Top PwC SMART Alternatives

StoriiCare is a digital platform designed to assist providers of assisted living, adult care facilities, and residential care homes. Its primary function is to document and enhance the overall quality of care provided. Care staff can log their activities electronically, which facilitates better oversight and minimizes inefficiencies prevalent in the industry. Additionally, StoriiCare fosters connections between families and their loved ones, enabling them to participate in the care process and stay informed about important happenings. This feature not only strengthens relationships but also ensures that families feel more involved in the care journey.

AZZLY Rize stands out as the leading clinical and business platform tailored for organizations focused on addiction treatment and mental health. This innovative technology platform is designed to grow alongside your needs, allowing you to utilize a variety of features according to the specific requirements of your program and staff. For OUTPATIENT Programs, essential features include e-check-in, scheduling, appointment reminders, Zoom telehealth, treatment plans, progress notes, assessments, and surveys, while RESIDENTIAL Programs benefit from functionalities like census management, medication oversight, bed board tracking, withdrawal management, DrFirst e-prescribing, EPCS, PDMP integration, and laboratory services. Across all types of programs, users can rely on alerts, robust patient engagement tools, exceptional implementation and support services, and efficient electronic billing and claims submission. As a comprehensive all-in-one solution, AZZLY Rize empowers treatment centers to enhance their compliance, manage revenue cycles effectively, and meet reporting obligations with ease. This platform is specifically designed for mental health and substance use disorder initiatives, enabling organizations to adopt a flexible pricing model that replaces outdated technology seamlessly. Additionally, users can take advantage of our compliant Master Library of Forms, or we can customize your documentation forms to align with your current practices. With the added security of being hosted on the Microsoft Azure Private Cloud Network, we ensure HIPAA privacy standards are upheld throughout all operations. Ultimately, AZZLY Rize not only streamlines processes but also significantly enhances the overall efficiency of treatment centers.

With our comprehensive multi-specialty EHR, Practice Management, and Billing software solutions, healthcare providers are empowered to deliver optimal care for their patients, enhancing both efficiency and effectiveness in their practice.

The Virtual Examiner®, developed by PCG Software, serves as a comprehensive tool for overseeing an organization’s internal claims process, efficiently tracking provider data to identify fraudulent or abusive billing practices while enhancing financial recovery. This advanced software enables healthcare organizations to optimize their claims adjudication systems, processing over 31 million edits per claim, which significantly streamlines operations. By meticulously monitoring the internal claims processes, it effectively pinpoints and mitigates payments made for incorrect or erroneous codes, ultimately preserving premium dollars. Beyond mere claims management, the Virtual Examiner® acts as a robust cost containment solution that analyzes claims for not only abusive billing patterns but also those that may require attention to third-party liability coordination, case management opportunities, physician billing education, and various other valuable cost recovery insights. Its multifaceted approach provides healthcare organizations with the tools they need to navigate complex billing landscapes and improve overall financial health.

Introducing Swiftaudit! Tailored to meet your specific requirements, we have crafted a comprehensive online platform that not only speeds up your internal and external chart reviews but also improves your compliance and clinical documentation practices. Our intuitive interface facilitates swift and detailed examinations of patient interactions, allowing you to easily identify coding errors. Furthermore, Swiftaudit is an invaluable tool for ICD-10 lookup, helping you locate the exact code you need and granting immediate access to all pertinent Guidelines with a simple click. By leveraging the features of Swiftaudit within your practice, you can be confident that your coding and billing processes will result in the payments you deserve. Whether you are part of a busy practice or oversee a growing auditing firm with multiple clients and auditors, we have the ideal solution for you! We are thrilled to introduce our integrated Team features, available through your Swiftaudit subscription, which streamline collaboration for maximum efficiency. With Swiftaudit, elevate your team's collaborative efforts, ensuring everyone is aligned while enhancing overall productivity and effectiveness. This innovative platform not only simplifies processes but also empowers your team to achieve their goals with greater ease and accuracy.

Transforming medical coding and auditing through cutting-edge artificial intelligence, our platform significantly improves the efficiency of manual inpatient coding tasks, enhances documentation quality, and allows your team to focus on more impactful responsibilities. Prominent hospitals are witnessing remarkable progress due to Semantic Health’s pioneering solutions. By utilizing custom-built clinical AI and natural language processing algorithms, crafted from millions of medical records by our talented AI professionals, we can meticulously analyze clinical and coded data. This capability allows our coding and auditing systems to comprehend complex clinical contexts, adjust to changing coding standards, and pinpoint premium coding and auditing opportunities, all underpinned by definitive evidence from clinical documentation. The integration of AI into the traditionally demanding processes of medical coding and auditing not only saves valuable time but also optimizes your revenue cycle. Additionally, Semantic Health offers hospitals and healthcare systems a robust inpatient auditing platform that performs thorough pre-bill reviews of claims data, ensuring every detail is carefully verified prior to submission, which ultimately optimizes operational workflows while greatly minimizing the likelihood of errors. By harnessing these advanced technologies, healthcare providers can achieve greater accuracy and efficiency in their coding practices.

3M™ M*Modal Fluency Direct enables healthcare providers from various fields to easily create, review, adjust, and finalize clinical documentation straight within their electronic health record (EHR) systems. By leveraging Solventum's sophisticated natural language understanding technology, this solution attains a more profound contextual understanding of patient stories, significantly enhancing documentation accuracy from the very beginning. The platform features computer-assisted physician documentation capabilities that continually assess the clinical narrative while providing instant prompts for additional information or clarification, ultimately improving both the quality of clinical records and the standard of care. With its seamless compatibility with over 250 electronic health record systems—including major platforms like Epic, Meditech, eClinicalWorks, Cerner, and athenaClinicals—Fluency Direct not only hastens EHR adoption but also enhances documentation quality and reduces transcription costs. This groundbreaking approach to clinical documentation not only streamlines workflows but also allows healthcare professionals to devote more time to patient care instead of administrative duties. As a result, the healthcare environment becomes more efficient, fostering better patient outcomes.

Daisee creates innovative technology designed to provide profound insights into the behavioral, emotional, and commercial interactions of customers. Utilizing a groundbreaking digital quality scorecard, Daisee automatically evaluates every customer interaction, pinpointing quality assurance challenges that necessitate human attention in critical aspects like compliance, communication, and conduct. This advanced software enables organizations to look beyond mere words and discover the underlying emotions present in their conversations, revealing the true thoughts and feelings of customers. With its ease of deployment across various telephony systems, Daisee empowers businesses to swiftly generate value. Currently, Daisee operates globally, with services available in Australia, New Zealand, and the United States, thereby expanding its reach and enhancing customer experiences worldwide.

Doc-U-Aide distinguishes itself from other Clinical Documentation Improvement (CDI) solutions on the market by being engineered by CDI professionals for their colleagues, with the sole purpose of improving the quality and reliability of clinical documentation to foster better reimbursement outcomes. Unlike other companies that have simply modified existing Encoders, Electronic Health Records (EHRs), or consulting services to include basic CDI functions, our solution is meticulously designed from the ground up to focus exclusively on the integrity of clinical documentation. The intuitive interface and customizable workflow options of Doc-U-Aide streamline the chart review process for CDI teams, making their tasks more manageable. Numerous clients who have adopted Doc-U-Aide have observed a surge in their CDI nurses' productivity exceeding 20%. This increase in efficiency can lead to millions in additional revenue for healthcare organizations. Our commitment is underscored by a promise of a 100% return on investment within just three months of implementation, ensuring that our clients not only achieve but surpass their financial objectives. Ultimately, opting for Doc-U-Aide is an investment in a more efficient future with improved clinical documentation, which is essential for the success of any healthcare provider. In this rapidly evolving healthcare landscape, having a robust solution like Doc-U-Aide is crucial for maintaining a competitive edge.

HealthWare presents a holistic software solution tailored to meet the clinical and financial needs of home care agencies, all while ensuring compliance with regulatory requirements. With its intuitive interface and dedicated features for home health, the platform enables agencies to boost communication, enhance patient outcomes, streamline reimbursement procedures, and reduce operational costs. The software's interconnected applications support seamless information transfer from patient intake through to scheduling and clinical management, which aids in optimizing the billing processes for timely reimbursements and accurate reporting. By implementing HealthWare, agencies can improve the quality of care provided more effectively, while adhering to necessary regulations. Patient information is securely maintained within HealthWare's EMR system, and the TeamWork feature fosters easier collaboration across various departments. Furthermore, clinicians and patients can electronically sign essential documents, while physicians can provide digital signatures through the Physician Portal, significantly reducing reliance on physical paperwork. This cutting-edge methodology not only improves the operational efficiency of home care services but also fosters a more collaborative and progressive healthcare environment, ultimately benefiting both providers and patients alike. As a result, agencies can focus more on delivering exceptional care rather than navigating cumbersome administrative tasks.

Many healthcare institutions, such as hospitals and ambulatory surgery centers (ASCs), encounter significant difficulties in efficiently documenting medical procedures. The various techniques employed by doctors for recording information—including dictation, transcription, and electronic medical records (EMRs)—often result in inconsistencies, leading to procedure notes that can be imprecise, incomplete, or non-compliant with established standards. As a result, these documentation efforts frequently create reports that are not searchable and challenging to analyze, primarily due to their dependence on unstructured data. Additionally, inefficient workflows can lead to financial losses and heightened frustration among healthcare providers. To tackle these challenges, a proposed solution offers an intuitive workflow navigation tree that assists physicians in quick documentation by presenting relevant options. This innovative system not only helps organizations meet quality and compliance metrics by allowing the generation of over 100 reports and facilitating the analysis of structured data, but it also integrates with endoscopy scopes for capturing pertinent images that can be included in procedure notes. By enhancing the documentation process in this way, the approach significantly streamlines operations and elevates the quality of patient care through more complete and accurate record-keeping. Ultimately, adopting such a system may lead to improved workflow efficiency and better overall patient outcomes.

Acrometis' premier claims processing solution excels in workflow management by leveraging a versatile rules engine that automates the routing of documents. This innovative system integrates various components, including claim assessment scoring, matching body parts to claim compensability, compliance with jurisdictional regulations, and relatedness scoring, all designed to reduce both the time and expenses tied to claims. Impressively, CLAIMExpert is capable of independently processing 65 percent of incoming medical bills and non-medical documents without any user involvement. Documents necessitating adjuster review are promptly identified and organized, which streamlines decision-making and keeps the process efficient. With initial processing free from adjuster participation, clients typically see enhancements in medical loss ratios, ranging from 11 to 23 points within the first year. Additionally, CLAIMExpert features rules that cover over 190 different document types, allowing it to effectively handle whitemail and any other paperwork that might reach an adjuster's desk. This holistic strategy not only boosts operational efficiency but also profoundly influences the entire claims management experience, ultimately leading to improved client satisfaction.

CDE One is an innovative clinical documentation improvement (CDI) solution that utilizes artificial intelligence to enhance the documentation processes within healthcare organizations. By seamlessly integrating with existing systems, CDE One effectively identifies and highlights cases with crucial financial and quality impacts, allowing clinical documentation specialists (CDSs) to focus on the most vital opportunities. This platform delivers real-time insights that promote enhanced collaboration, leading to improved communication between CDSs and clinicians, thereby reducing the risk of missed diagnoses and optimizing reimbursement strategies. Furthermore, CDE One supplies evidence-based content and robust analytics, providing CDI teams with sophisticated tools to boost documentation precision and improve the overall success of their initiatives. In essence, CDE One not only simplifies workflows but also plays a significant role in advancing patient care outcomes, ultimately fostering a more efficient healthcare environment. The comprehensive nature of this solution ensures that teams are well-equipped to address the complexities of clinical documentation.

Enhance Your Healthcare Data Management Process. Smart Data Solutions brings a wealth of knowledge and advanced tools to improve both your traditional paper workflows and digital systems. Our comprehensive set of integrated solutions for data validation, matching, and normalization guarantees top-tier data quality, which streamlines auto-adjudication and reduces the necessity for manual interventions. Whether you are exploring Smart Data Solutions for the first time or have been a valued partner for years, our development approach is tailored to support you throughout your projects, increasing your chances for success. Our committed team takes the time to understand your specific needs and the nuances of your workflows, ensuring we can address both simple and complex requirements effectively. We concentrate on your goals, identifying the best strategies to help you achieve them. Smart Data Solutions provides extensive front-end pre-adjudication services for various Payers nationwide, offering flexibility in our service options. No matter if your needs are modest or you require a completely customized workflow, Smart Data Solutions has a wide array of solutions to accommodate your requests. Our dedication to delivering exceptional results distinguishes us in the market and fosters lasting partnerships. Furthermore, we continuously adapt our offerings to stay ahead of industry trends and meet evolving client expectations.

ClaimBook optimizes the insurance claims process by enabling faster settlements, improving accountability, and minimizing rejection risks. It offers a range of features that address every element of claims management and evidence submission comprehensively. In addition, ClaimBook supports international patient care through tailored workflows, thereby encouraging medical tourism. The platform's built-in Rules Engine ensures that incomplete submissions are flagged, requiring all relevant information and documentation to be included, which results in submissions that are accurate, complete, and pre-approved. Moreover, ClaimBook utilizes Smart Data Extraction technology to analyze uploaded documents and extract crucial information from an affiliated Hospital's Information System, removing the necessity for manual data entry. Another noteworthy aspect of ClaimBook is its Integrated Emailing feature, which establishes a virtual inbox right on the dashboard, allowing users to draft emails in a layout reminiscent of Microsoft Outlook. This integration not only boosts productivity but also facilitates uninterrupted communication during the claims process, ultimately making it more efficient and user-friendly. By providing these advanced tools, ClaimBook significantly enhances the overall experience of managing insurance claims.

Optimize the workflow of document processing by removing unnecessary delays and complexities while bolstering initiatives for seamless processing. Shift Claims Document Decisions is a cutting-edge AI solution that meticulously analyzes documents to extract relevant information and create a contextual summary of the actions required to progress claims. Our algorithms are crafted specifically for insurance documents, allowing for an analysis that matches or surpasses the accuracy of experienced human claims adjusters. This system enables the automatic evaluation of documents against existing data, building a thorough understanding of each claim and accelerating the processing timeline. The AI, tailored for the insurance industry, continuously adapts, integrating claims information with document insights to generate decisions that profoundly affect claims results. By minimizing the reliance on manual reviews, the technology skillfully detects intricacies and directs handlers to focus on particular elements of claims that need attention. Our strong dedication to the insurance industry inspires us to attract and retain exceptional talent, ensuring our clients receive unmatched assistance and expertise throughout their claims processing experience. In the end, this innovation not only boosts efficiency but also significantly enhances customer satisfaction, creating a win-win scenario for all stakeholders involved.

I-CAPS, which stands for Intelligent Claims Administration System, is a comprehensive solution tailored to address all elements of the health claims payment landscape through a cohesive structure that caters to the varied needs of payers. This includes essential functionalities such as membership management, billing, enrollment, mailroom operations, claims processing, network oversight, contracting, pricing strategies, utilization reviews, and customer support. Our I-CAPS system, combined with the Advanced Value Scale (AVS) coding compliance software, empowers clients to make well-informed decisions, aiding them in effectively managing costs. Additionally, the Advanced Network Administrator (ANA) streamlines the accuracy of provider information with high efficiency. Our innovative Resource-Based, Usual Customary, and RESPONSIBLE fee schedule (RB-UCR), grounded in RBRVS and NCCI frameworks, stands out as a market leader. To thoroughly evaluate your plan or provider’s performance, we recommend our Cost Containment Audit and Recovery Services (CCARS), which deliver a careful and non-disruptive analysis of claims efficiency. This comprehensive strategy not only boosts operational performance but also fosters increased transparency in the health claims sector, ultimately benefiting all stakeholders involved. By implementing our solutions, organizations can significantly improve their overall claims management processes while enhancing service delivery.

Computer-Assisted Coding, commonly referred to as medical coding, significantly enhances productivity, accelerates decision-making, and minimizes issues such as denials, overlooked fees, and low-risk scores. The AGS Computer Assisted Coding module (CAC) provides a flexible and scalable coding solution that improves accuracy, efficiency, and adaptability in the coding process. Key attributes include an Integrated Encoder, which features a 'book-based encoder' to assist in selecting the appropriate code while offering comprehensive guideline information and coding clinics. Additionally, it comes with Integrated References, supplying coders with detailed visuals and anatomical information to support them during the coding process. Moreover, the system includes an Integrated and 3M grouper, with built-in DRG/MSDRG grouping; users can easily activate the 3M APR grouper through a straightforward integration with a third-party service, though additional fees from 3M apply. This ensures that coders have access to the necessary tools for precise and efficient coding.

A significant portion, over 70%, of healthcare information resides in clinical documents like patient charts, discharge summaries, clinician notes, and reports, which enables our advanced Natural Language Processing and AI Engine to extract crucial concepts, attributes, and contextual details that enhance business insights, refine billing processes, evaluate and categorize patient risks, compute quality metrics, and collect patient sentiment and outcome information. By leveraging previously underutilized data sources, you can greatly advance your clinical research or business intelligence initiatives. Our extensive database encompasses thousands of clinical concepts, such as genomic biomarkers, symptoms, side effects, and medications, which facilitates the identification of disease characteristics and risk factors from clinical documents, thus improving patient stratification and raising the quality of care provided. Additionally, we prioritize the anonymity of data subjects by implementing effective document de-identification techniques, ensuring their privacy while still maintaining the data's utility. This dual focus on privacy and comprehensive data empowers healthcare organizations to make well-informed decisions grounded in the most extensive information available, ultimately leading to better patient outcomes and a more efficient healthcare system.

Enhance the effectiveness of your value-based initiatives by quickly assessing and understanding the costs linked to episodes of care. Encourage active participation from providers by initiating discussions that are grounded in data and evidence concerning total episode costs and the individual practice patterns of providers. Drive improvements in both cost efficiency and quality by tackling inconsistencies in care delivery and performance across different providers. Leverage analytics to support value-based strategies, delivering insights that aid in optimizing network configurations and fostering clinical advancements. Identify potential avenues for value-based care through a thorough analysis of episode costs, utilizing clinically validated definitions to frame these episodes. Involve providers in discussions centered on value by scrutinizing patterns of utilization, expenses, and differences in care practices. Use episode analytics to fine-tune network designs, update clinical guidelines, and enhance consumer engagement in a meaningful way. Make the process of budgeting for episodes more straightforward by determining average costs per episode along with relevant clinical services, ensuring a clear understanding of financial responsibilities. This targeted strategy not only promotes operational efficiency but also establishes a solid groundwork for long-term enhancements in healthcare delivery, ultimately leading to better patient outcomes and satisfaction. Strengthening the collaboration between stakeholders will further amplify the impact of these initiatives in the healthcare sector.

Optimize the entire claims process by automating every stage, from the initial loss notification and fraud detection to adjudication and final settlement. This system allows for the distinct handling of various claim types, such as death and maturity claims, while ensuring strict compliance with regulations to avoid any penalties. You will experience enhanced efficiency and accuracy in processing through features that manage data collection, oversee payments, handle salvage and recovery, process legal cases, and offer thorough monitoring. Additionally, the effective registration, adjudication, tracking, and oversight of all claim submissions are ensured. The integrated business rules facilitate automatic categorization of claims into “fast track” or “non-fast track” groups. Furthermore, you can effortlessly add or modify stakeholders involved in the claims process—such as garages, assessors, loss adjusters, surveyors, investigators, and claims officers—to boost operational efficiency. This all-encompassing strategy not only streamlines workflows but also promotes collaboration among all participants in the claims process. Finally, by implementing these enhancements, organizations can significantly improve their overall claims management experience.

WinMed™ EHR is distinguished as an ONC 2015 Certified electronic health record system, providing healthcare practitioners with vital resources that facilitate accurate documentation and adherence to regulations, all while maintaining a focus on exemplary patient care. The incorporation of the Analytics Dashboard allows users to effortlessly connect throughout their entire practice, enabling data collection that yields critical insights for both healthcare professionals and administrative staff. By leveraging automated system recommendations, clinicians can improve compliance levels and enhance care standards, simplifying the documentation process significantly. Our Family Practice module is dedicated to offering comprehensive healthcare solutions for individuals across all age groups, effectively managing both acute and chronic care. Concurrently, the Internal Medicine module emphasizes preventive care and includes Clinical Decision Support and Population Management tools that are essential for improving patient outcomes. Furthermore, the Patient Check-In feature streamlines the tracking of patient arrivals at the clinic, thereby supporting effective workflow management. Overall, this extensive array of functionalities establishes WinMed™ EHR as an indispensable resource for contemporary medical practices that aim for superior patient care. The integration of cutting-edge technology and user-friendly features ensures that healthcare providers can focus more on their patients and less on administrative burdens.

ClinicalWave.ai, hosted on the AWS cloud infrastructure, is a comprehensive AI solution tailored for companies in the life sciences sector. Leveraging advanced natural language processing (NLP) technology, it efficiently extracts crucial insights while automating the removal and extraction of sensitive information from clinical documents. The platform comprises several key components: 1. ClinRedact AI - This redaction tool automatically detects and eliminates sensitive content from clinical records, significantly conserving time while ensuring the integrity of the data. 2. ClinExtract AI - This data extraction solution employs NLP and machine learning algorithms to gather important data from clinical documents, enhancing insights and optimizing operational workflows. 3. ClinDICOM AI - Explore the capabilities of our DICOM data extraction tool, which features targeted redaction, customizable rules, intelligent context analysis, compliance with audit trails, and an intuitive user interface. With these innovative tools, ClinicalWave.ai empowers life sciences companies to handle their clinical documents with greater efficiency and security.

The premier patient safety platform is widely adopted in numerous healthcare environments. This comprehensive software is designed to promote long-lasting enhancements and improve operational effectiveness throughout your organization. Joining RLDatix gives you access to a worldwide community of advocates and experts dedicated to patient safety. This affiliation provides opportunities to learn from successful strategies and cutting-edge insights shared by RLDatix users, as well as industry leaders and innovators. The RL Suite presents a diverse selection of patient safety solutions aimed at strengthening your initiatives for safety and healthcare quality. By converting your data into practical intelligence, you can effectively reduce and manage risks both presently and in the future. Early identification of clinical risks and a decrease in infection rates play a crucial role in ensuring timely intervention to uphold patient safety. Additionally, involving patients in real-time enhances their overall experience during care, leading to greater satisfaction. Streamlining your policies and procedures not only encourages organizational learning but also boosts compliance across all sectors. Through the integration of these practices, your organization has the potential to significantly raise the quality of patient care and ultimately transform the healthcare landscape.

Are you aiming to enhance the efficiency of your physical therapy practice while ensuring optimal treatments and experiences for your patients? If so, consider exploring Practice Pro. Developed from over 20 years of expertise in both business and clinical environments, Practice Pro serves as a comprehensive, integrated Physical Therapy EMR, Billing, and Practice Management solution designed to effectively manage all aspects of your operations. It stands out as the most feature-rich EMR available, offering customizable examination profiles tailored for various specialties, including Physical Therapy, Pediatric Therapy, Occupational Therapy, Speech Language Pathology, Applied Behavior Analysis (ABA), and Chiropractic. Among its array of features, you will find a well-developed clinical library with customizable flowsheet templates, versatile appointment scheduling for multiple disciplines, goal tracking, payer-specific coding and billing guidelines, an easy-to-use patient portal, referral management tools, and access to more than 200 reports and KPIs dashboards. Additionally, you will benefit from a passionate support team dedicated to your success, readily available via phone or email. With this fully flexible, web-based software, you can elevate outcomes and enhance the quality of life for both you and your patients. As you implement Practice Pro, you will likely notice significant improvements in your practice's overall efficiency and patient satisfaction.

Elevate your clinic's appointment coordination by obtaining enhanced insights into scheduling and provider availability. Effortlessly manage and schedule appointments across various providers, rooms, and locations to ensure a steady patient flow. Patients will benefit from receiving automatic invitations to complete their intake forms online, with customizable digital documents that can be accessed via smartphones or personal devices. This data is seamlessly integrated into their patient charts, simplifying the entire experience. Mitigate the chances of no-shows by sending timely reminders through both email and text messages. The communication process is streamlined for both patients and staff, allowing for easy confirmations or rescheduling through two-way text messaging. Generate claims directly from patient notes along with recommended ICD-10 codes, and submit them electronically after automatic checks. A full range of services is available to manage the entire billing cycle, ensuring that submissions and payment collections proceed smoothly. Furthermore, you can quickly produce clear and defensible clinical notes using documentation templates, assessment reports, and pre-filled patient information, thereby enhancing your workflow efficiency. This comprehensive strategy not only organizes operations better but also significantly boosts patient engagement and overall satisfaction. By implementing these systems, your clinic can create a more proactive and responsive healthcare environment.

Discover the pinnacle of practice management solutions with exclusive entry to the Practo platform. Patients can effortlessly reschedule or cancel their appointments, enhancing their overall convenience. Receive detailed turn-by-turn directions through smart SMS notifications, ensuring patients find your location with ease. They can make payments at their convenience from anywhere, including the option to pre-pay prior to their clinic visit. Collect outstanding payments seamlessly with just a single click, simplifying the financial aspect of your practice. Customize your scheduling and messaging to meet the unique needs of your practice, allowing for greater flexibility. Manage and capitalize on post-consultation chats, giving patients the ability to follow up comfortably from their own homes. Set clear availability and timeframes for these interactions to foster better patient engagement. Access your patients' medical histories to provide care that is genuinely tailored to their needs. Utilize templates to accelerate the delivery of advisory services compared to traditional methods. Keep in mind the importance of sharing—configure automated record sharing with patients in an easy step, which helps to save paper, ink, and other resources. Benefit from complimentary access to Ray, featuring a powerful online appointment booking tool designed to significantly enhance your operational efficiency. Moreover, the software's intuitive interface guarantees a smooth experience for both healthcare providers and patients, ensuring that everyone involved enjoys the process. With these comprehensive features, Practo empowers practices to thrive in a competitive environment.

Claim Leader focuses on providing technological solutions aimed at improving communication and workflow efficiency in organizations handling insurance claims. Our cutting-edge software streamlines operational procedures, leading to a notable increase in productivity via a cohesive web platform. The powerful modules in Claim Leader's technology enable a more efficient workflow for both office staff and field agents. Moreover, our management features allow internal users to delegate tasks, oversee workloads, pinpoint files that need evaluation, and enhance overall operational efficiency. We are dedicated to revolutionizing the operations of insurance claims organizations, ensuring that technology is seamlessly integrated into their everyday functions. By prioritizing user experience, we strive to create systems that not only meet current demands but also anticipate future needs.

Explore a specialized analytics-driven tool crafted for healthcare providers to effectively manage claims and remittances, aiming to refine workflows, optimize resource utilization, decrease denial rates, and improve cash flow. Enhance your initial claim acceptance rates with our comprehensive editing suite that ensures compliance with the latest payer guidelines and regulations. Increase your team's productivity by leveraging intuitive workflows that focus on exceptions while automating repetitive tasks. Your staff can easily access our adaptable, cloud-based platform from any device, promoting uninterrupted operations. Simplify the handling of secondary claims with the automatic generation of secondary claims and explanations of benefits (EOB) derived from primary remittance advice. Utilize predictive artificial intelligence to prioritize claims that need urgent attention, facilitating quicker error resolution and reducing the likelihood of denials before submission. Whether you are processing primary paper claims or organizing claims and EOBs for secondary submissions, you will experience enhanced efficiency in your claims processing. By adopting these innovative features, you can substantially improve your claims management approach and take your practice to the next level. This progressive solution not only streamlines operations but also empowers your team to focus on delivering exceptional patient care.

IMO Core significantly improves clinical workflows by allowing healthcare providers to accurately document and manage their medical problem lists with ease. Frequently, the tasks designed for recording and organizing patient data can become disjointed and overly complex, which may impede healthcare professionals from providing the best possible care. These complications within workflows can also lead to issues with data integrity, which in turn affects billing practices, reimbursement rates, quality reporting, and efforts to enhance population health. By simplifying documentation and the management of problem lists, IMO Core provides essential access to important patient insights, thus ensuring high data quality, reducing the administrative workload for clinicians, and optimizing reimbursement potential. Clinicians are given the flexibility to document using their own language, supported by prompts that promote thorough and precise entries right at the point of care. Furthermore, the system detects unaddressed Hierarchical Condition Categories (HCCs) to enhance coding accuracy and documentation quality. It also includes detailed descriptions that accurately convey the clinical intent behind the documentation, which further enriches the quality of patient records. This comprehensive strategy not only boosts the efficiency of clinicians but also plays a vital role in achieving better health outcomes for patients. Ultimately, the enhancements brought by IMO Core represent a significant step towards a more effective healthcare delivery system.

The Loan Management System (LMS) streamlines the trading and oversight of residential whole loans, enabling users to manage the entire loan pipeline effectively. It supports the management of third-party evaluations and automates funding and settlement processes for efficiency. Sellers can easily lock and price loans, either on a flow or bulk basis, while ensuring compliance with the eligibility requirements through an intuitive portal. They also have the capability to upload essential credit documents and fulfill any conditions that emerge during the review phases. Documents are securely stored at various levels, including trade, pool, and individual loans, enhancing security and organization. The system facilitates document exchanges with third-party vendors via secure integrations, allowing for seamless collaboration. Orders can be assigned to the correct due diligence vendors based on specific product criteria and transaction volume, providing a customized solution for each seller. Users are able to view and respond to findings from third-party reviewers through automated data feeds, ensuring timely updates. Additionally, the LMS generates detailed funding schedules that outline amortized balances, interest, and fees, which boosts the overall efficiency and accuracy of the loan management process. This integrated approach not only optimizes operations but also significantly minimizes the likelihood of errors, ultimately improving the reliability of the loan management framework. By enhancing communication and documentation practices, the system fosters a more transparent and accountable lending environment.

AGS Health Company has completed the acquisition of EZDI, enhancing their revenue cycle management capabilities. Our platform is designed to assist businesses of all sizes, providing access to APIs that empower organizations to extract valuable insights from their healthcare data. It successfully merges medical coding with clinical documentation, creating a fully cohesive system that can enhance the productivity of documentation and coding specialists by as much as 45%. Additionally, our platform boosts revenue by optimizing case mix and risk scoring. We offer modern clinical APIs that are designed to integrate smoothly into existing infrastructures. To ensure exceptional accuracy, our system has been trained on over 7 million real clinical documents. Utilizing vast knowledge graph records alongside deep learning and machine learning techniques, we deliver precise code and query suggestions. Our commitment to innovation positions us to spearhead the next evolution in AI for the healthcare industry. Tailored for coders and documentation specialists, our tools enable them to work more intelligently, swiftly, and effectively right from the outset. Furthermore, our advanced Deep Learning NLP models empower healthcare professionals to navigate complex data landscapes with assurance and precision.

PayorLink solutions offer a comprehensive platform that transcends basic medical claims management for employers, with the goal of improving employee benefits while reducing healthcare costs, promoting healthy habits, and enhancing overall workforce productivity. The rising expenses associated with employee healthcare present a significant challenge worldwide, prompting concerns from both payor organizations and healthcare providers. Tailored specifically to minimize health-related spending for payors, PayorLink™ encourages higher employee productivity and enhances the quality of claims submitted by providers through efficient information sharing between payor entities and their partner healthcare facilities, including clinics, hospitals, and medical centers. Furthermore, it features tools for creating Employee Health Profiles and conducting Assessments, which are instrumental in achieving staff wellness and productivity. By prioritizing these key areas, PayorLink not only tackles pressing financial issues but also cultivates a more vibrant and health-conscious workplace, ultimately contributing to a more sustainable healthcare ecosystem. This holistic approach to employee health represents a significant advancement in how organizations manage and optimize their healthcare resources.

Ensure the dependability of your health plan while identifying precise pricing through the Context4 Health Plans Suite, our adaptable and cloud-based technological solution. Gain immediate and actionable insights for identifying Fraud, Waste, and Abuse (FWA), crafted by our team of certified experts proficient in clinical, dental, and health benefits. By utilizing reliable data along with cutting-edge cloud technology, we provide a strong and justifiable Medicare reference-based pricing (RBP) solution. Our platform integrates over 100 healthcare data sets, further enhanced by expert guidance to improve operational efficiency and maintain regulatory compliance. Moreover, our advanced medical coding software is designed to facilitate claim submissions and minimize the chances of denials. In addition, our cloud-based Payment Integrity Platform employs a distinctive analytics engine to detect coding errors, evaluate medical necessity, tackle unbundling, and identify fraud, waste, and abuse, while also assessing audit risks and uncovering pricing inconsistencies that could greatly impact your organization’s overall performance. This all-encompassing strategy not only protects your financial stability but also equips you for lasting success in the dynamic healthcare environment. With our commitment to innovation, you can navigate challenges with confidence and ensure a future of continued growth.

This system delivers a thorough claims management solution that encompasses the entire process from initiation to conclusion. Key features include the ability to process claim adjudications, oversee claim workflows, and manage payment distributions seamlessly. The adaptable design supports the integration of specialized adjudication modules for various business lines, ensuring that every new component leverages the system’s foundational capabilities. Its intuitive interface, optimized for Windows, employs a relational database to facilitate efficient data management. Developed on the Powerbuilder platform, it supports SQL databases such as Oracle or Sybase, making it ideal for a client-server setup capable of managing high volumes of claims. In addition to providing installation and training services, the licensing package also includes access to the source code for further customization. A dedicated team of skilled professionals is on hand to tailor and refine the system to accommodate the specific needs of clients. All modifications are accompanied by comprehensive design documentation and support throughout the acceptance testing phase, which guarantees a smooth integration process. This attention to detail ensures that clients receive a bespoke solution that precisely meets their unique demands, fostering long-term satisfaction and operational efficiency.

Quadient® Correspondence is an innovative cloud-based platform designed to simplify the management of claims correspondence for insurance providers. This subscription-based software as a service (SaaS) solution enables users to create, validate, and distribute customized claims documents that adhere to regulatory requirements in both print and digital formats, eliminating the need for extensive IT assistance. Specifically crafted for insurance firms that seek to advance their digital transformation without incurring the costs associated with a full-fledged customer communications management (CCM) system, it allows business analysts to efficiently design and adjust templates. Claims managers and compliance experts are integral to the process, as they are responsible for reviewing and approving these templates before they are utilized. The platform features an intuitive interface that empowers business professionals to produce correspondence by choosing appropriate templates and modifying the content within specified fields. Moreover, designated team members oversee the review and approval of the correspondence to ensure it is promptly sent out via email, PDF, or SMS, thereby facilitating timely interactions with clients. This streamlined approach not only enhances operational efficiency and compliance but also allows insurers to connect with their customers in a more effective manner, ultimately improving overall communication strategies. By prioritizing user experience and regulatory adherence, Quadient® Correspondence stands out as a valuable tool in the insurance industry's digital landscape.

Remedi EMR features a user-friendly interface aimed at effectively capturing the dynamics of physician-patient interactions in accordance with the SOAP framework. It works seamlessly with Tablet PCs and supports voice commands for ease of use. Like its sibling product, Remedi PM, this system provides extensive assistance right from the moment a patient arrives at the clinic. The system facilitates data collection through medical assistants, addressing numerous elements such as chief complaints, history of present illness (HPI), past medical history (PMH), medication lists, family history, social history, reviews of systems, physical examinations, assessments, treatment strategies, prescription creation, as well as the management of orders and results. Each component can be personalized to align with the unique preferences of every user, thereby enhancing the user experience. Furthermore, it boasts features that cater to various medical specialties, ensuring comprehensive support. Key differentiators that elevate Remedi EMR include integrated ICD codes, customizable CPT codes, adherence to E&M guidelines as required by Medicare, a powerful document management system that negates the necessity for faxing, and a multitude of other features that optimize healthcare workflows. In essence, Remedi EMR is crafted to elevate efficiency in medical practices while maintaining an unwavering commitment to delivering exceptional patient care. This adaptability and focus on user needs underscore its value in the ever-evolving healthcare landscape.

General practice facilities handle an impressive volume of up to 500 clinical documents each day, which come in various formats from multiple healthcare providers. Our innovative Cloud-based clinical document management system, Docman10X, simplifies the processing, sharing, and secure storage of these electronic documents. This platform ensures that essential healthcare professionals can access clinical correspondence safely and conveniently, regardless of their location. The high volume of documents necessitates swift and efficient management, making timely processing critical for GP practices. Furthermore, many of these clinical documents need to be shared beyond local jurisdictions, which requires compliance with NHS standards to ensure patient data remains protected. As numerous healthcare organizations grapple with resource shortages, GP practices often face significant financial strains for maintaining local hardware. By implementing Docman10X, practices can mitigate these challenges, boosting their operational efficiency and focusing more on patient care rather than administrative burdens. Ultimately, adopting such a solution not only streamlines workflows but also supports the ongoing commitment to high-quality healthcare delivery.

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.

The AGS AI Platform provides a comprehensive revenue cycle management solution designed to meet the diverse needs of various organizations, offering a wide range of customizable options for effective revenue cycle management. This allows organizations to enhance their financial processes in a way that aligns perfectly with their unique operational demands.

Healthcare professionals are encouraged to prioritize direct patient care rather than administrative paperwork, fostering a sense of fulfillment in their medical practice, regaining personal time, and enhancing the quality of care through a stronger emphasis on physician-patient interactions. The Oracle Health Clinical Digital Assistant functions as an AI-powered voice assistant that effectively captures key elements of conversations between physicians and patients, processes the gathered information, and generates notes within the Oracle Health electronic health record system for prompt physician review. Users can communicate in natural language to access patient data and execute regular clinical tasks with ease. Additionally, it formulates initial clinical notes based on the interactions and information provided, ready for the physician’s assessment and approval. By leveraging voice commands, healthcare providers can seamlessly update and amend patient records, ensuring that clinical documentation is both precise and current. This cutting-edge tool is designed to simplify the documentation workflow, enabling physicians to dedicate more time to patient interactions and less to bureaucratic duties, ultimately enhancing the overall healthcare experience. The introduction of such technology not only improves efficiency but also strengthens the patient-care relationship, highlighting the essential role of communication in effective medical practice.

LifeSphere eTMF stands out as the ultimate reference point for your clinical trial needs. This adaptable solution streamlines inspections, assures compliance, and significantly lessens the workload for your organization. Being the first system tailored to meet the TMF reference model, LifeSphere eTMF seamlessly merges clinical documentation with regulatory standards and study protocols into a cohesive platform. By establishing a single source of truth for your clinical trial, you can significantly boost operational efficiency. Its features foster live collaboration and enable real-time document sharing, ensuring that your trial master file is maintained with high quality, punctuality, and completeness. You can facilitate TMF inspections quickly and effectively, making audit management a breeze. In addition, the system supports compliance through its embedded workflows and user-friendly dashboards, which simplify the trial reconstruction process, creating a smoother experience for all parties involved. Ultimately, LifeSphere eTMF not only enhances the efficiency of clinical trials but also strengthens the integrity of the entire research process.

Harness natural language processing to gain valuable insights from unstructured text without requiring any machine learning knowledge, by utilizing an array of features from the Cognitive Services for Language. Elevate your understanding of customer emotions through sentiment analysis and identify key phrases and entities such as people, places, and organizations to uncover common themes and patterns. Use specialized, pretrained models to classify medical terminology specific to various fields. Evaluate text across multiple languages and reveal essential concepts within the content, which include key phrases and named entities that highlight individuals, events, and organizations. Delve into customer feedback regarding your brand while examining sentiments linked to specific topics through opinion mining techniques. Additionally, derive critical insights from unstructured clinical documents, including doctors' notes, electronic health records, and patient intake forms, by applying text analytics tailored for healthcare settings, ultimately enhancing patient care and informing decision-making processes. By integrating these advanced capabilities, organizations can stay ahead of trends and better meet the needs of their stakeholders.

The IW360 Documentation Platform incorporates IW's innovative speech recognition tool, First Draft, which significantly enhances your workflow efficiency. Additionally, InfraWare's Transcription Services and Charting Service ensure that final document versions are provided discreetly within your EHR system. Established in Springfield, Massachusetts, InfraWare's Catuogno Court Reporting & Lawyer Conference Centers specialize in legal dictation, transcription, and court reporting services, featuring LiveNote capabilities. Furthermore, insurance companies are seeking support for property content valuation to enhance quality while reducing pricing costs. To address this, our Voice2Voice and contents hotline services offer real-time pricing solutions aimed at enriching the customer experience. InfraWare is committed to empowering you to achieve optimal performance in all your endeavors. With these services, you can expect a seamless integration of technology and support that ultimately drives success.

DeepScribe utilizes cutting-edge AI technology to effortlessly document conversations between healthcare providers and patients, ensuring that medical notes are generated automatically, which allows clinicians to dedicate more time to patient interaction rather than paperwork. The user-friendly mobile application captures these clinical discussions and transcribes them in real time, while the proprietary AI processes the transcript to sort the medical details into a standardized note, seamlessly integrating it into the clinician's electronic health record system. In contrast to conventional scribes, dictation systems, or other methodologies, DeepScribe's ambient functionality ensures that the documentation process does not interfere with the patient experience or disrupt the overall clinical workflow. Healthcare professionals can engage with their patients as they normally would, later reviewing and approving the notes within their EHR after the consultation. Furthermore, DeepScribe not only takes care of documentation and charting but also suggests appropriate diagnostic codes based on the extracted information from the visit. By leveraging DeepScribe’s intuitive, effective, and advanced AI scribe, clinicians are empowered to rediscover the fulfillment of providing care in medicine, ultimately enhancing the patient experience. This innovative approach transforms the way healthcare professionals manage their documentation responsibilities.

Our platform cultivates uniformity, ongoing improvement, and scalability across our interconnected portfolio, enabling customers to optimize operational efficiency, make data-driven choices, and enhance patient outcomes while fostering innovation within the dynamic healthcare landscape. By utilizing cutting-edge data analytics and integrating patient engagement and collaboration tools, the Change Healthcare platform empowers both providers and payers to refine workflows, access essential information exactly when it's required, and guarantee the provision of the safest and most appropriate clinical care available. We ensure smooth access to data and advocate for interoperability among various data sources, which aligns with CMS regulations on patient access and interoperability, ultimately facilitating real-time access to clinical documents. This method plays a crucial role in effectively managing risk adjustment, improving HEDIS scores, and guaranteeing timely and accurate payments through expedited adjudication processes. Additionally, our dedication to innovation enables us to swiftly adapt to the evolving healthcare environment while consistently enhancing the quality of services we provide. As we continue to advance our platform, we remain focused on delivering exceptional value to our customers and the patients they serve.

Our advanced platform has been developed by hospice experts who are well aware of the specific needs of both staff and patients. Specifically designed for hospice environments, this comprehensive solution significantly improves the quality of services provided to patients. Axxess Hospice has been meticulously created to effectively support a collaborative care team. Featuring user-friendly scheduling options, it simplifies patient care while fulfilling the critical requirements of the Interdisciplinary Group (IDG) Plan of Care. The system offers complete insight into your organization's daily activities, encompassing vital elements such as task management, recertifications, patient census, and billing data. Moreover, it comes equipped with integrated tools for rapid claims assessments, ensuring timely submissions and faster payment processes. Axxess’ state-of-the-art solution tackles challenges related to staffing and scheduling, allowing organizations to seamlessly connect with qualified clinicians for immediate care provision. This method guarantees that patients receive the necessary attention without facing unwarranted delays, thereby enhancing overall care efficiency. In this way, Axxess Hospice not only meets the demands of modern hospice care but also sets a new standard in the industry.

FBCS Enterprise acts as a unified platform that improves decision-making for non-VA Purchased care, resulting in more effective management and processing of fee basis claims. The web-based tool, CTM Plus, refines workflows and delivers essential oversight to tackle problems related to consults and Return to Clinic (RTC) tracking, thereby ensuring timely communication with patients and efficient scheduling. Furthermore, purchasing analytics are vital in reducing expenses and eliminating waste, which enhances accountability across the healthcare system. The automated tracking of expired and recalled items is a significant factor in maintaining patient safety. Delays or mistakes in order fulfillment can negatively impact financial outcomes and the standard of care received. The time devoted to managing paper records and digital interfaces limits crucial patient interactions, while the verification of opioid prescriptions for each patient can be an arduous and complex task. DSS PDMP alleviates this burden by merging all required checks into a single, uncomplicated process, thus improving patient care efficiency. This comprehensive strategy for managing care not only streamlines operations but also leads to enhanced health outcomes for patients, ultimately fostering a more responsive and effective healthcare environment. By focusing on these efficiencies, the system can allocate more resources toward direct patient engagement, which is essential for improving overall care quality.

John Snow Labs has introduced an advanced large language model tailored specifically for the healthcare industry, with the intention of revolutionizing how medical organizations harness the power of artificial intelligence. This innovative platform is crafted solely for healthcare practitioners, fusing cutting-edge natural language processing capabilities with a profound understanding of medical terminology, clinical workflows, and compliance frameworks. As a result, it acts as a vital asset that enables healthcare providers, researchers, and administrators to extract crucial insights, improve patient care, and boost operational efficiency. At the heart of the Healthcare LLM lies its comprehensive training on a wide range of healthcare-related content, which encompasses clinical documentation, scholarly articles, and regulatory guidelines. This specialized training empowers the model to adeptly interpret and generate medical language, establishing it as an indispensable resource for multiple functions such as clinical documentation, automated coding, and medical research projects. Moreover, its functionalities contribute to optimizing workflows, allowing healthcare professionals to dedicate more time to patient care instead of administrative responsibilities. Ultimately, the integration of this advanced model into healthcare settings could significantly enhance overall service delivery and patient outcomes.

We help you reach your goals by cutting costs, improving clinical outcomes, reducing readmission rates, and increasing your revenue streams. Boost your income with mobile charge capture, effective clinical documentation, medical billing, and revenue collection optimization through our advanced technology designed for healthcare professionals. With MediMobile®, you can easily schedule your rounds and appointments either in advance or on the fly using your mobile device or any internet-capable browser. You have the ability to sort your rounds and appointments by various factors such as location, date, room number, or provider name, and can effortlessly collaborate with your colleagues within your practice. The platform is completely customizable to meet your specific preferences. MediMobile® offers a wide range of reporting features that cater to both novice users and experienced data analysts alike. Additionally, the intelligent technology integration engine of MediMobile® ensures real-time connectivity with hospital systems, patient management software, and billing solutions, creating a seamless workflow that significantly enhances efficiency and effectiveness in healthcare delivery. This innovative approach not only simplifies your processes but also supports better patient care outcomes.