Alternatives to PwC SMART

StoriiCare is a software platform that supports assisted living providers, adult care centers, and care homes. It is used to record, record, and improve the quality of care. It allows care staff to digitally record their care. This provides oversight and reduces industry inefficiencies. StoriiCare connects families with their loved ones, allowing them and their loved ones to share in their care and be updated about events.

AZZLY Rize is the premier clinical and business platform for addiction treatment and mental health organizations. As a modern technology platform, AZZLY Rize is a system that can scale with you. Use as little or as many of the features and functions available based on your program and staff needs. Key features for OUTPATIENT Programs include e-check-in, scheduling, appointment reminder, Zoom telehealth, treatment plans, progress notes, assessments and surveys. For RESIDENTIAL Programs: census, medication management, bed board, withdrawal management, DrFirst e-prescribing, EPCS, PDMP and labs. For all Programs: alerts, patient engagement, 5 star implementation and support services, and seamless electronic billing and claims submission. As a true all-in-one platform, we empower treatment centers to take control of their compliance and revenue cycle management and reporting requirements. As a purpose-built tool for mental health and substance use disorder programs, we offer a flexible pricing plan to replace dated technology. Use our compliant Master Library of Forms or we configure your documentation forms to match what you use today. Hosted in Microsoft Azure Private Cloud Network for added security and HIPAA privacy.

Our multi-specialty EHR, Practice Management, and Billing software solutions allow doctors to provide the best care possible to patients.

Virtual Examiner®, PCG Software’s flagship product, monitors an organization's internal claims process to track provider data for fraudulent or abusive billing patterns and maximizes financial recovery. The Virtual Examiner®, a PCG Software product, allows healthcare organizations to improve their claims adjudication system by allowing for more than 31,000,000 edits per claim. The software monitors an organization's internal claim process to identify and reduce payments for incorrect or erroneous code to save premium dollars. Virtual Examiner®, is more than a claims management solution that focuses on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.

Introducing Swiftaudit! Specifically designed for your needs, we have developed an all-encompassing online platform aimed at accelerating both your internal and external chart reviews while enhancing your compliance and clinical documentation standards. Our user-friendly interface allows for quick and thorough analysis of patient interactions, enabling you to pinpoint coding mistakes effectively. Additionally, Swiftaudit serves as an excellent resource for ICD-10 lookup, aiding you in finding the precise code you require, and providing instant access to all relevant Guidelines with just a click. Harness the capabilities of Swiftaudit within your practice, and gain the assurance that your coding and billing processes will yield the payments you rightfully expect. Are you part of a bustling practice, or perhaps you manage a burgeoning auditing firm with numerous clients and auditors? We have the perfect solution for you! We’re excited to unveil our integrated Team features, which are conveniently available through your Swiftaudit subscription, making collaboration effortless and efficient. With Swiftaudit, you can elevate the way your team works together, ensuring everyone stays on the same page while optimizing productivity.

Revolutionizing medical coding and auditing through artificial intelligence, our platform enhances the efficiency of manual inpatient coding processes, elevates the quality of documentation, and empowers your team to concentrate on more valuable tasks. Leading hospitals are experiencing significant advancements thanks to Semantic Health’s innovative solutions. By leveraging bespoke clinical AI and natural language processing algorithms, developed from millions of medical records by our exceptional AI experts, we can analyze clinical and coded data with precision. This enables our coding and auditing systems to grasp intricate clinical contexts, adapt to evolving coding guidelines, and identify high-quality coding and auditing prospects, all supported by clear evidence from clinical documentation. By integrating AI into the traditionally labor-intensive processes of medical coding and auditing, you can save time and enhance your revenue cycle. Furthermore, Semantic Health provides hospitals and healthcare systems with a powerful inpatient auditing platform designed to conduct comprehensive pre-bill reviews of claims data, ensuring that every detail is meticulously checked before submission. Ultimately, this approach not only streamlines operations but also significantly reduces the risk of errors.

3M™ M*Modal Fluency Direct empowers healthcare providers across all specialties to effortlessly generate, review, modify, and finalize clinical notes directly within their electronic health record systems. Utilizing Solventum's advanced natural language understanding technology, this solution achieves a deeper contextual grasp of patient narratives, thereby boosting documentation precision right from the outset. The system incorporates features for computer-assisted physician documentation, which continuously evaluates the clinical narrative and offers real-time prompts for further details or clarification, ultimately enhancing both the standard of care and the quality of clinical records. With seamless integration into over 250 electronic health record systems, including prominent platforms such as Epic, Meditech, eClinicalWorks, Cerner, and athenaClinicals, Fluency Direct not only accelerates EHR implementation but also leads to improved documentation quality and decreased transcription expenses. This innovative approach to documentation streamlines workflows, allowing physicians to focus more on patient care rather than administrative tasks.

Daisee develops technology to give you deep insight into the behavioural, emotional, and commercial dynamics of your customers. Daisee automatically scores all customer interactions using a digital quality scorecard that is the first of its kind. This automatically identifies quality assurance issues that need human intervention in areas such as compliance, communication, and conduct. Daisee allows you to see beyond words and uncover the emotion deep within your interactions. It reveals what your customers really think, feel, and are saying. Daisee is software that can be easily deployed across any telephony system and can help organisations immediately create business value. Globally Daisee is available in Australia, New Zealand, and the USA.

Doc-U-Aide stands out from all other CDI solutions on the market by being specifically crafted by CDI experts for their peers, with a singular aim of enhancing the quality and integrity of clinical documentation, ultimately leading to better reimbursements. In contrast to other providers who have merely adapted existing Encoders, EHRs, or consulting services to incorporate basic CDI workflows, our solution is uniquely built from the ground up to excel in one area: the integrity of clinical documentation. The user-friendly interface and adaptable workflow features of Doc-U-Aide facilitate an efficient chart review process for CDI staff. Many customers who have implemented Doc-U-Aide report an increase in their CDI nurses' productivity by over 20%. This boost in productivity can translate into millions of dollars in additional revenue for healthcare institutions. We stand behind our commitment with a guarantee of 100% return on investment within just three months of utilizing our solution, ensuring that our clients not only meet but exceed their financial goals. Ultimately, choosing Doc-U-Aide means investing in a future of improved clinical documentation and enhanced operational efficiency.

HealthWare offers a comprehensive software solution designed to address both the clinical and financial requirements of home care agencies while ensuring adherence to regulatory standards. Its user-friendly interface and specialized features for home health empower agencies to enhance communication, improve outcomes, optimize reimbursement processes, and lower operational expenses. The software's integrated applications facilitate smooth information flow from patient intake to scheduling and clinical management, ultimately streamlining the billing process for prompt reimbursements and precise reporting. By utilizing HealthWare, agencies can deliver higher quality care more efficiently, all while remaining compliant with regulations. Patient records are securely stored within HealthWare's EMR system, and collaborative efforts between departments are made easier through the TeamWork feature. Additionally, clinicians and patients can electronically sign necessary documents, and physicians have the capability to provide digital signatures via the Physician Portal, eliminating the need for printed clinical paperwork. This innovative approach not only enhances the overall efficiency of home care operations but also promotes a more collaborative and modern healthcare experience.

Optimize Your Entire Healthcare Data Process. Smart Data Solutions possesses the expertise and tools necessary to enhance both your paper-based and electronic workflows. Our suite of integrated tools for validation, matching, and normalization guarantees the highest quality data, which enhances auto-adjudication and minimizes the need for manual processing. Regardless of whether you're a newcomer to Smart Data Solutions or a long-standing collaborator, our development process is designed to support you throughout your projects to maximize your chances of success. Our dedicated team will take the time to grasp your unique needs and the implications of your workflows, addressing both straightforward and intricate requirements. We prioritize your objectives, focusing on what you aim to achieve and then determining the most effective strategies to reach those goals. Smart Data Solutions delivers comprehensive front-end pre-adjudication services for numerous Payers across the country, ensuring flexibility in our offerings. Whether your requirements are minimal or you demand a fully tailored workflow, Smart Data Solutions is equipped with a diverse range of solutions to meet your needs. Our commitment to excellence sets us apart in the industry.

The flagship claims processing solution from Acrometis provides exceptional workflow management by utilizing a configurable rules engine to automatically route documents. This system is built around various elements such as claim assessment scoring, matching body parts to claim compensability, adhering to jurisdictional directives, and scoring relatedness, all aimed at minimizing both the duration and costs associated with claims. Notably, CLAIMExpert can autonomously process 65 percent of incoming medical bills and non-medical documents without requiring any user intervention. Documents that need adjuster review are efficiently flagged and organized to facilitate straightforward decision-making, ensuring that the process remains streamlined. With no need for adjuster involvement for the initial processing, clients often experience an improvement ranging from 11 to 23 points in medical loss within the first year. Furthermore, CLAIMExpert is equipped with rules addressing over 190 different document types, enabling it to swiftly manage whitemail and any other documentation that may arrive at an adjuster’s desk. This comprehensive approach not only enhances efficiency but also significantly impacts the overall claims handling process.

ClaimBook streamlines the insurance claims process by facilitating quicker settlements, enhancing accountability, and reducing the likelihood of rejections. It is equipped with comprehensive features that cater to all aspects of claims management and evidence submission. Furthermore, ClaimBook promotes international patient care through specialized workflows, thereby fostering medical tourism. The platform includes a built-in Rules Engine that prevents incomplete submissions and ensures that all necessary information and documents are provided. This leads to submissions that are accurate, thorough, and pre-authorized. Additionally, ClaimBook incorporates Smart Data Extraction technology, which can interpret uploaded documents to retrieve pertinent information from a connected Hospital's Information System, eliminating the need for manual data entry. Another valuable feature is Integrated Emailing, which creates a virtual inbox directly within your dashboard, allowing users to compose emails with a familiar design similar to that of Microsoft Outlook. This integration not only enhances productivity but also ensures seamless communication throughout the claims process.

Numerous healthcare facilities, including hospitals and ambulatory surgery centers (ASCs), face considerable challenges in documenting procedures effectively. The diverse methods used by physicians for documentation—such as dictation, transcription, and electronic medical records (EMRs)—often lack uniformity, resulting in procedure notes that may be inaccurate, incomplete, or fail to meet compliance standards. Consequently, these reports tend to be unsearchable and difficult to analyze due to their reliance on unstructured data. Furthermore, inefficient workflows contribute to financial setbacks and increased frustration among physicians. To address these issues, a solution is proposed that guides physicians through an intuitive workflow navigation tree, which facilitates quick documentation by providing appropriate options. This system also aids organizations in achieving quality and compliance benchmarks by enabling users to generate over 100 reports and analyze structured data effectively. Additionally, it connects seamlessly with endoscopy scopes, allowing for the collection of relevant images that can be incorporated into procedure notes, ultimately enhancing the overall documentation process. This integrated approach not only streamlines documentation but also improves patient care by ensuring thorough and accurate records.

CDE One is a clinical documentation improvement (CDI) solution powered by artificial intelligence, aimed at optimizing the documentation workflows of healthcare organizations. Seamlessly integrated into current systems, CDE One identifies and prioritizes cases that have significant financial and quality implications, enabling clinical documentation specialists (CDSs) to concentrate on the most essential opportunities. This platform offers real-time intelligence that fosters better collaboration, facilitating smoother communication between CDSs and clinicians, which minimizes the chances of overlooked diagnoses and enhances reimbursement processes. Additionally, CDE One provides evidence-based content and analytics, equipping CDI teams with advanced tools to enhance documentation accuracy and elevate the overall effectiveness of their programs. Ultimately, CDE One not only streamlines workflows but also contributes to improved patient care outcomes.

Streamline the document processing workflow by eliminating unnecessary time and complexity while enhancing straight-through processing initiatives. Shift Claims Document Decisions is an advanced AI-driven solution that scrutinizes documents to extract pertinent information and constructs a contextual overview of the necessary actions needed to advance claims. Our algorithms have been meticulously designed with a focus on insurance documentation, enabling them to analyze forms with a level of precision that rivals or exceeds that of seasoned human claims adjusters. This solution facilitates the automatic assessment of documents against existing data, thereby forming a comprehensive understanding of each claim and expediting the processing timeline. The industry-focused AI continually evolves, merging claims information with document insights to produce decisions that significantly influence claims outcomes. By reducing the need for manual reviews, the system adeptly identifies complexities and guides handlers toward specific claims elements requiring attention. Our unwavering commitment to the insurance sector drives us to recruit top-tier talent, ensuring our customers receive unparalleled support and expertise in their claims processing journey. Ultimately, this innovation not only enhances efficiency but also improves overall customer satisfaction.

Computer-Assisted Coding, also known as medical coding, helps to boost productivity, make critical decisions quicker, and reduce denials, missed fees, and low-risk score. The AGS Computer Assisted Coding module (CAC) allows for flexible and scalable coding to increase accuracy, productivity, efficiency, and flexibility. Features: Integrated Encoder : CAC has a built-in, 'book-based encoder' that helps you select the correct code. It also includes full guideline information as well as coding clinics. Integrated References - An integrated reference guide contains detailed visuals and information on anatomy for coders during the coding procedure. Integrated and 3M grouper: DRG/MSDRG grouping comes built-in. For those who require the 3M APR grouper, it can be activated easily through an existing integration with third party (3M fees apply).

I-CAPS stands for Intelligent Claims Administration System, designed to comprehensively cover all aspects of the health claims payment sector through a unified architecture that meets the diverse requirements of payers, including areas such as membership management, billing, enrollment, mailroom operations, claims processing, network oversight, contracting, pricing strategies, utilization reviews, and customer support. Our I-CAPS, along with our Advanced Value Scale (AVS) coding compliance software, facilitates informed decision-making to assist clients in managing expenses effectively. The Advanced Network Administrator (ANA) ensures the accuracy of provider information in an efficient manner, while our Resource-Based, Usual Customary, and RESPONSIBLE fee schedule (RB-UCR) is a pioneering solution in the market, built on RBRVS and NCCI frameworks. For a thorough assessment of your plan or provider’s performance, consider utilizing our Cost Containment Audit and Recovery Services (CCARS), which provide a meticulous and non-intrusive evaluation of claims efficiency. This holistic approach not only enhances operational effectiveness but also promotes greater transparency within the health claims ecosystem.

Over 70% of healthcare information is contained within clinical documents, including reports, patient charts, clinician notes, and discharge summaries, allowing our specialized Natural Language Processing and AI Engine to extract essential concepts, attributes, and contextual information that drive business insights, enhance billing processes, assess and categorize patient risks, calculate quality metrics, and gather patient sentiment and outcome data. By tapping into difficult-to-access or previously unused data sources, you can significantly improve your clinical research or business intelligence efforts. Our extensive database features thousands of clinical concepts, including genomic biomarkers, symptoms, side effects, and medications, enabling the identification of disease characteristics and risk factors from clinical documents to better stratify patients and elevate the standard of care. Moreover, we ensure the protection of data subjects' identities while preserving the usefulness of the data through effective document de-identification strategies. This approach not only safeguards privacy but also empowers healthcare organizations to make informed decisions based on the most comprehensive data available.

Enhance your value-based initiatives by swiftly evaluating and comprehending the expenses associated with episodes of care. Foster provider participation and engagement by facilitating discussions rooted in data and evidence regarding overall episode costs as well as the specific practice patterns of individual providers. Propel enhancements in cost and quality by addressing discrepancies in care delivery and performance among providers. Utilize analytics to empower value-based strategies, offering insights that assist in refining network structures and advancing clinical transformations. Discover opportunities for value-based care by analyzing episode costs, using clinically validated definitions for episodes. Engage providers in value-focused conversations by examining patterns of utilization, costs, and variations in care. Employ episode analytics to refine network designs, reshape clinical guidelines, and boost consumer engagement effectively. Simplify the process of creating episode budgets by establishing average costs per episode alongside the related clinical services, ensuring a comprehensive understanding of financial requirements. This focused approach not only drives efficiency but also lays a strong foundation for sustainable improvements in healthcare delivery.

Streamline the complete claims process by automating steps from the initial loss notification and fraud detection through to adjudication and final settlement. Enjoy the capability to handle various claim types distinctively, such as death claims and maturity claims, while enhancing adherence to regulations and avoiding penalties for non-compliance. Achieve more efficient and precise processing with features for data collection, payment oversight, salvage and recovery management, legal case processing, and comprehensive monitoring. Ensure effective registration, adjudication, tracking, and oversight of all claim submissions. Utilize integrated and detailed business rules that enable claims to be categorized automatically into “fast track” or “non-fast track” categories. Additionally, you have the option to easily add or adjust stakeholders involved in the process, including garages, assessors, loss adjusters, surveyors, investigators, and claims officers, to further enhance operational efficiency. This comprehensive approach not only simplifies workflows but also fosters collaboration among all parties involved in the claims journey.

WinMed™ EHR stands out as an ONC 2015 Certified electronic health record system that equips healthcare professionals with essential tools for precise documentation and regulatory compliance, all while ensuring high-quality patient care. With the Analytics Dashboard, users can seamlessly connect across their entire practice, enabling the collection of data that delivers invaluable insights for both healthcare providers and administrative teams. By utilizing automated system suggestions, clinicians can enhance compliance and elevate the standard of care, streamlining the documentation process. Our Family Practice module focuses on delivering thorough healthcare services for individuals of all ages, optimizing both acute and chronic care management. Meanwhile, our Internal Medicine module prioritizes preventive care, featuring Clinical Decision Support and Population Management tools that play a crucial role in enhancing patient outcomes. Additionally, the Patient Check-In feature provides a straightforward way for users to track patient arrivals at the clinic, ensuring efficient workflow management. This comprehensive suite of features positions WinMed™ EHR as a vital asset for modern medical practices striving for excellence in patient care.

Enhance your clinic's appointment management by gaining better insight into the schedule and provider availability. Seamlessly view and arrange appointments for multiple providers, rooms, or locations to maintain a consistent patient flow. Patients can be automatically invited to fill out their intake forms online, with customizable digital paperwork accessible via smartphones or personal devices. This information syncs directly to their patient charts, streamlining the process. Reduce the likelihood of no-shows by sending timely reminders through both email and text messages. Communication is simplified for patients and staff alike, allowing for confirmation or rescheduling through two-way text messaging. Effortlessly generate claims from patient notes alongside suggested ICD-10 codes, and submit them electronically after automatic scrubbing. Comprehensive services are available to oversee the entire billing cycle, ensuring smooth submission and payment collection. Additionally, create clear, defensible clinical notes quickly with documentation templates, assessment reports, and pre-populated patient information, making your workflow even more efficient. This holistic approach not only improves organization but also enhances patient engagement and satisfaction.

The leading patient safety platform utilized across various healthcare settings. This all-encompassing software aims to foster sustainable improvements and enhance performance throughout your organization. By becoming part of RLDatix, you tap into a global network of patient safety advocates and experts. This connection allows you to access proven strategies and innovative insights from RLDatix users, as well as industry and thought leaders. The RL Suite offers a wide array of patient safety solutions designed to bolster your safety and healthcare quality initiatives. By transforming your data into actionable intelligence, you can effectively minimize and manage risks both now and in the future. Proactively identifying clinical risks and lowering infection rates ensures early intervention to maintain patient safety. Moreover, engaging patients in real time guarantees they have the best possible experience during their care. Centralizing your policies and procedures not only fosters institutional learning but also enhances compliance across the board. By integrating these practices, your organization can truly elevate the standard of patient care.

Are you looking to streamline your physical therapy practice while delivering the best experience and the right treatments to patients? If yes, then you should take a closer look at Practice Pro. The product of over two decades of business and clinical expertise, Practice Pro is an integrated, all-in-one Physical Therapy EMR, Billing and Practice Management software that was built from the ground up to smoothly handle every facet of your business. It is easily the most functionally rich EMR in the industry with customizable examination profiles created for Physical Therapy, Pediatric Therapy, Occupational Therapy, Speech Language Pathology, Applied Behavior Analysis (ABA), and Chiropractic. Features include a robust, extensible clinical library with customizable flowsheet templates; flexible, multi-discipline appointment scheduling; goals and outcomes tracking; payer-specific coding and billing guidelines; an intuitive patient portal; referral management; and over 200 reports and KPIs dashboards. You can also count on an enthusiastic support team that is committed to your success and just a call or email away. Maximize outcomes with 100% flexible, web-based software that improves the quality of life for you and your patients.

ClinicalWave.ai, built on AWS' cloud platform, is an integrated AI platform designed for life sciences companies. It uses cutting-edge NLP to extract valuable insights and automates the redaction and extraction sensitive data from clinical documents. It is made up of: 1. ClinRedact AI - Our Redaction Product that automatically identifies and removes sensitive information from clinical documents. This product saves time and ensures data integrity. 2. ClinExtract AI - The AI Data Extraction Product that uses NLP and Machine Learning to extract relevant data from clinical documents. This product provides valuable insights and streamlines workflows. 3. ClinDICOM AI - Experience the power and features of our DICOM data extraction product. It offers targeted redaction, customizable redaction rules, intelligent context analysis, audit trail compliance and a user friendly interface.

Experience the ultimate in practice management software with exclusive access to the Practo platform. Patients enjoy the convenience of easily rescheduling or canceling their appointments. Receive turn-by-turn directions via intelligent SMS notifications. Patients can make payments anytime, from any location, including pre-paying before arriving at the clinic. Collect outstanding payments effortlessly with just one click. Tailor your scheduling and messaging to suit your practice's specific requirements. Manage and profit from post-consultation chats while enabling patients to follow up conveniently from their homes. Define your availability and timeframe for these chats to enhance patient interaction. Refer to your patients' medical histories to deliver care that is truly personalized. Utilize templates to provide advisory services more rapidly than traditional methods. Remember, sharing is caring—set up automated record sharing with patients in a single step, conserving paper, ink, and resources. Enjoy complimentary access to Ray, which includes a robust online appointment booking feature that can dramatically boost your operational efficiency. Additionally, the software's user-friendly interface ensures a seamless experience for both practitioners and patients alike.

Claim Leader specializes in delivering technological solutions designed to enhance the efficiency of communication and workflow within insurance claims organizations. Our innovative software simplifies operational processes, significantly boosting productivity through a comprehensive and interconnected web platform. The robust modules within Claim Leader's systems facilitate a more straightforward workflow for both administrative personnel and field operators. Additionally, our management tools empower internal users to assign tasks to field personnel, manage workloads, identify files for assessment, and optimize overall workflow efficiency. Ultimately, we are committed to transforming the way insurance claims organizations operate, ensuring a seamless integration of technology into their daily tasks.

A data-driven solution for managing claims and remittances specifically designed for healthcare providers looking to streamline their workflows, enhance resource efficiency, minimize denial rates, and expedite cash flow. Boost your initial claim acceptance rate significantly. Our all-inclusive edits package ensures you remain compliant with evolving payer guidelines and regulations. Increase your team's efficiency with user-friendly, exception-based workflows and automated procedures. Your personnel can conveniently utilize our adaptable, cloud-based platform from any device. Effectively manage your secondary claims volume through the automated creation of secondary claims and explanations of benefits (EOB) derived from the primary remittance advice. Leverage predictive artificial intelligence to identify and prioritize claims that require attention, allowing for quicker error resolution and minimizing denials before submission. Achieve a more efficient claims processing experience. Additionally, print and distribute primary paper claims, or compile and send collated claims along with EOBs for secondary submissions. This holistic approach not only enhances operational efficiency but also promotes better financial performance for healthcare providers.

IMO Core enhances clinical workflows by enabling healthcare providers to document with precision and effectively manage medical problem lists. Often, the processes intended for documenting and handling patient data can be fragmented and overly complicated, which can hinder healthcare professionals from delivering optimal care. These workflow issues also have repercussions on data integrity, ultimately affecting billing practices, reimbursement rates, quality reporting, and initiatives aimed at improving population health. By streamlining documentation and problem list management, IMO Core facilitates access to vital patient insights, thereby ensuring data quality, alleviating the administrative burden on clinicians, and maximizing reimbursement opportunities. Clinicians are empowered to document using their own terminology, with prompts that encourage detailed and specific entries at the point of care. Additionally, the system identifies unaddressed Hierarchical Condition Categories (HCCs) to improve coding accuracy and documentation. It also incorporates detailed descriptions that effectively reflect the clinical intent behind the documentation, enhancing the overall quality of patient records. This comprehensive approach not only improves clinician efficiency but also contributes to better patient outcomes.

The Loan Management System (LMS) facilitates the effective trading and oversight of residential whole loans. It allows users to oversee the complete loan pipeline, manage third-party evaluations, and execute funding and settlement processes in a streamlined and automated manner. Sellers have the ability to lock and price loans, whether on a flow or bulk basis, that comply with the eligibility criteria of your products via our user-friendly portal. Additionally, they can upload necessary credit documentation and meet any conditions raised during the review processes. Documents can be securely uploaded and stored at various levels, including trade, pool, and individual loans. The system also supports the exchange of documents with third-party vendors through secure integrations. Orders can be directed to the appropriate due diligence vendors based on product specifications and transaction volume, ensuring a tailored approach. Users can view and address the results provided by third-party reviewers through automated data feeds from vendors. Moreover, the system is capable of generating comprehensive funding schedules that include amortized balances along with calculated interest and fees, thereby enhancing the overall efficiency and accuracy of loan management. This comprehensive approach not only streamlines operations but also significantly reduces the potential for errors in the loan management process.

EZDI is Acquired by AGS Health Company. Our revenue cycle management platform allows businesses of all sizes, large and small, to access our APIs and revenue cycle management platform to gain insights from their healthcare data. A platform that integrates medical coding and clinical documentation. Fully integrated platform that allows you to increase documentation and coding specialist productivity by upto 45%. It also increases revenue through improved case mix and risk scoring. Modern clinical APIs that seamlessly integrate into your infrastructure. To provide cutting-edge accuracy, we have been trained on more than 7,000,000 real clinical documents. We use millions of knowledge graph records, deep-learning, and machine learning to provide clear code suggestions and query suggestions. We are ready to lead the next wave in AI in healthcare. Built for coders, documentation specialists to work smarter, faster and more efficiently from the beginning. Our Deep Learning NLP models help the most brilliant minds in healthcare navigate a seaof data with confidence.

Safeguard the reliability of your health plan while pinpointing precise pricing with the Context4 Health Plans Suite, our versatile and cloud-centric technological framework. Experience immediate and actionable insights for detecting Fraud, Waste, and Abuse (FWA), developed by our skilled team of certified experts in clinical, dental, and health benefits. By leveraging accurate data and state-of-the-art cloud technology, we deliver a robust and defensible Medicare reference-based pricing (RBP) solution. Our platform comprises over 100 healthcare data sets, complemented by professional guidance to enhance operational efficiency and ensure regulatory compliance. Additionally, our sophisticated medical coding software is tailored to streamline claim submissions and reduce the likelihood of denials. Furthermore, the cloud-based Payment Integrity Platform harnesses our unique analytics engine to uncover coding mistakes, assess medical necessity, address unbundling, detect fraud, waste, and abuse, evaluate audit risks, and identify pricing discrepancies, all of which can significantly influence your organization's performance. This comprehensive approach not only safeguards your financial health but also positions you for sustainable success in the ever-evolving healthcare landscape.

PayorLink solutions provide a holistic platform that goes beyond mere management of medical claims for employers, aiming to enhance employee benefits while simultaneously lowering healthcare expenses, encouraging healthy lifestyles, and boosting workforce productivity. The escalating costs of employee health care are a global issue that raises concerns for both payor organizations and healthcare providers. PayorLink™ is specifically crafted to decrease health expenditures for payors, incentivize employee productivity, and improve the quality of provider claims, largely through effective information exchange between payor entities and affiliated healthcare facilities such as clinics, medical centers, or hospitals. Additionally, it is equipped with tools for Employee Health Profiles and Assessments, which contribute to the realization of wellness and productivity among staff. By focusing on these areas, PayorLink not only addresses immediate financial concerns but also fosters a healthier work environment.

This solution provides a comprehensive claims management system from start to finish. Its main capabilities include processing claim adjudications, managing claim workflows, and facilitating payment distributions. With a versatile architecture, it allows for the integration of adjudication modules tailored to specific lines of business, ensuring that each new addition capitalizes on the system's core functionalities. The user-friendly interface, designed for Windows, leverages a relational database for efficient information storage. Built on the Powerbuilder software platform, it utilizes SQL databases like Oracle or Sybase, making it well-suited for a client-server environment that can handle significant claim volumes. Additionally, both installation and training services are offered, and the licensing package includes the source code. Furthermore, a team of experienced professionals is available to customize and adapt the system according to any unique client needs. All changes come with thorough design documentation and support for the acceptance testing process, guaranteeing a seamless integration experience. This ensures that clients receive a tailored solution that effectively addresses their specific requirements.

Quadient® Correspondence is a cloud-based solution that streamlines the management of claims correspondence for insurers. This subscription-based SaaS platform allows users to generate, validate, and send personalized claims documents that meet regulatory standards across both print and digital formats without needing extensive IT support. Tailored specifically for insurance companies aiming to enhance their digital transformation without the financial burden of a comprehensive customer communications management (CCM) system, it empowers business analysts to craft and modify templates efficiently. Claims managers and compliance specialists play a crucial role in editing and approving these templates prior to their deployment. With a user-friendly interface, business professionals can easily create correspondence by selecting relevant templates and tailoring the text within predefined fields. Furthermore, designated personnel are responsible for reviewing and greenlighting the correspondence before it is instantly dispatched via email, PDF, or SMS, ensuring timely communication with customers. The entire process promotes efficiency and compliance while enabling insurers to engage with their clients more effectively.

Remedi EMR boasts an intuitive interface designed to document the physician-patient interaction while adhering to the SOAP methodology. It is compatible with Tablet PCs and can accommodate voice commands. Similar to its counterpart, Remedi PM, this solution offers comprehensive support from the moment a patient enters the office. The process includes data entry by medical assistants covering various aspects such as chief complaints, history of present illness (HPI), past medical history (PMH), medication history, family background, social history, review of systems, physical examinations, assessments, treatment plans, prescription generation, as well as orders and results management. Each of these components can be tailored to meet the preferences of individual users, enhancing personalization. Additionally, it includes features tailored to specific medical specialties. Noteworthy aspects that set Remedi EMR apart include integrated ICD codes, customizable CPT codes, compliance with E&M guidelines as mandated by Medicare, a robust document management system that eliminates the need for fax machines, and many other functionalities that streamline the workflow for healthcare providers. Ultimately, Remedi EMR is designed to improve efficiency in medical practices while ensuring high-quality patient care.

General practice facilities are tasked with handling as many as 500 clinical documents daily, which arrive in diverse formats from a wide array of care providers. Our Cloud-based clinical document management solution, Docman10X, streamlines the processing, sharing, and storage of these electronic documents in a secure manner. This system guarantees that pertinent healthcare professionals have secure access to clinical correspondence whenever and wherever needed. Given the volume of up to 500 documents that GP practices must manage each day, prompt and efficient handling is crucial. Additionally, many of these clinical documents require sharing beyond local areas, necessitating adherence to NHS standards to safeguard patient data continuously. Many healthcare organizations face a shortage of resources, resulting in a considerable financial burden on GP practices for the storage and upkeep of local hardware. By utilizing Docman10X, practices can alleviate some of these challenges, enhancing their operational efficiency.

AGS AI Platform is an end-to-end revenue cycle management platform that offers a full spectrum of revenue cycle solutions that can be tailored to any organization's specific requirements.

Address the complexities of value-based care regardless of your existing EHR system. Gain a comprehensive understanding of your patient demographics through consolidated data from various sources, presented in an intuitive visual format. Leverage data-driven insights to enhance the management of chronic diseases and facilitate smoother transitions in care, while also working to prevent illnesses, reduce costs, and enhance care management initiatives. Promote effective care coordination through tools designed for a proactive mindset, including a pre-visit dashboard, risk assessment capabilities, and automated monitoring of admission, discharge, and transfer activities. Activate care management strategies to broaden the reach of healthcare providers. Encourage essential patient interactions and ensure meaningful follow-up between visits. Utilize the Johns Hopkins ACG system for risk stratification to pinpoint patients most at risk for high-cost healthcare utilization. Efficiently allocate resources to areas where they are most urgently needed. Aim to elevate performance metrics related to quality care. Engage successfully in value-based payment initiatives and maximize reimbursement opportunities as you navigate this evolving landscape. By implementing these strategies, healthcare organizations can improve patient outcomes and foster a more sustainable care environment.

LifeSphere eTMF serves as the definitive source of truth for your clinical trial. Experience a flexible solution that simplifies inspections, guarantees compliance, and reduces the time and effort required by your organization. As the pioneering system designed to adhere to the TMF reference model, LifeSphere eTMF integrates clinical documentation with regulatory requirements and study protocols into a unified platform. Establish and oversee a singular source of truth for your clinical trial to enhance efficiency. With features that promote live collaboration and real-time document sharing, you can ensure the quality, timeliness, and completeness of your trial master file. Expedite TMF inspections swiftly and effectively to manage audits seamlessly. Furthermore, uphold compliance through built-in workflows and intuitive dashboards that facilitate straightforward trial reconstruction, making the process smoother for all stakeholders involved.

FBCS Enterprise serves as a centralized platform that enhances decision-making regarding non-VA Purchased care, ultimately leading to improved management and adjudication of fee basis claims through efficient claims processing. The web-based solution, CTM Plus, optimizes workflows and provides necessary oversight to address challenges related to consults and Return to Clinic (RTC) tracking, ensuring timely patient calls and scheduling. Additionally, purchasing analytics play a crucial role in minimizing costs and waste, fostering greater accountability throughout the system. The automated monitoring of expired and recalled items significantly contributes to patient safety. Moreover, the potential repercussions of delayed or misplaced orders can adversely affect both financial performance and the quality of care provided. Time spent navigating through paper records and digital screens detracts from valuable patient interaction, while the process of verifying every patient's opioid prescriptions can be labor-intensive and complicated. DSS PDMP simplifies this issue by consolidating all necessary checks into a single, straightforward step, ultimately enhancing the efficiency of patient care. This holistic approach to managing care not only streamlines operations but also promotes better health outcomes for patients.

IW360 Documentation Platform integrates IW’s patented speech recognition software First Draft. This will improve efficiency in your workflow. InfraWare's Transcription Services and Charting Service are available to provide final document versions discreetly in your EHR. InfraWare's Catuogno Court Reporting & Lawyer Conference Centers were founded in Springfield, Massachusetts. They offer legal dictation, transcription, and court reporting services with LiveNote capabilities. Insurance companies need help with property content valuation to improve quality and lower costs of pricing. Our Voice2Voice and contents hotline services will provide real-time pricing to improve your customers' experience. InfraWare believes that you deserve to be able to deliver the best performance possible.

Assist healthcare professionals in prioritizing patient care over paperwork, thereby reintroducing fulfillment into medical practice, reclaiming personal time, and improving care quality by highlighting the importance of the physician-patient interaction. The Oracle Health Clinical Digital Assistant serves as an AI-driven voice assistant that captures essential aspects of the physician-patient dialogue, processes this information, and drafts notes within the Oracle Health electronic health record system for the physician's quick assessment and approval. It allows users to pose questions in everyday language to retrieve patient information and carry out routine clinical tasks efficiently. Furthermore, it creates preliminary clinical notes based on patient data and discussions for the physician's evaluation and endorsement. By utilizing voice commands, practitioners can easily add to and modify patient records, ensuring that clinical documentation remains accurate and up-to-date. This innovative tool ultimately aims to streamline the documentation process, allowing physicians to focus more on their patients and less on administrative tasks.

Our platform fosters consistency, continuity, and scalability throughout our interconnected portfolio, allowing customers to enhance their operational efficiency, make informed decisions, and achieve better patient outcomes while driving innovation in our evolving healthcare system. By leveraging advanced data and analytics alongside patient engagement and collaboration tools, the Change Healthcare platform empowers both providers and payers to streamline workflows, obtain the necessary information precisely when needed, and ensure the delivery of the safest and most appropriate clinical care possible. We facilitate seamless access to data and promote interoperability among various data sources, thereby supporting CMS patient access and interoperability regulations, which ultimately leads to real-time access to clinical documents. This approach is instrumental in managing risk adjustment effectively, boosting HEDIS scores, and ensuring timely and precise payments through quicker adjudication. Furthermore, our commitment to innovation positions us to adapt to the changing landscape of healthcare while continually improving the services we offer.