Best Healthcare Payer Care Management Workflow Applications in Africa

Sentact's digital, enterprise wide rounding solutions allow hospitals to create safer environments, increase patient engagement and improve overall quality of care. Our industry-leading platform improves caregiver and patient satisfaction, safety, and quality. It offers a wide range of tools that automate rounding and deliver improvements in patient experience. Sentact is a platform that helps health systems manage patient engagement and improve patient outcomes. It also reduces costs and increases reimbursement.

Medinous is a web-enabled, fully integrated Hospital Management System that can be used by large and mid-sized hospitals and clinics. It was designed for simplified operations, superior patient care, and increased administration & control. Our goal is to integrate and automate your entire hospital's process flow, including clinical areas, support functions, finance, supply chain, administrative, and billing functions. We facilitate quick integrations to PACS, Lab/Medical Equipment, Drug Databases, and Payer Connections for ease of use.

A hospital management system can be used to automate any hospital activity, rather than a traditional system. This system can also manage regular hospital activities such as IPD, OPD billing, test management, account sector management, HR management, and bill management. It is accurate and efficient. It also generates daily, weekly and monthly reports on sales, revenue, patients as well as lab tests, bed management, and so forth. You can easily customize the reports to suit your needs. Click on the following options to view these reports. The most important thing about the software is that admins can view all employees. A messaging platform allows employees to communicate with one another. Clinic management software allows you to stay on top of trends and also allows you to manage your business digitally.

Our cloud-based software does more than just focus on IT functions in healthcare institutions. It also delivers a holistic, end-to-end solution that empowers all parties. It simplifies the day-to-day operations of all healthcare institutions and provides enhanced administrative control. This helps to ensure better care delivery and increased patient satisfaction. Fully integrated hospital information management system that optimises patient care. A cloud-based, powerful, and simple-to-use Path-Lab Management System that integrates the latest technology tools. This system is designed to meet all operational requirements for providing comprehensive pharmacy services. This system is designed to increase your profitability, empower you, and give you complete control over clinic operations. Practo's network will help you increase your revenue and improve the patient experience while minimizing your costs.

Cardio Server makes multi-modality and multivendor diagnostic test management easy and fast. Flexible workflow solutions are available for healthcare organizations, including critical access hospitals, large university medical centers, and/or integrated distribution networks. Cardio Server Mobile allows you to edit and confirm from any iOS smart device. Cardio Server automatically recognizes each user when they log in and posts their favorites. Different interpretation methods can be customized per modality and per physician. Use one interface to integrate multiple interfaces. An application that is hardware independent and runs on your network server in your domain. Use the best tools for backup, disaster recovery and updates, as well as anti-virus programs.

Multi-activity and multi-establishment (MCO, SSR and PSY, HAD), hospital manager solutions form the solid foundation of a comprehensive and transversal information network dedicated to health establishments. It can also be broken down into business modules to suit each individual's needs. hospital manager responds to the organizational and strategic challenges of all health establishments: pooling of structures and resources to manage multi-establishments, population basins and "good practice" repositories. Information exchange between inter-hospital and extrahospital structures, as well as city medicine. A comprehensive, multi-institutional general medical summary is consolidated to ensure quality and timely support. Monitoring and continuous measurement tools to measure the availability rate (monthly reports) including application response times.

This powerful tool allows you to practice medicine anywhere and anytime. The athenaOne mobile application allows you to do meaningful clinical work wherever and whenever you want. Access patient records to create and sign orders, respond and prepare for exams, and to document them. The app allows you to catch up on work or get ahead of it during your free time. You can log in to the app with touch or face ID to see a quick overview of your day. You can view your schedule, see the patients you have prepared for, and manage your inbox. With customizable patient summaries, it takes just a few minutes to get up-to date on the patient's history. To review all that has happened since their last visit, you can access full charts. Access the clinical inbox for critical work from anywhere and at any time. AthenaClinicals makes it easy to create and sign orders, view test results and respond to patient cases.

Many doctors who could refer them to your home health services aren't aware of the patients who need them. This is likely because your sales and marketing teams don't see 75% of Medicare claims related to office visits. Demonstrate your ability reduce costs and improve patient outcomes. Home Health Agency A can quickly show how it performs better than Home Health Agency B in terms of hospitalization and readmission rates. Marketscape for Home Health allows you to redefine your marketing and sales strategy in order to focus on high-potential facility and physician referral sources. Our innovative technology and support allow you to quickly evaluate how you rank against your peers in terms of hospital and readmission rates as well as diagnostic category, acuity level and time to care.

Health Catalyst, a leader in data and analytics technology for healthcare organizations, is committed to being the catalyst of massive, measurable, data informed healthcare improvement.

It is an important mission to provide compassionate, high-quality care in rural and other critical access areas. Your patients look up to you at every stage of their lives. As the only provider in your community, you must be available with the right information and tools to make a difference. Paragon, an integrated ambulatory and acute electronic health record (EHR), is ideal for rural and community hospital IDNs and single IDNs. Paragon provides clinicians with clinical information and decision support tools right at the point-of-care, improving their satisfaction. Paragon offers workflow intelligence guides that enable clinicians to quickly locate patient information and present the right information at the appropriate time for better efficiency and care delivery. Paragon users have a track record of helping them stay ahead of healthcare reform, regulatory mandates, pay for performance, and other realities in today's changing healthcare system.

Connecting healthcare organizations and streamlining interoperability for improved outcomes and operations. The Infor Cloverleaf®, Integration Suite software facilitates the exchange and management of clinical data, which can help improve healthcare outcomes as well as business operations. The software allows healthcare organizations solve complex interoperability problems securely and at scale using the most recent standards (including FHIR®, HL7®, etc). Cloverleaf is the clinical integration platform for healthcare providers, ACOs and laboratories, as well as application and medical device manufacturers (ISVs) and OEMs. The platform supports virtualization for private or public cloud implementations and leverages the best fail-over and availability mechanisms. Cloverleaf scales to accommodate healthcare organizations of all sizes, while offering multiple options for interoperability architectures.

CORTEX, a new category of utilization software, offers a 360deg approach for addressing the intricacies revenue cycle and utilization management. CORTEX is powered by real-time predictive analytics, machine learning engine, and ensures that the right cases get handled at the right moment, by the right staff, or by exception. CORTEX integrates precision medicine on the basis of evidence-based medicine. Machine learning models are able to assess your patient population in real-time. Our analytics have been used in hospitals and health plans across America. CORTEX automates inpatient determinations for cases that meet your specific threshold, providing clear inpatient cases. CORTEX gives your staff the information they need to make a solid determination in difficult cases. This approach is a great value for both payers and providers.

Mosaic gives you unparalleled visibility into market-wide performance metrics for all provider types. This allows you to evaluate risk before you take it on and optimize relationships to thrive in today's value-based healthcare landscape. You can't build and maintain a winning network if you have an underperforming partner. Find out what you can do to close the gaps and take advantage of opportunities. Specific goals can be achieved, such as the creation of preferred provider groups or adding provider types. Collaborate with providers in order to improve quality, utilization, cost, and cost. Lower total cost of care and improve patient outcomes.

Fully managed platform uses best-in-class cloud technology to modernize the healthcare data ecosystem, ensure interoperability, lower total cost of ownership, and deliver scale and flexibility. Abacus Insights' customer-centric focus and concierge data management services reduce the need for change management. This allows you to concentrate on developing rich analytic capabilities that help you achieve your business objectives. The platform's Unified Data Foundation secures healthcare data quality by standardization. This allows for seamless distribution of on demand data to end-users. Experts in healthcare to improve the way your data is managed. This service accelerates the development of enterprise data warehouses, operational data stores, and data lakes. It also provides peace of mind with experts who can help business users.

Processing claims from Medicare, Medicaid, and all commercial payers will increase your company's cash flow. Automated processing of all payer claims from anywhere and at any time ensures that your claims are processed quickly and paid out. You can submit and track your claims automatically from anywhere with real-time status updates. A dedicated account manager is assigned to you, who is a certified healthcare claims manager. You even have their mobile number. Our automated, anytime, anywhere claims process allows you to diversify your revenue streams and improve your cashflow. You have complete visibility to all electronic funds transfers (EFT) as well as payment projections. Track, process and fix claims in real time to maximize your revenue and eliminate costly, time-consuming processes. Automate Medicare eligibility verification, claims processing.

AyusLab, a cloud-based LIMS software, was created to encourage diagnostic business through better customer engagement, quality control, and faster service. This LIMS software has been designed to increase revenue and provide quality service. It is a LIMS platform that allows you to retain loyal customers and accelerate your business. You can also use its business intelligence to plan, analyze, and improve your lab-based operations every day. AyusLab LIMS allows you to quickly analyze and view your business performance in real-time. You will also have a detailed view of your finances, billing, receipts, and other information. It also allows you to monitor your quality control, inventory and NABL compliance.

Acuity Advanced Care™ is a population health platform on-premise that supports the specific needs of programs for managing population health, utilization, diseases, and cases. The system is configurable and allows organizations to take full control of their environment. Over 90% of Acuity Advanced's clients are NCQA, URAC or both accredited. Acuity Advanced Care offers the flexibility of on-premise and full database access. On-premise installation allows you to control where your data is stored. Customers with IT teams who are experienced in the setup, security, and maintenance complex systems. Chordline Health, the leading provider of health plan software, TPAs and ACOs as well as other risk-bearing organisations, is the leader in this field. The US-based Chordline team is recognized for its best-in class managed care expertise and excellent customer service.

CoverSelf’s healthcare-specific next-gen cloud-native and customizable claims accuracy platform was built from the ground-up using modern software development methods. It enables users to achieve long-term success through its ability to adapt to dynamic, ever-changing claims and payment inaccuracies while reducing administrative costs and complexities. This platform gives all partners who are working to reduce claims inaccuracies and administrative waste access, allowing them to build, customize, innovate & release faster. CoverSelf's Payment Integrity Platform uses modern technologies to address payment inaccuracies & leakage while remaining transparent and accessible to payers. This platform is designed to accelerate innovation and create new scenarios and data mining algorithms. It also helps innovating products and expediting customization. Claims are automatically corrected and processed, so there is no need for additional human effort or intervention.

symplr's provider credentialing software creates a single source for data on providers, reduces turnaround times and shortens revenue cycle, all while prioritizing the safety of patients. Symplr's Provider Credentialing Software makes data collection, secure access, report generation, and ongoing compliance easier for providers, credentialing personnel, and internal approval panels. Our customers report a reduction of 20% in credentialing timelines and a 50% reduction in meetings with committees. In one automated, user friendly hub, you can collect, verify, store and share documents and data related to the provider lifecycle. This will save time and reduce costs. You can easily enroll payers with providers and track applications step-bystep using the built-in module. Automate the collection of data from hundreds primary sources, including DEA, SAM and NPDB.

Accelerate payment and reduce administrative burdens. Our claims management solutions, which have a network of 8,000+ payers and a long-standing partnership with 650+ practice managers, can lead to fewer pending cases and less manual intervention. Transmit professional, institutional dental, workers compensation, and other claims quickly and accurately for fast reimbursement. Provide a simple and seamless financial experience to meet the shift towards healthcare consumerism. Our patient engagement solutions enable you to have informed discussions about eligibility and financial responsibility, while reducing obstacles that could impact patient outcomes.

LGI RPA, formerly Boston WorkStation, helps hospitals and health systems fill the gaps left behind by system vendors that don't deliver interoperability promises. This leaves providers and staff struggling with time-consuming manual processes. It is a flexible client-to-client solution that can be configured to fit your workflow and business constraints. It's time for you to look at your processes and bottlenecks and consider how you can automate them. LGI RPA, formerly Boston WorkStation, is a digital assistant that works alongside humans 24/7/365 to complete tasks, ensure accuracy, and eliminate the workflow issues caused by manual data entry. It's more than just an automation tool. It's also a workflow improvement system that identifies errors and prevents them from happening.

The GuidingCare suite of solutions provides easy-to use, next-generation tools for data integration and workflows management that will help you operationalize a person-centered, evidence-based Care Management strategy. Its sophisticated data analysis, workflow management, reporting, and care coordination capabilities allow your organization to better serve and maintain compliance with targeted populations. GuidingCare allows you to streamline coordination across care spectrums, manage clinical and behavioral needs, automate service planning and care, and identify high-risk populations. Drive superior outcomes with a fully integrated, value-based and patient-centric ecosystem.

Clarity Multi Medical is a SaaS-based technology that enables companies to work more efficiently and scale up at lower costs. Clarity's business process reengineering delivers automation, streamlining and process control, which translates to less administration and fewer managers needed for each new site. Clarity Multi Medical is a powerful technology backbone that can be used across the business. Staff can focus on building strong relationships and improving patient outcomes when technology is supporting the business. Clarity Multi Medical is not just a great piece of software; it's also backed by a team of highly experienced and passionate professionals. Our team includes Implementation specialists, Trainers who have industry experience, as well as Strategy Consultants. They will guide you in how to configure and use Clarity Software to best suit your business environment.

You can easily get an overview of all your clients using a user-friendly dashboard that includes encounters and core service encounters. It also includes segments, claims and billable statuses. Care Managers are able to track progress when addressing gaps within member care. Link these files to care plans directly for efficient tracking and report. Send data from claims and documentation directly to MAPP HHTS. Enjoy the best-in class MAPP sync, and customer support. The system will automatically handle Health Home billing requirements, allowing you to generate CMA statements and claims quickly. If HML rate codes are changed, void and re-submit the claim. Use the logic built into HMLs to complete HMLs that meet the required number of core services and face-to-face meetings, as well as other requirements. Attend roundtables to discuss our product roadmap with other customers and emerging Health Home requirements. We check in regularly with our customers to understand their specific needs.

I.C.E. has been a leader in the support of paperless information systems. Apple™, as hundreds of our customers believe, is a key software in hospital management information systems. Customers have reported that their patient care, productivity and profitability has improved after using the software. We will help you create EMR/EHR solutions, practice management software and laboratory management systems, hospital-wide asset-tracking systems, point-of-care (POC) tools and population health management (PHM), AI-powered data eco-systems, and applications for remote patient monitoring. We use the latest frameworks to create user-friendly, secure, scalable and new business solutions that meet your needs. We have a team of developers that are experienced in delivering high-end solutions using several frameworks and technology.