Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Whether you need assistance with grasping the intricacies of the CMS and ONC final regulations, crafting a strategy to meet compliance deadlines, or executing a practical solution, we are here to assist you. As a frontrunner in the field of interoperability, Edifecs possesses the necessary expertise to guide you in achieving adherence to the latest mandates while unlocking the potential of secure and dependable electronic health data exchange. Edifecs provides top-tier Smart Trading and Encounter Management solutions specifically designed for small to medium-sized health plans. By leveraging financial, clinical, and administrative data, organizations can advance their business strategies and facilitate automation in administrative tasks. Improve encounter management processes and enhance first-pass rates for managed Medicaid and Medicare Advantage through a hosted solution model that Edifecs offers. Additionally, Edifecs presents COTS-based modular solutions aimed at optimizing data quality and supporting payment reform initiatives. By utilizing these innovative tools, health plans can ensure a proactive approach to compliance and data management, ultimately leading to improved outcomes.
Description
With the increasing volume of Prior Authorizations and the added complexities introduced by specialty medications, Health Plans, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs) face significant challenges in adapting while striving to enhance both operational and clinical efficiencies. PAHub is a solution that is certified by HITRUST, providing comprehensive tools designed to streamline and govern all clinical, compliance, and administrative facets of Prior Authorization directly at the point-of-care, thereby enhancing compliance and decreasing turnaround times and costs. By utilizing cutting-edge technologies in data mining, analytics, content management, and sophisticated decision support frameworks, PAHub empowers clients to fully automate the entire prior authorization workflow. This innovative approach not only simplifies the process but also fosters a more efficient healthcare experience for both providers and patients. In an evolving healthcare landscape, solutions like PAHub are essential for organizations aiming to keep pace with the demands of modern medicine.
API Access
Has API
No
API Access
Has API
No
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
Yes
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
No
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
Yes
In Person
Yes
Types of Training
Training Docs
No
Webinars
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
Edifecs
Founded
1996
Country
United States
Website
www.edifecs.com
Vendor Details
Company Name
Agadia Systems
Website
www.agadia.com
Product Features
Hospital Management
Accounting Integration
Yes
Appointment Management
No
Appointment Scheduling
Yes
Bed Management
No
Billing & Invoicing
No
Claims Management
No
In-Patient Management
No
Inventory Management
No
Medical Billing
Yes
Out-Patient Management
No
Patient Records Management
No
Physician Management
No
Policy Management
No
Revenue Management
No
Revenue Cycle Management
Accounts Receivable
No
Claims Management
No
Collections Management
No
EHR/EMR Integration
No
For Healthcare
No
ICD-10 Compliance
No
Insurance Verification
No
Medical Billing
No
Patient Portal
No
Patient Registration
No
Patient Scheduling
No
Payment Processing
No
Product Features
Hospital Management
Accounting Integration
Yes
Appointment Management
No
Appointment Scheduling
Yes
Bed Management
No
Billing & Invoicing
No
Claims Management
No
In-Patient Management
No
Inventory Management
No
Medical Billing
Yes
Out-Patient Management
No
Patient Records Management
Yes
Physician Management
Yes
Policy Management
No
Revenue Management
No