Alternatives to Cohere Unify

ScriptSure Cloud ERX is the #1 E-Prescribing application available. ScriptSure combines weekly updates to medications, daily updates to pharmacy lists, full e-prescribing network connectivity, Electronic Prescribing of Controlled Substances (EPCS), web-based access and simple workflow methods to deliver the best in E-Prescribing. Electronic refills, order sets, compound medication order, printing prescriptions, patient reports and audit logs are all included and supported in ScriptSure Cloud ERX. ScriptSure is fully HIPAA compliant. ScriptSure Cloud ERX is the winner of the 2021, 2022 & 2023 Surescripts network White Coat Award for Most Accurate Prescriptions and a total 11-time award winner of this prestigious award.

Service Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status online, and receive remittance advice. Accepting standard ANSI formats, data entry, and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers.

RXNT's cloud-based integrated Electronic Health Records (EHR), software with E-Prescribing and Patient Portal optimizes patient treatment and streamlines workflows in practices of all sizes and specialties. Providers have access to the most current patient health information and prescription history from one database, accessible from any device. Integrated communications allows providers to share real-time clinical information with patients and clinicians, allowing for better care coordination. The use of "smart keys" and intake forms allows for customization and eliminates redundancy. Your practice will enjoy the Patient Check-In feature and integrated Electronic Prescribing. HIPAA compliant, ONC certified, EPCS-certified and meets MACRA/MIPS requirements. RXNT also offers Practice Management (PM), which includes Medical Billing, Scheduling, and standalone E-Prescribing. You can choose a solution by the piece with predictable pricing or you can implement our Full Suite for one, integrated platform.

Azalea is a leader in interoperable cloud-based healthcare services and solutions. Azalea's platform offers electronic health records with integrated telehealth functionality, revenue cycle management, and analytic software. Azalea's integrated platform is focused on customer success and can be used by all practices and hospitals ambulatory strategies. It instantly improves cash flow and clinical outcomes through care coordination innovation and revenue cycle performance.

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.

Cohere assists health plans in transforming their processes by integrating clinical intelligence, which facilitates comprehensive automation of prior authorization internally. Health plans can license Cohere's PaaS for intelligent prior authorization directly, allowing their utilization management teams to utilize it seamlessly. Consequently, client health plans experience notable improvements in administrative efficiency, alongside enhanced patient outcomes that are both quicker and more effective. Cohere offers a customized, modular solution suite specifically designed for health plans, streamlining all prior authorization requests into a cohesive, automated workflow. The platform automates decisions regarding prior authorizations based on the policies preferred by the health plans and accelerates the manual review process. It also aids clinical reviewers in handling complex requests with the help of responsible AI/ML and its automated features. By harnessing clinical intelligence through AI/ML and sophisticated analytics, Cohere enhances the performance of utilization management. Furthermore, it contributes to improved patient and population health outcomes through innovative programs tailored to specific specialties. This comprehensive approach positions Cohere as a leader in the health technology space, ensuring that health plans can meet their operational goals effectively.

Managing prior authorization has become an increasing challenge for healthcare providers. Our innovative solution, AuthParency™, utilizes artificial intelligence and machine learning to streamline this process. By implementing this state-of-the-art system, your team can significantly reduce the time spent on prior authorizations by 50%. Furthermore, it seamlessly integrates with all electronic health records (EHR) and practice management platforms. AuthParency is designed to assist in various ways: - Evaluating the tendencies of payers - Shortening the time patients wait for care - Enhancing overall patient health outcomes - Preventing financial losses from services that lack reimbursement - Identifying the burdens of financial toxicity - Analyzing health data across populations - Monitoring health disparities - Supporting pharmaceutical companies in their efforts

Southern Scripts streamlines the often complicated landscape of Pharmacy Benefit Managers by providing employer groups with unparalleled autonomy, control, and flexibility in designing their plans. Established by pharmacists, Southern Scripts stands out as a forward-thinking pharmacy benefits manager (PBM) that seeks to transform the conventional PBM model. Our unique pass-through PBM framework and adaptable solutions enable plan sponsors to maximize savings, minimize risk, and enhance flexibility in their plan design, fostering genuine patient-centered clinical care at the most affordable net cost. The plan sponsor only pays the exact amount that the pharmacy receives, while we ensure that all discounts and rebates obtained are fully passed on at 100% to the plan sponsor. There are no hidden fees for essential PBM services, including prior authorizations, step therapy, and data reporting. Our comprehensive clinical management programs and top-tier drug formularies are designed to provide the lowest net costs, safeguarding plans against unnecessary expenditures while promoting optimal patient health outcomes. Ultimately, the focus remains on delivering value and ensuring that plans are both efficient and effective in meeting their goals.

Utilize automation and advanced intelligence to tackle challenges related to patient access and the revenue cycle while enhancing reimbursements for the care provided. Even with the advancements in AI and automation streamlining patient access and revenue cycle operations, there remains a critical requirement for personnel skilled in revenue cycle management, clinical practices, and compliance to ensure that patients are financially vetted and that services rendered are billed and reimbursed correctly. We offer our clients a comprehensive combination of technology and team support, backed by extensive knowledge of the intricate reimbursement landscape. Drawing insights from billions of transactions processed for prominent healthcare providers and over 1,400 payers nationwide, our technology and team are uniquely equipped to deliver optimal results. Experience faster financial clearance for patients prior to receiving care with our patient access platform, which offers a holistic approach to eligibility verifications, benefit checks, patient payment estimates, and prior authorization approvals, all integrated into a single system. By streamlining these processes, we aim to enhance the overall efficiency of healthcare delivery and financial operations.

Veradigm AccelRx offers a complimentary, automated, all-encompassing solution designed to optimize the fulfillment of specialty medications for your patients. By reducing the time it takes to initiate therapy, this system can improve medication adherence and patient outcomes, while also minimizing the administrative burden of phone calls and faxes on your team. AccelRx integrates electronic enrollment, consent, prior authorization, and prescriptions into one seamless platform, enabling your practice to greatly decrease the fulfillment time for specialty drugs across all payers. With just a click, patient information is automatically filled in on enrollment forms and other necessary documents. This user-friendly platform serves as a transformative tool for managing specialty medications effectively. Furthermore, it enhances your ability to oversee a wide range of specialty drugs, including features for electronic prior authorization (ePA), all within your current electronic health record (EHR) system. This comprehensive approach not only streamlines processes but also supports better patient care and operational efficiency.

Easily and securely access a wide range of endpoints through a single API connection, eliminating the need to create individual solutions for various healthcare systems. This approach effectively bridges the divide between different systems, standards, and data sets, facilitating interoperability through a unified point of access. Consensus Harmony offers an array of universal healthcare APIs, cloud fax services, electronic signature tools, and connections to various EHR partners as well as other prominent industry cloud marketplaces. Users can enjoy versatile interoperability features that allow for seamless integration of digital faxing, secure messaging, patient record requests, e-signatures, and additional functionalities into essential workflows such as payments, prior authorizations, and referrals. By collaborating with community providers who are already integrated, you can enhance your capabilities and tap into new information networks. Our technology ensures that the method of communication remains flexible, allowing you to reach beyond traditional limits in your network. Embrace a future where connectivity and efficiency in healthcare communication are paramount.

Valer’s innovative technology streamlines and accelerates the processes of prior authorization and referral management by facilitating automated submissions, status checks, verifications, reporting, and EHR synchronization, all from a single platform that caters to mid-to-large-sized healthcare facilities, various specialties, and multiple payers. Designed to meet the specific needs of users, Valer stands out as a comprehensive solution that accommodates all specialties and payers, in contrast to generic products that often restrict specialties and service lines and lack automation for submissions. The platform's user-friendly interface boosts staff productivity, simplifies the training process, and monitors both staff and payer performance across diverse service lines, fostering an environment of ongoing enhancement. Valer goes beyond merely connecting with a handful of payers; it integrates seamlessly with all payers, ensuring compatibility across all specialties, service lines, and care environments, and provides real-time updates on payer rules to keep your operations current. With Valer, healthcare organizations can experience a revolutionary shift in how they manage prior authorizations and referrals, paving the way for improved efficiency and patient care outcomes.

We are dedicated to driving forward innovative approaches that cater to the needs of all healthcare stakeholders, aiming to enhance the speed of therapy delivery, minimize prescription abandonment rates, and foster better health outcomes for patients. Our commitment lies in dismantling barriers to healthcare access, whether that involves addressing prior authorization issues or increasing awareness of available support services. With healthcare costs reaching new heights, it is vital to assist patients in affording their prescribed treatments, especially in the context of high-deductible health plans, rising copays, and a lack of transparency. For many patients, maintaining adherence to their therapy can be the most challenging aspect of their healthcare experience, whether it involves understanding how to properly take medications or just remembering to do so at the appropriate times. Thus, it is crucial to tackle these adherence challenges with solutions that prioritize the needs of individuals first, ensuring they receive the support necessary to navigate their treatment journey successfully. By focusing on patient-centric strategies, we can create a more accessible and supportive healthcare environment for everyone involved.

Rhyme facilitates a smart integration between payers and providers within the prior authorization process, effectively reclaiming valuable time lost in repetitive communications and redirecting it to benefit the patient. While automating routine tasks is essential (and that's our focus), it doesn't stop there. In situations where the intricacies of clinical decision-making necessitate collaboration between payers and providers, Rhyme ensures your workflow remains streamlined, flexible, and efficient. We have developed the most extensive integrated prior authorization network, moving away from a fragmented system and fostering intelligent cooperation. Our platform boasts robust relationships and connections to EHRs, payers, and benefits managers, all seamlessly integrated. This means no frantic searches, no cumbersome screen-scraping, and no reliance on indirect information. We engage with providers and payers directly within their current systems and workflows, making connections straightforward so that we can adapt to your needs rather than forcing you to change. Prior authorizations are not just an ancillary feature of our platform; they are our core focus, ensuring that we excel in this area and provide exceptional service. By prioritizing these elements, we aim to transform the way prior authorizations are managed and enhance the overall experience for all parties involved.

PracticeAdmin Scheduling enhances patient engagement and minimizes no-show rates by delivering essential data right when you need it. Our innovative rules-based framework allows customization of preferences for various providers, whether you operate solo, manage a small to medium-sized organization, or oversee multiple locations. You have the flexibility to design unique scheduling templates for countless locations and automate patient reminder notifications. The billing component serves as a comprehensive solution for managing patient registrations, claims, and payments seamlessly. You can keep a meticulous record of all patient data and prior authorizations, ensuring that everything is organized. Additionally, it integrates smoothly with your EHR system, aiding in the maintenance of your Meaningful Use certification. Billing also alerts you to any claim errors before submission, allowing for expedient re-submission without penalties while you keep track of all EDI rejections effectively. This streamlined approach ultimately empowers healthcare providers to optimize their administrative tasks and enhance the overall patient experience.

Optimize your workflow by utilizing customizable templates and patient charts within a cloud-based EHR system designed to meet your specific requirements. Access a wide array of medical charting templates created by similar practices for enhanced efficiency. Effectively manage prescriptions, including those that are controlled or require prior authorization, while ensuring smooth communication with local pharmacies, labs, imaging centers, and other integrated tools within the EHR ecosystem. Select from more than 500 lab and imaging facilities to order tests and easily share results with patients. Benefit from versatile billing solutions provided by top industry partners to accelerate your payment process. Track your performance through insightful dashboards and effortlessly submit reporting data to CMS directly via your EHR system. Utilize customizable dashboards to monitor your progress on quality initiatives such as MIPS, while also taking advantage of comprehensive educational resources to help you understand the intricacies of quality measures. In addition, the platform offers ongoing support and updates to ensure you remain compliant with the latest healthcare standards.

Experience a streamlined workflow with real-time transactions integrated into current technology platforms. This approach enables providers and payers to cut down on time and effort by as much as 90% when it comes to benefits and utilization management. By eliminating the opaque nature of the existing benefits and utilization management system, confusion is significantly reduced for patients, providers, and payers alike. With self-learning automation and fewer clicks required, more time can be dedicated to patient care, allowing providers and payers to concentrate on what truly matters. Myndshft addresses the complexities of multiple point solutions by offering a cohesive, end-to-end platform that facilitates immediate interactions among payers, providers, and patients. The platform not only dynamically updates its automated workflows and rules engines based on real-time feedback from provider-payer interactions but also continually adapts to the specific rules utilized by payers. As usage increases, the system becomes increasingly intelligent, drawing from a comprehensive library of thousands of regularly updated rules tailored for national, state, and regional payers, thereby enhancing efficiency and effectiveness in the healthcare landscape. Ultimately, as the technology evolves, it fosters an environment where care delivery can be optimized, benefiting all stakeholders involved.

Waystar offers market-leading technology that streamlines and unifies revenue cycle. Their cloud-based platform streamlines workflows, improves financials for all healthcare providers and provides more transparency to the patient's financial experience. Waystar has been ranked best in KLAS for Claims & Clearinghouse every year since 2010. It has also received #1 rankings in Black Book™, surveys since 2012, and the Frost & Sullivan North America Customer Valu Leadership Award for ambulatory RCM service in 2019. Waystar is used by over 450,000 providers, 750 hospitals and 5,000 plans. It integrates with all major HIS/PM systems. Waystar.com and @waystar on Twitter provide more information.

MDToolbox-Rx is a renowned electronic prescription writing solution that is both certified and award-winning, capable of operating independently or in conjunction with your existing office software. This e-prescribing platform is designed to be highly customizable and user-friendly, enabling users to effortlessly choose medications, access drug information, and swiftly create and transmit prescriptions electronically. Certified for e-Prescribing, Eligibility verification, Formulary checks, EPCS (e-Prescribing of Controlled Substances), and Electronic Prior Authorization, MDToolbox-Rx ensures a comprehensive approach to medication management. Users can search an extensive drug database by various criteria, including name, nickname, generic or brand classification, prescription status, over-the-counter status, drug class, or medical indication. By streamlining workflows, this software significantly boosts productivity by reducing the number of pharmacy calls and minimizing the time required for prescription renewals. Overall, MDToolbox-Rx enhances the efficiency of the prescribing process, making it an essential tool for healthcare providers.

The iMed e-Rx electronic prescription platform is available starting at $43 per month, allowing users to generate both legend and EPCS compliant prescriptions, and it holds certification for e-Prescribing across all states. In addition to its electronic prior authorization and formulary support features, the software offers significant advantages such as checks for drug-drug interactions, allergies, and disease interactions. Other noteworthy features include a regularly updated database of pharmacies, drug therapy monitoring capabilities, and continuous 24/7 oversight of prescription deliveries, ensuring a comprehensive solution for healthcare providers. With these capabilities, iMed e-Rx stands out as a robust tool for efficient and safe prescribing practices.

Logix runs in the background and completes tedious but important workflow tasks such as refill requests, prior authorizations refill too soons, refill too quicklys, fax escalates, and documentation for phone calls. Other tasks like email and fax can also be automated. You can also reduce human error in repetitive tasks. You can also create notifications to ensure you don't forget anything and allow you to redirect your time to better serve patients. Every click and keystroke counts! Logix processes can be used to reduce document handling and processing times by an average 1-4 minutes per document. Logix can be used with DocuTrack to help reduce keystrokes and improve efficiency for your pharmacy staff. For some processes, you can reduce the number of keystrokes required to complete a process by as much as 80. Logix can help you save up to 80 keystrokes per process. You can use the calculator to see for yourself.

MedicsRIS is an all-encompassing radiology information system designed to enable radiologists to efficiently oversee their practice and ensure proper payment for each diagnostic examination. Created by Advanced Data Systems, this innovative platform allows for the seamless integration of orders from referring physicians' stage 2 certified electronic medical records (EMR) without the need for expensive HL7 interfaces, thereby helping users take advantage of incentives while steering clear of penalties. Among the core features that enhance operational efficiency are a dedicated portal for referring physicians, automated billing with EDI, multi-modality scheduling, insurance eligibility checks, mammography tracking, and additional functionalities. Furthermore, MedicsRIS provides access to a qualified Clinical Decision Support (CDS) option through its portal for referring physicians and radiology departments that lack their own qualified Clinical Decision Support Mechanism (qCDSM). If the manual process of obtaining prior authorizations has been a challenge, our automated prior authorization feature offers a solution by facilitating this task online directly within the MedicsRIS system, thereby streamlining workflows and saving valuable time. Ultimately, the integration of these features aims to enhance the overall efficiency of radiology practices.

MediFusion offers a comprehensive suite of software that delivers cutting-edge EHR and medical billing solutions aimed at optimizing clinical, administrative, and financial functions within healthcare practices. Our dedicated team is always just a phone call away to provide continuous EHR training and support whenever you require assistance. Accelerate your clinical workflows and streamline your operations with our all-in-one integrated solution. This system effectively oversees the entire revenue cycle, encompassing everything from Eligibility Verification to Claim Processing and ensuring timely payments. Our cloud-based Electronic Health Record (EHR) software serves as a scalable and integrated solution, empowering your practice to enhance the quality of care delivered to patients. Designed for ease of use, this web-based EHR platform allows you to document, access, and monitor your clinical and financial data from any internet-enabled device, regardless of your location, ensuring you remain connected and efficient in your practice.

Medical necessity denials represent a significant financial burden for healthcare providers, incurring costs that can reach into the millions annually due to write-offs, along with the expensive labor involved in investigating and contesting these denials while addressing patient inquiries. Conversely, payers also face similar challenges in the claims management process, as they incur expenses from covering unnecessary medical procedures and treatments, as well as the resources dedicated to handling denial appeals, all of which do not contribute to better patient outcomes. Additionally, patients may suffer from excessive copays and other out-of-pocket expenses, coupled with a frustrating healthcare experience due to charges and services that are not warranted. To combat these issues, the ABN Assistant™ from Vālenz® Assurance equips providers with essential prior authorization tools to confirm medical necessity, generate Medicare-compliant Advanced Beneficiary Notices (ABNs) that include estimated costs, and effectively prevent over 90 percent of medical necessity denials by ensuring that the necessity is validated before any care is administered to the patient. By utilizing this system, providers can enhance their financial stability while improving patient satisfaction and care efficiency.

Benchmark PM transforms patient engagement, covering everything from initial intake to final encounter. Key features include streamlined patient onboarding, hassle-free appointment scheduling, customizable reminders, comprehensive reporting, and user-friendly dashboards. On the billing side, Benchmark PM offers integrated claims management, a connected clearinghouse, electronic billing, insurance verification, and a versatile payment portal, simplifying the entire process. Benchmark Solutions provides a complete management solution for healthcare practices with Benchmark EHR software, Benchmark PM software, and Benchmark RCM services. This robust electronic toolset streamlines daily operations, boosts revenue, and enhances the patient experience. Each component of the Benchmark Solutions' suite is modular, ensuring easy integration with your existing systems. With Benchmark Solutions, you can focus on delivering high-quality care while we take care of the operational and administrative aspects, ensuring your practice runs smoothly and efficiently.

Utilizing our cutting-edge, cloud-driven technology platform, XIFIN RPM offers a robust and highly automated Revenue Cycle Management solution that enhances efficiency, streamlines medical billing processes, boosts cash collection, and elevates financial precision. Diagnostic providers require financial management solutions that not only enhance cash collection but also offer insight and control over their financial operations while ensuring connectivity both internally and externally. As the demands on these providers grow more intricate, traditional billing systems often fall short, lacking the necessary financial and referential integrity to provide precise and verifiable data. Consequently, it is essential for these providers to have a technology framework grounded in solid financial and accounting principles, granting comprehensive visibility into the financial status of each diagnostic activity throughout every phase, from the submission of orders to the final payment. This approach ensures that providers can navigate the complexities of revenue management with confidence and clarity.

The GuidingCare solution suite offers user-friendly, state-of-the-art tools for data integration and workflow management, designed to enhance the implementation of a person-centered, evidence-based Care Management strategy for various populations. Its advanced features in data analytics, workflow oversight, care coordination, and reporting empower organizations to effectively serve specific groups while ensuring compliance throughout the process. By utilizing GuidingCare, you can optimize coordination across the entire care spectrum, efficiently manage both clinical and behavioral health requirements, automate planning for care and services, and accurately identify and address high-risk populations, thus delivering comprehensive care. Additionally, the suite fosters improved outcomes within a fully integrated, patient-centric ecosystem focused on value-based care. Ultimately, GuidingCare positions your organization to achieve both operational excellence and enhanced patient satisfaction.

Transform your healthcare experience with the revolutionary Soliton® AI, which is powered by 30,000 evidence-based rules and advanced machine learning techniques. By automating various healthcare and care management functions, Soliton® equips you with the tools necessary to thrive in a value-based care environment, offering unmatched capabilities. It efficiently analyzes vast amounts of patient data in real-time, leading to enhancements in both clinical outcomes and financial performance, while also supporting a range of Alternative Payment Models (APMs). The solution boosts the effectiveness of telehealth by forecasting billable codes during patient interactions and predicting future healthcare costs through sophisticated risk stratification models. Furthermore, it provides timely clinical decision support to assist in managing intricate patient populations. Soliton® optimizes the patient journey, facilitating seamless transitions from acute to post-acute care through AI-driven care coordination. Moreover, it identifies care gaps, uncovers service and coding opportunities, and generates tailored patient assessments and personalized care plans, while also enabling the creation of custom cohorts for targeted interventions. As a result, Soliton® not only enhances operational efficiency but also elevates the overall quality of patient care.

Reinvented for modern healthcare professionals, DynaMed merges top-tier evidence-based resources, expert insights, and a tailored, intuitive interface to deliver swift and precise answers right where they are needed. Clinicians benefit from timely updates that can transform practice, ensuring they always access the most reliable evidence available. It is essential for healthcare providers to feel fully assured about the data they utilize for patient diagnosis and management. DynaMed fosters this confidence in clinical decision-making by utilizing a stringent, seven-step evidence-based framework, continuous systematic literature monitoring with daily updates, and expert analysis that enhances and elucidates the evidence. When faced with questions during patient care, clinicians require immediate responses to maintain effective treatment. Furthermore, DynaMed enhances its usability with advanced search capabilities, offering direct links to primary literature with a single click, making it an indispensable tool in clinical settings. This dynamic platform not only streamlines the retrieval of critical information but also empowers clinicians to deliver superior patient outcomes.

Leverage cutting-edge cloud analytics and data science technologies to examine healthcare data and create innovative AI applications. Develop evidence-based care models that can enhance patient experiences while also boosting clinician satisfaction. Furthermore, aim to lower healthcare costs and improve overall population health outcomes. The Oracle Autonomous Data Warehouse simplifies the complexities associated with managing a data warehouse and creating data-driven applications, addressing critical aspects such as database management and security. You can effortlessly store, manage, and utilize your data through a fully integrated suite of data ingestion, preparation, and machine learning (ML) tools. Transform your insights into actionable evidence-based care and precision medicine frameworks. Equip executives, analysts, and IT personnel with the ability to access business intelligence from any location, whether in an office setting or at healthcare facilities. Accelerate your analytical processes with automated data preparation and embedded ML capabilities, ensuring a streamlined approach to data-driven decision-making. By utilizing these resources effectively, organizations can foster a culture of continuous improvement in healthcare delivery.

EHR 24/7 by Office Ally empowers more than 20,000 users with efficient patient care management. It has charting, real-time data, customizable forms, and integrations for patient intake and e-prescription solutions. With no implementation needed, healthcare providers can use EHR 24/7 to treat and document patients today.

Our innovative solutions significantly reduce operational costs and risks while simultaneously improving patient care and increasing profits for our clients. With a wealth of experience in the healthcare sector, we adhere to software development best practices to create tailored solutions for clinics, medical practices, hospitals, third-party administrators, and billing clearinghouses. In today’s healthcare landscape, the sheer volume of clinical and financial data can be daunting, often characterized by poor organization and accessibility that hinders effective analysis. To tackle these challenges, we introduce Intelli-Health, an advanced business intelligence (BI) technology specifically designed to streamline data access and analysis. Harnessing the power to analyze extensive datasets, both clinical and financial, allows organizations to engage in more informed, evidence-based decision-making. Furthermore, Intelli-Health transforms complex information into visual formats, enabling healthcare systems to make strategic choices backed by clear data insights. Additionally, Biz Technology Solutions, Inc. offers a range of electronic medical claim processing solutions that comply with HIPAA EDI X12 industry standards, ensuring optimal efficiency and security in healthcare transactions. These comprehensive services not only facilitate smoother operations but also enhance the overall quality of care delivered to patients.

The Bookend Healthcare AI Agent platform enhances administrative efficiency across all stages, from patient care to payment processing. By simplifying intricate prior authorization procedures, it relieves healthcare providers from labor-intensive tasks and minimizes expensive denials. Through automation, we enable an increase in operational efficiency, expedite revenue cycles, and significantly enhance patient outcomes. Our sophisticated agents evaluate patient information, interpret insurance policies, and compile essential details for precise and prompt submissions, which leads to elevated approval rates and quicker reimbursements. Additionally, our AI-driven platform transforms the healthcare landscape by streamlining the creation and implementation of tailored care plans. We assist healthcare providers in proactively recognizing evidence-based interventions that optimize patient outcomes while simultaneously lowering costs. Moreover, this platform equips clinicians with the tools to make informed decisions based on data, thereby raising the quality of care and boosting patient satisfaction levels, ultimately fostering a more effective healthcare system.

Practice Mate by Office Ally is a comprehensive HIPAA-compliant practice management solution used by over 25,000 healthcare organizations. Its user-friendly interface simplifies revenue cycle and billing management and streamlines booking to increase administrative workflow efficiency. It seamlessly integrates with other Office Ally solutions to provide patient intake, reminders, and e-prescriptions. You can get started today at no cost, commitment, or implementation to reduce administrative tasks, enhance job satisfaction, and improve the overall patient experience.

Provide your healthcare staff with advanced clinical-decision support software that removes uncertainty in capacity management throughout the entire hospital. This evidence-driven tool aids your facility in enhancing bed turnover rates while simultaneously elevating the patient experience. By utilizing the potential of predictive analytics and more reliable data, your team can significantly improve care coordination as well as patient satisfaction. The bed management system offers care teams a clear view of each patient's progress and facilitates effective management of bed demand and capacity, whether within a single hospital or across multiple locations in a healthcare network. Equip your physicians, nurses, and clinicians with software that diminishes clinical biases and standardizes the process of data collection. Medworxx not only produces predictive analytics but also harnesses data to foresee trends, providing healthcare workers with more insightful information. Ultimately, this technology fosters a more organized and informed approach to patient care, enhancing the overall efficiency of hospital operations.

Physimax streamlines the assessment process with instant set-up, an 8-minute professional evaluation, and immediate feedback, making it a valuable time-saver for both staff and athletes. Its automated screening system guarantees uniform scores, irrespective of the assessor's expertise or prior experience, thereby removing barriers to implementation. With an extensive array of automated, evidence-based functional movement tests, Physimax provides comprehensive analytics that can significantly aid in preventing injuries and enhancing athletic performance. Scores for athletes are benchmarked against norms for their specific level, ensuring the utmost precision in results. Whether you are participating in an away game or conducting evaluations at a remote location, Physimax’s portable solution enables automated movement assessments to be performed whenever and wherever needed. Proven to efficiently evaluate hundreds of individuals in just a matter of hours, Physimax emerges as the premier choice for colleges, youth training programs, and tactical teams. This innovative approach to assessment not only enhances performance but also contributes to the overall health and safety of athletes.

Apollo Root Cause Analysis™ is a method grounded in principles that aids individuals in mastering effective strategies for problem-solving. When paired with the RC Pro® software, it enables the development of a comprehensive, evidence-based comprehension of any issue encountered. Such an understanding of the root causes and their effects fosters solutions that gain acceptance across the entire organization. The Apollo Root Cause Analysis™ approach promotes the establishment of a shared understanding through collaboration with all relevant stakeholders, resulting in a solid evidence-based perspective on the problem at hand. This methodology guarantees that the solutions implemented tackle verified causes, thereby minimizing the chances of future occurrences. It simplifies the problem-solving process and equips trained individuals with the necessary skills to tackle real-world challenges more efficiently and effectively. Additionally, RC Pro serves as a versatile root cause analysis software solution that can be customized for businesses of any scale and in various sectors. By utilizing RC Pro, organizations can enhance and integrate their problem-solving capabilities, leading to improved outcomes. Ultimately, this synergy between Apollo Root Cause Analysis™ and RC Pro empowers teams to create lasting solutions that foster continuous improvement.

Community corrections officers dedicate their efforts daily to minimizing recidivism, safeguarding the public, and enhancing client results. However, the absence of cohesive technology, coupled with the intricate nature of implementing and assessing evidence-based practices, often hinders officers from concentrating on their primary focus: the clients they serve. To address this issue, we developed SCRAM Nexus, the pioneering decision support software that enriches case management systems and assists officers in navigating their daily tasks while consistently applying evidence-based strategies. By facilitating dynamic supervision planning and tracking, clients are seamlessly referred to necessary treatment and monitoring services, which empowers officers to effectively manage varied caseloads and optimize their time and resources. Furthermore, Nexus continuously analyzes client data, providing tailored recommendations for incentives and sanctions that align with each client’s unique risk and needs, ultimately demonstrated to yield the most favorable outcomes. This innovative approach not only supports the officers but also enhances the overall effectiveness of community corrections as a whole.

Jvion transcends conventional predictive analytics by uncovering concealed patient risks associated with various diseases and clinical scenarios while also assessing whether those risk patterns can be redirected toward more favorable outcomes. Utilizing our prescriptive AI, we offer tailored recommendations for individual patients by considering a range of factors, including clinical, socioeconomic, and behavioral data, along with established best practices. With this insightful information, healthcare organizations are empowered to enhance quality, reduce costs, and elevate the overall patient experience. We analyze a wide array of clinical, socioeconomic, environmental, and behavioral data to uncover hidden health and financial vulnerabilities. By evaluating modifiable patient characteristics, we can formulate targeted action plans for each individual. Our approach delivers evidence-backed, prioritized, and patient-specific recommendations that seamlessly align with existing workflows. In light of the ongoing pandemic, the concept of home care has gained renewed significance, as many patients now prefer to seek treatment at home to minimize the risk of exposure to Covid-19 and other illnesses. This shift underscores the necessity for innovative healthcare solutions that cater to the evolving needs of patients in a post-pandemic world.

DynaMedex merges the clinical acumen and meticulously curated disease information from DynaMed with the thorough overview of treatment options, expansive drug data, and AI-driven search functionalities of Micromedex. It equips users with evidence-based insights that facilitate superior clinical decision-making and enhance patient outcomes. Clinicians utilizing DynaMedex can effortlessly search, browse, and stay updated on the topics and specialties that are most relevant to their practice, receiving both quick responses and comprehensive insights into their drug inquiries. Delve into this innovative tool and discover how it fosters improved clinical decision-making. Users can swiftly obtain answers to their drug-related questions through intuitive and conversational search features. The "Ask Watson" assistant employs artificial intelligence to streamline access to drug information, eliminating the need for traditional keyword searches in favor of natural language queries, allowing users to communicate in their own words and receive the information they seek efficiently. This seamless integration of AI technology not only saves time but also empowers healthcare professionals to make informed decisions with greater ease.

Enhance your revenue in clinical research by pinpointing deficiencies in clinical care. CliniWorks’ AccelInsight™ Analytics Application facilitates Population Health Management through data-driven clinical decision-making, offering insightful reports and tools that reveal care gaps across various disease areas. With AccelInsight™, healthcare professionals can access customized, near-real-time analytics derived from extensive structured and unstructured datasets, including patient medical records and other sources, to uncover evidence-based opportunities for quality improvement, risk stratification, gap analysis, and effective care management. Additionally, AccelCare™ empowers healthcare providers to swiftly establish preferred intervention plans based on best-practice protocols, align patient cases from medical records with established medical guidelines and workflows, and trigger immediate corrective workflows alongside real-time alerts and information dissemination to quality assurance teams, management, and providers. This comprehensive approach not only enhances patient outcomes but also improves overall efficiency in healthcare delivery.

Healthcare providers can get fast-track clinical decision support. Micromedex solutions make it easy to access evidence-based clinical information. Every day, healthcare providers perform vital work. To make the best decisions regarding patient care, healthcare providers need quick access to evidence-based clinical support systems. Merative provides solutions that provide the entire care team, including pharmacists and physicians, with the information they need to make informed medical decision at the point-of-care: DynaMedex™ and Micromedex®. The clinician has access to drug and disease information. A process of accreditation has verified that the information and guidelines are impartial and evidence-based. A dedicated team of editors continuously reviews and updates clinical content. EHR integration, mobile access and personalization allow for quick access to information. Micromedex was established in 1973 and has been a leader in providing evidence-based clinical decision support since then.

By integrating data science with a focus on human needs, we aim to enhance aging experiences for both families and insurance providers. As individuals face declining health and functionality with advancing age, the financial implications can be significant for families, insurers, and society overall. Promoting successful aging can help prevent or slow this decline, enabling seniors to maintain their dignity, autonomy, and the ability to remain in their cherished homes. Our approach is informed by a deep understanding of whom to assist, when to intervene, and the most effective methods to employ, relying on evidence-based strategies that have demonstrated effectiveness in managing population health. We facilitate successful aging by harnessing our innovative patent-pending technology along with a compassionate, human-centric framework. This system pinpoints the ideal moments and necessary frequency for interventions to avert further decline associated with aging. Moreover, we conduct analyses of policy blocks to enhance the impact of interventions and boost return on investment at the block level. Ultimately, we empower individuals to achieve their personal goals regarding where and how they choose to age, ensuring they are supported every step of the way.

The well-being of your organization is intrinsically linked to the health of its workforce. By harnessing the strengths of integrated data—ranging from consumer behavior and pharmacy information to clinical insights and financial metrics—we can identify both population-level and individual opportunities for enhancement. This is the essence of CareEngine technology. Our approach involves translating and analyzing this wealth of information through evidence-based clinical analytics that have been peer-reviewed, enabling us to pinpoint areas for care improvement. We focus on identifying programs, creating a cohesive digital experience, and providing actionable insights for both coaches and clinicians, ensuring that members receive prioritized health interventions. Our ability to integrate with provider EMR systems and offer Care ConsiderationSM alerts empowers healthcare providers. We have a particular expertise in reaching out to and supporting disengaged and vulnerable members who face a multitude of medical, behavioral, and social challenges. This positions us uniquely to make a significant impact on both health outcomes and healthcare costs. Furthermore, ActiveHealth has maintained full accreditation from URAC in health utilization management since 1992, underscoring our commitment to excellence in this field. Our dedication to innovation and quality care continues to drive us forward.

Doctors enter the medical profession without the intention of mastering coding practices. We are revolutionizing the revenue cycle's future through autonomous coding driven by artificial intelligence. Our platform is currently utilized by over a dozen leading healthcare organizations and systems, encompassing more than 200 hospitals and 50,000 healthcare providers. CodaMetrix’s advanced coding AI system effectively converts clinical data into precise medical codes essential for patient care and the revenue cycle, accommodating both fee-for-service and value-based care frameworks. The automation process is seamless, transparent, and fully traceable. By utilizing CodaMetrix's innovative, multi-specialty autonomous medical coding platform, we harness AI to continuously analyze and utilize clinical evidence found in electronic health records. Our system autonomously converts clinical notes into billing codes that fulfill coding standards, ensuring that claims accurately reflect the intricate and comprehensive nature of each patient’s care episode, significantly alleviating the burden on human coders while enhancing efficiency. As a result, healthcare providers can focus more on patient care instead of administrative tasks.