients have access to the level of care they need where and when they need it. Furthermore, given the financial pressures that health systems face—especially now—TeleTracking helps improve care delivery without adding cost, space or inventory.

Many hospitals, ambulatory surgery centers (ASCs) and health systems experience significant procedure documentation challenges. Most physician documentation methods, including dictation, transcription and EMRs, lack standardization which can lead to inaccurate, incomplete and non-compliant procedure notes. The resulting reports are not searchable or easy to analyze because they are built with unstructured data. Not to mention, insufficient, tedious workflows lead to financial losses and frustrated physicians. Guides physicians through an intuitive workflow navigation tree to offer appropriate selections for quick documentation. Helps organizations meet quality and compliance standards by allowing users to run over 100 reports and analyze structured data reports. Connects directly with endoscopy scopes to collect all relevant images and add them to procedure notes.

InterQual® AutoReview is a cloud solution for providers who want to apply AI to real-time data extracted from the EHR for patient-specific prediction and proactive insight while automatically completing the InterQual® medical review. InterQual AutoReview helps reduce administrative burdens by automatically completing InterQual medical reviews with data from your EHR within your existing workflow. Increase payer trust with accurate, transparent medical reviews that contain embedded EHR data for each objective InterQual criteria point with InterQual AutoReview.

Privacy-safe DTC and HCP segments that are higher in audience quality and drive greater lift over conventional targeting approaches. Every therapy is specialized and each brand is unique so we don’t believe in traditional condition-based segments. We seek to understand your challenges and business goals when designing custom audiences. Whether you are a market leader, a new entrant facing adherence challenges, or planning to execute a multi-product strategy, we can help you drive results. We maintain the industry's highest standard of performance markers as validated by third parties. And if you reveal your Audience Quality (AQ) benchmark upfront, we guarantee to meet or exceed it. Higher AQ drives greater engagement, optimizes conversion, and ultimately increases script lift, as well as boosts therapy adherence and thus patient lifetime value. We ensure 100% compliance with all laws, policies and guidelines.

Our setup process is simple. We do the work to integrate our HIPAA compliant software and services into your existing workflow. The software helps stratify your patient population to identify patients who may qualify for CCM and other preventative programs. Our care team + software can manage enrollment/eligibility, patient call cycles, administrative record keeping and more. With our seamless integration, we have our fingers on the pulse of your patients’ needs. Our one-click interface gets physicians crucial information about patients who need immediate attention. Here’s how it works: