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What is NextGen Population Health?

Tackle the intricacies of value-based care irrespective of your current electronic health record (EHR) system. Achieve a well-rounded insight into your patient demographics by integrating data from multiple sources, all presented in an easily digestible visual format. By utilizing data-driven insights, you can improve chronic disease management and ensure seamless care transitions while also focusing on illness prevention, cost reduction, and the enhancement of care management strategies. Foster effective care coordination with proactive tools, such as a pre-visit dashboard, risk assessment features, and automated tracking of admission, discharge, and transfer processes. Activate care management strategies to expand the influence of healthcare providers within the community. Promote vital patient engagement and ensure that meaningful follow-ups occur between appointments. Employ the Johns Hopkins ACG system for effective risk stratification, enabling you to identify patients who are most vulnerable to costly healthcare needs. This targeted approach allows for the efficient allocation of resources to areas where they are critically required. Strive to enhance performance metrics that reflect quality care standards. Successfully participate in value-based payment models while maximizing reimbursement opportunities as you navigate the ever-changing healthcare landscape. By adopting these comprehensive strategies, healthcare organizations can significantly boost patient outcomes, creating a more sustainable and effective care environment that benefits both patients and providers alike. Ultimately, these initiatives not only improve care quality but also contribute to a healthier population overall.

What is ClaimsVISION?

The system features customizable workflow components that are intricately woven into its overall architecture. These components, which encompass data pre-filling, quick navigation options, adaptable fields, and tools for managing task loads, work in harmony with adjustors, teams, and supervisors to foster a user-friendly and highly productive experience. A key characteristic of any effective system is its capacity to enable the smooth transfer of precise data for both internal and external reporting and interfacing. To bolster this function, PCIS has heavily invested in a proprietary B2B interface layer that aims to standardize, stage, and verify the accuracy of data flowing in and out of the database. This strategic initiative not only provides more cost-effective and flexible integration alternatives but also enhances the precision of business intelligence reporting. In addition, the reporting platform is crafted with the user's perspective in focus, featuring over 100 ready-made reports, customizable dashboards through a simple drag-and-drop interface, a specialized reporting database, and additional functionalities, all aimed at simplifying data access and analysis. As a result, these capabilities collectively allow users to make timely and informed decisions with greater ease and efficiency. Ultimately, the combination of these advanced features ensures that users are well-equipped to leverage the system to its fullest potential.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

NextGen Healthcare

Date Founded

1974

Company Location

United States

Company Website

www.nextgen.com/how-we-help/population-health

Company Facts

Organization Name

PCIS

Date Founded

2001

Company Location

United States

Company Website

www.pcisvision.com/solutions/claimsvision/

Categories and Features

Big Data

Collaboration
Data Blends
Data Cleansing
Data Mining
Data Visualization
Data Warehousing
High Volume Processing
No-Code Sandbox
Predictive Analytics
Templates

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Healthcare CRM

Audience Targeting
Campaign Management
Marketing Automation
Medical History Records
Patient Communications
Patient Management
Physician Management
Predictive Analytics

Patient Engagement

Appointment Scheduling
Care Planning
Collaboration
Messaging
Mobile Access
Patient Education
Patient Portal
Personal Health Record
Progress Tracking
Self Management

Population Health Management (PHM)

Analytics
Cost-of-Care Analysis
Data Storage
EMR/EHR Integration
Patient Engagement
Patient Identification
Patient Risk Stratification
Patient-Reported Outcomes
Payment Bundling
Predictive Alerts
Test & Treatment Reminders
Utilization Tracking

Predictive Analytics

AI / Machine Learning
Benchmarking
Data Blending
Data Mining
Demand Forecasting
For Education
For Healthcare
Modeling & Simulation
Sentiment Analysis

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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