Best Healthcare Payer Care Management Workflow Applications in Canada - Page 3

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.

Gain a comprehensive understanding of your clients through an intuitive interface that presents encounters, core service interactions, segments, claims, and billing statuses. Care Managers can effectively monitor advancements in addressing care gaps for members. These documents can be seamlessly linked to care plans, enhancing both tracking and reporting efficiency. Claims and documentation can be sent directly to the MAPP HHTS, supported by a top-tier MAPP synchronization process and continuous customer assistance. The system allows for the efficient generation of claims and CMA statements while automatically managing Health Home billing prerequisites. In cases where HML rate codes are modified, you can easily void and resubmit claims. Built-in HML logic ensures that HMLs are completed with the required number of core services, face-to-face encounters, and other pertinent criteria. Participate in roundtable discussions with fellow users to explore our product roadmap and the evolving requirements of Health Home. Our team is committed to regularly checking in with clients to cater to their specific needs and enhance their experience. This approach not only fosters better communication but also ensures that we are aligned with our customers' goals and expectations.

In today's world, where the shift towards paperless information management systems is prevalent, I.C.E. Apple™ stands out as a pivotal software solution for hospital management information systems, trusted by hundreds of clients. Feedback from users indicates a significant improvement in patient care, overall productivity, and financial performance post-implementation. We are committed to assisting you in developing Electronic Medical Record (EMR) and Electronic Health Record (EHR) solutions, as well as software for practice and laboratory management, comprehensive asset tracking systems across hospitals, point of care (POC) tools, and population health management (PHM) applications. Furthermore, we focus on creating AI-driven data ecosystems and solutions for remote patient monitoring, ensuring you have the most advanced tools available. Utilizing cutting-edge frameworks and technologies, we provide you with user-friendly, scalable, and secure business solutions tailored to your specific requirements. Our team of skilled developers is dedicated to delivering top-tier business solutions across multiple frameworks and technologies, ensuring your organization stays ahead in a rapidly evolving healthcare landscape. With our expertise, you can trust that your systems will enhance operational efficiency and improve patient outcomes.

Reclaim precious hours in your day and save millions with our innovative automated solutions. Connect effortlessly with essential stakeholders—providers, payers, and partners—while gaining access to real-time, precise data that ensures seamless care delivery. We simplify the intricate web of thousands of payer connections, allowing you to initiate quick and straightforward enrollments with ease. Experience the unparalleled capabilities of the cloud like never before. Our centralized command system enables you to manage, store, and share provider information in real-time, ensuring connectivity wherever necessary. Verification of providers is now a hassle-free process; simply make a request, and our platform will expedite it for you, enhancing your operational efficiency. Let us help you streamline your workflow like never before.

Our extensive experience in Real-Time Location Systems (RTLS), originating from our foundation as Versus Technology, remains unparalleled in the industry. With the robust backing of Midmark Corporation, we provide user-friendly solutions that enhance the overall care experience. Explore the levels of efficiency within your operations, the safety standards of your facility, and the engagement of your staff through RTLS solutions that enable them to prioritize what truly matters: patient care. Features like automatic call cancellation free up valuable time for nurses, enhancing their ability to deliver exceptional care. Additionally, a wearable duress button ensures a swift response to incidents of workplace violence, reinforcing safety protocols. Our healthcare equipment tracking systems support staff in ensuring that the necessary equipment is readily available for timely patient care. Moreover, our workflows are meticulously designed to elevate satisfaction for both patients and staff alike, fostering an environment where quality care can thrive. Ultimately, embracing these innovations can transform the landscape of healthcare delivery.

To enhance hospital management efficiency, the software supports the entire care continuum, benefiting all departments by lowering costs and streamlining processes. It minimizes absenteeism in appointments and tests through improved scheduling workflows. By providing swift access to patient information and medical histories, it reduces the risk of errors in healthcare delivery. The software automates various processes, leading to increased efficiency in resource management and workflow administration. It guarantees a proper purchasing cycle, effectively eliminating waste in products, equipment, medications, or services. Additionally, it allows information access across multiple devices, enhancing mobility for patient care. The system also simplifies the reconciliation of insurance plans, which helps to lower the rate of claims disallowance. Furthermore, by integrating these features, the software promotes a more cohesive and responsive healthcare environment.

Effective collaboration and communication within a business network are essential for a company to function more efficiently, competitively, and at a lower cost. Remedi's business integration solutions enhance B2B connectivity, allowing all stakeholders to seamlessly exchange and integrate electronic business transactions, messages, and files through inter-company processes. In the modern interconnected landscape, digital transformation relies on the ability of complementary information systems to interact smoothly. Furthermore, Remedi's system integration solutions bolster internal connectivity by enabling the exchange and integration of transactions, messages, and files within an organization through intra-company data transformation and business processes that link various systems and data collection devices. This holistic approach ensures that businesses remain agile and responsive to market demands.

Numerous health plans and pharmacy benefit managers utilize various systems, creating isolated information silos that can hinder care quality and pose considerable challenges in processes and compliance. To address these issues, MHK CareProminence was developed to consolidate essential data and functionalities throughout the healthcare journey of members into one cohesive system. As the sole platform that integrates both pharmacy and medical services, MHK CareProminence was intentionally designed to elevate member care by bridging care gaps and maintaining compliance with continuously evolving regulations. Clients gain access to one of the most robust systems available in the industry, which significantly minimizes manual tasks. By leveraging MHK CareProminence, customers can enhance efficiency through automated workflows, uphold compliance standards, boost quality scores, foster improved engagement between providers and members, and refine the overall healthcare experience for those they serve. This unified approach not only streamlines operations but also allows for a more holistic view of member health, ultimately driving better outcomes across the board.

unisonMD streamlines the management of hospital charges for both doctors and billers, enhancing speed and ease in the process. Users of our platform report significant advancements in financial performance, efficiency in care coordination, as well as increased productivity and satisfaction among both providers and staff. By optimizing the revenue cycle for hospitals and patient encounters outside the office, unisonMD delivers tangible benefits. Clients frequently share their experiences of improved financial outcomes, enhanced staff efficiency, and elevated satisfaction levels. Additionally, our HIPAA-compliant messaging system not only saves time but also ensures the security of protected health information, contributing to a more effective healthcare environment. This dual focus on efficiency and compliance makes unisonMD a valuable tool for healthcare professionals.

Insurance Discovery enhances financial outcomes by uncovering previously unrecognized billable coverage that providers may not be aware of, thereby minimizing underpayments and uncompensated care. By employing advanced search functionalities, this solution reveals instances where patients possess multiple active payers, which can significantly improve reimbursement prospects. Additionally, it helps to prevent delays in reimbursement and accelerates revenue collection by ensuring that claims are submitted to the correct payers on the first attempt, thanks to more precise coverage details. When utilized with verified demographic information, Insurance Discovery provides reliable coverage and eligibility insights. This modern approach replaces outdated manual methods of insurance discovery with a swift and thorough search that queries numerous databases in mere seconds, yielding detailed and accurate coverage information. Furthermore, it enhances the overall experience for patients and residents by facilitating accurate estimates of out-of-pocket expenses, ultimately contributing to a more favorable financial journey for them. By streamlining these processes, providers can focus more on patient care rather than administrative tasks.

Making well-informed decisions for your patients is essential, yet it can prove difficult when those individuals receive treatment from other healthcare providers outside your institution, resulting in important data not being visible in their electronic health records (EHR). To address this challenge, your organization requires an effective health interoperability solution that can utilize and disseminate data efficiently, ensuring safer, high-quality clinical outcomes and providing a unified, coherent patient record that encompasses all actions taken within the community. Introducing the dbMotion™ Solution, which offers a structured, thorough, and actionable record with real-time patient information across various electronic health record systems and the wider care network. As a leader in EHR interoperability solutions, dbMotion consolidates and harmonizes pertinent clinical data, family background, and other risk factors for each patient, seamlessly integrating this information into your existing EHR systems, thereby enhancing the quality of patient care. This capability not only streamlines workflows but also empowers healthcare providers to make more informed decisions based on comprehensive patient histories.

Our cutting-edge platform was crafted by healthcare providers, incorporating insights from medical professionals nationwide, leading to our consistent recognition as a top-tier EHR by Black Book™ for excellence in performance, dependability, support, and customer service. Our celebrated, cloud-based EHR software empowers providers to deliver care in a more effective and efficient manner. With over twenty years of experience in the healthcare sector, we have honed our expertise to better serve our clients. Since our debut in 1999, we’ve refined our platform through significant collaboration with both our providers and specialized industry vendors. Today, we offer more than just EHR software; we serve as a vital partner in the journey toward value-based care. Our primary objective is to equip practices with state-of-the-art healthcare technology that improves clinical workflows, lowers operational costs, and strengthens the provider-patient dynamic. By continuously adapting to the evolving needs of the industry, we ensure our solutions remain relevant and effective in enhancing patient care.

GEMMS ONE integrates seamlessly with EHRs, allowing for seamless workflows throughout the patient care process. GEMMS ONE integrates with clients to allow them to track patient appointments and create charges. They can also process claims, post electronic payment, run PM reports, manage collections, and process claims. GEMMS Patient Portal provides patients 24/7 access to their personal health information. It also enhances patient-provider communication, leading to better outcomes. GEMMS ONE can be integrated with other systems in a flexible and efficient manner. Specific interoperability requirements can be met with the ability to export and import data or text. Multiple ways.

Model N offers a comprehensive platform that enables organizations to enhance their revenue while modernizing Sales, Marketing, Channels, Finance, and Legal workflows. By utilizing Model N’s revenue management tools, businesses can transform isolated, tactical operations into cohesive end-to-end revenue processes through the power of automation and intelligent insights. Revenue Cloud effectively connects front-office and back-office functions, creating a consolidated system of record for all revenue-related activities. This platform empowers clients to effortlessly configure and quote intricate products, swiftly finalize complex contracts, and gain access to accurate, real-time channel data, enhancing transparency within their channels. Furthermore, it streamlines the management of incentive programs, helping to prevent overpayments. Additionally, Model N’s Rebate Management feature enhances channel engagement, leading to improved revenue optimization. Ultimately, this holistic approach allows companies to achieve greater efficiency and effectiveness in their revenue generation efforts.

HealthConnect is an all-encompassing collection of application modules designed specifically for the healthcare sector, tailored to address the diverse requirements of various industry segments. It provides standardized offerings suitable for hospitals, small to medium-sized clinics, and medical laboratories. This solution effectively manages the entire life-cycle of processes within a contemporary hospital environment, featuring detailed workflows for tasks such as patient registration, appointment management, and both out-patient and in-patient care. Additionally, it facilitates seamless interfacing with lab and radiology machines, handles patient billing, and maintains comprehensive medical records. Furthermore, the system encompasses critical areas such as surgery, blood bank operations, as well as financial and inventory oversight, ensuring a streamlined approach to healthcare management. Ultimately, HealthConnect empowers healthcare professionals to deliver high-quality care efficiently.

Patients can conveniently complete consent forms, medical histories, and various other documents through our user-friendly app on a handheld tablet. They can also electronically sign these forms directly on the device, eliminating the need for scanning. MediDocs seamlessly integrates into your office workflow, enhancing the check-in process and allowing you to care for a greater number of satisfied and healthy patients. This innovative solution guarantees that your office environment is paperless, efficient, and cost-effective by consolidating all patient documents in one secure and easily accessible location. Designed specifically to enhance the workflow of medical offices, MediDocs offers a user experience that is as intuitive as operating a smartphone. By using our app, you can reduce expenses associated with printing and the time wasted on chasing down and scanning forms. Furthermore, our platform employs top-tier secure communication methods to uphold patient privacy and ensure adherence to HIPAA regulations. With MediDocs, your practice can not only save time and resources but also elevate the overall patient experience.

Lumeon’s Care Pathway Management (CPM) platform empowers healthcare providers to design digital pathways that enhance the delivery of care and seamlessly direct both patients and care teams throughout their healthcare journey. By utilizing the CPM platform, healthcare providers can harness the power of intelligent automation and orchestration to coordinate a unified care plan across various teams and environments, dynamically modifying tasks and allocating the appropriate resources tailored to individual needs. The system integrates real-time data from patients, care teams, and bi-directional connections with applications like EHRs, ensuring everyone stays aligned by offering a comprehensive ‘care-traffic control’ perspective on patient advancement and automating tasks wherever feasible. As a frontrunner in automated care orchestration, starting with Lumeon is straightforward and user-friendly. The design of the Lumeon platform allows for quick implementation, enabling providers to experience significant improvements in care delivery almost immediately. With such a streamlined approach, healthcare organizations can focus more on patient outcomes while reducing administrative burdens.

Kranium Healthcare Systems, previously known as Kranium Technology, is a firm that focuses on a variety of Healthcare Solutions, including Consultancy, Product Development, and Outsourcing, and was founded in 2005 by a group of first-generation entrepreneurs aiming to deliver affordable and enhanced software services to their clientele. The founders bring over twenty years of expertise from leading software firms, where they oversaw both consultancy and the development of software solutions, transitioning from legacy systems to modern web-based applications, catering to a diverse clientele that includes both Fortune 100 corporations and small to medium-sized enterprises within the healthcare sector. Their commitment to innovation and efficiency has positioned them as a valuable partner in the ever-evolving healthcare landscape.

MAXIMS is an advanced, web-based, modular Patient Administration System (PAS) and electronic patient record system (EPR) that provides extensive clinical features, allowing healthcare providers to enhance patient care and streamline administrative processes. Our offerings range from large-scale systems designed to manage patient services for entire hospitals or trusts to specialized solutions for specific functions like bed management and communication of pathology and radiology orders. Built on robust and established technology, MAXIMS solutions are both functional and scalable, ensuring they are developed with clinical insights to promote usability and effectiveness in clinical settings. With the collaborative effort of clinicians, nurses, and other healthcare experts, our solutions are ready to use immediately, yet can also be swiftly customized to fit the unique requirements of various clinicians, specialties, and healthcare organizations, ensuring a personalized approach to patient care. This adaptability allows healthcare teams to optimize their workflows and focus on delivering high-quality care.

In today's fast-paced environment, healthcare professionals face the ongoing challenge of "doing more with less" while striving to "work smarter, cheaper, and more efficiently." This challenge is compounded by the continuous shifts in healthcare regulations, increasing patient demand, escalating costs, and limited resources, making it exceedingly difficult to enhance patient care without the appropriate tools. At Inforia, we understand that the efficiency with which your providers manage their daily tasks is paramount; therefore, we have developed a streamlined approach to implementing EHR systems by tailoring our software to fit YOUR specific workflows and forms. You can conveniently enter all visit information in a single location, resulting in the automatic generation of your customized Office Note! Accurately document a patient's comprehensive history, including medical, family, surgical, social, and mental health aspects, while easily incorporating valid Diagnosis and CPT codes through the visit section or an electronic encounter. With our solution, you'll never overlook a billable service again, ensuring that your practice runs smoothly and efficiently. Embracing this technology can significantly elevate the quality of care provided to your patients.

Innovative solutions are available to equip patients with essential information and facilitate self-service options during their hospital visits, ultimately enhancing both the care experience and clinical results. By consolidating data from various systems, these tools automate processes, simplify workflows, and enhance overall care delivery. The platform is designed to be secure, scalable, and adaptable, allowing for seamless implementation and operation of both enterprise and consumer applications right at the bedside. Whether in the vicinity or across the nation, fostering connections between patients and their families through virtual means has never been more accessible! In today's world, making individuals feel at home also involves providing on-demand entertainment and streaming service access. Alongside consumer applications like Netflix and Disney+ that offer distraction and entertainment, enterprise applications such as Caregility™ and Cloudbreak Martti™ support crucial care workflows. The CXP Cloud Enterprise™ was meticulously crafted in collaboration with top healthcare systems to fulfill the diverse needs of various facilities, ranging from newly constructed buildings to older hospitals equipped with legacy systems. This holistic approach ensures that patient care is not only efficient but also enriching, fostering a more supportive environment for healing.

Health plans today prioritize population health management (PHM) as a critical focus area. The key issue lies in balancing the overall health of the population while still recognizing and addressing the needs of each individual. ZeOmega emphasizes the significance of the individual member in the context of evolving value-based care initiatives. Our Jiva solution for population health management aggregates extensive data at the population level and incorporates analytical tools that allow for real-time identification of ways to enhance care or modify patient behavior. It is designed around five vital pillars that are crucial for successful population health management. ZeOmega’s robust platform provides strategic, high-value solutions aimed at enhancing both individual health outcomes and provider performance. With our deep expertise in the field, we are well-equipped to tackle the intricate challenges presented by population health dynamics, ensuring that both collective and individual needs are met effectively.

Ambulatory practices encounter a myriad of challenges in today's healthcare landscape. Balancing the demands of optimizing appointment schedules with the need to simplify documentation and diagnostic processes can often complicate communication with fellow physicians, insurance providers, and pharmacies, all while adhering to evolving regulatory requirements. Veradigm Professional EHR™, a system originally developed by physicians, stands out as the leading choice for medical practices aiming to enhance patient safety, operational efficiency, and financial performance. This innovative EHR features user-friendly, one-click templates that allow physicians to effectively document patient encounters based on historical data, enabling swift modifications with minimal effort—ultimately boosting provider satisfaction. Additionally, the Physician Desktop feature offers a streamlined approach for healthcare providers to oversee their patient populations, consolidating comprehensive clinical information into a single, accessible screen for better decision-making and care coordination. This integration significantly enhances the overall workflow within practices, making it easier for providers to deliver high-quality care.

By concentrating on enhancing patient flow, streamlining operations, and attaining excellence in patient progression, you will produce significant outcomes across various key priorities. Achieving Performance Excellence entails ensuring the ongoing safety and quality of patient care, boosting revenue and reimbursements, minimizing unnecessary patient days, while simultaneously enhancing safety and improving patient outcomes. The narrative of Holy Cross Hospital exemplifies how better patient flow has positively impacted both patient and staff experiences. Additionally, learn how Good Samaritan prioritized patients to tackle emergency department backlogs, restoring the joy of caregiving for nurses and doctors alike. Ultimately, at the heart of your mission lies the commitment to facilitating healing for individuals. This pivotal mission is intrinsically linked to the quality of experience established through patient care and interaction. The dedication to improving patient experiences not only transforms lives but also elevates the overall standard of healthcare provided.

Xcellence Medical Solutions introduces DoxCity, the leading medical office management software available today. Developed through thorough research and discussions with industry professionals and physicians in both the medical and cosmetic surgery fields, DoxCity offers a holistic solution for any general or private cosmetic/plastic medical practice. This software empowers you and your team to manage your medical office with professionalism and efficiency. Featuring a versatile Schedule and Resource Manager, DoxCity provides a comprehensive scheduling tool tailored for your medical office needs. Additionally, the DoxCity System enables you to oversee the operational and financial aspects of your practice effectively, ensuring an organized workflow and improved patient care. With its robust features, DoxCity aims to enhance the overall management experience for medical offices.