Alternatives to SKYGEN Provider Data Management

CredentialStream® incorporates patented technology that provides everything necessary for requesting, gathering, and validating information about a provider, all to establish a reliable Source of Truth for downstream processes. With a modern platform that is continuously updated, along with best-practice content libraries and industry-leading data sets, CredentialStream stands out as the most comprehensive provider lifecycle management solution available.

A complete solution for healthcare professionals to claim their profiles, highlight their career achievements, and keep in touch with peers who are working on the most recent medical advances. Find global key opinion leaders. A global network of medical professionals. Engage healthcare professionals, including advisory board members, treatment experts, digital opinion leaders, KOLs, KOLs, and other specialists. This platform combines data from private, proprietary, and public sources. It allows clinical teams to survey the clinical trials landscape, understand principal investigators, and increase diversity and inclusion in clinical studies. Global platform that allows patients to access expanded therapeutic options and profiles of principal investigators. Payers and digital health companies can use this single source of truth to revolutionize their provider data, provider directory and referral management efforts.

A unified, automated solution for provider data can help you save money, eliminate data silos and provide better outcomes for your members. symplr pays provides a unified source of truth that is always reconciled with primary sources. It improves data access, transparency, and quality. It also eliminates the need for multiple requests for information and reduces frustration among providers. Payers can use symplr as the enterprise-wide hub to feed accurate and timely information to downstream systems by using symplr as the enterprise data hub. Our end-to-end, highly configurable provider data management solution handles all pre-contract and contract renewal negotiations. Standardize and streamline contracting processes while capturing contract information such as sentinel event, trigger dates and configuration efforts. The unique design of symplrPayer allows your organization's contracting and credentials to be consolidated.

Incredable is an all-in-one credentialing solution that bridges the gap between healthcare facilities, providers, and administrators. The platform streamlines the entire credentialing process, from document management and compliance tracking to credential verification. Incredable ensures that healthcare professionals remain fully compliant and prepared at all times. Trusted across the healthcare industry, Incredable reduces administrative burdens, enhances operational efficiency, and fosters seamless collaboration among all stakeholders, allowing healthcare teams to focus on delivering quality care.

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.

Medallion is the first solution for healthcare companies to fully offload their clinician operations—state license management, payor enrollment, credentialing, and more—in one modern management platform. Since inception in 2020, Medallion has saved over 100,000 administrative hours for leading healthcare companies like Cerebral, Ginger, MedExpress, Oak Street Health, and hundreds more.

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.

Health systems can match patients to the right providers, optimize patient access, and manage data with industry-leading solutions. Our provider search and schedule solutions, built on the Kyruus data management platform, enable health systems to optimize matching between patients and providers; boost patient acquisition and convert; and deliver a consistently positive patient experience at key points of entry. Create a digital presence that is unique with a modern access experience for patients. This allows them to easily find the best care options and book online. By equipping your agents with the necessary technology, you can connect consumers with the best providers via your call center. Providers and staff will be able to see the providers in your network, and patients can leave their appointment knowing that the next one is already booked.

Our platform provides consistency, continuity and scalability throughout our integrated portfolio. This allows our customers to improve operational efficiencies, decision-making and patient outcomes, while enabling innovation in our evolving healthcare system. Change Healthcare's platform, which combines innovative data and analytics with patient engagement and collaboration features, helps payers and providers optimize workflows, get the right information when they need it, and provide the safest, most clinically appropriate healthcare. We facilitate data interoperability and access to data to support CMS patient interoperability and access rules. We also enable real-time clinical document access to better manage risk adjustments, improve HEDIS score, and support accurate payment with faster adjudication.

Verisys has been credentialing events for more than 2 million healthcare organizations in the United States annually, for over 30 years. Our provider credentialing service will keep you compliant. Credentialing is a complex task for health plans, health systems, and hospitals. Physicians may be licensed in more than one state and provide telehealth across state borders. This requires licensing verification with each state board, and compliance with the unique regulations of that state. Due to the fact that physicians may have the same maiden name, alias name, nickname, or abbreviated name, identity matching can be difficult. To get an accurate picture, every physician must be screened and their credentials checked against thousands of primary sources. We can assist you with anything from a simple search for provider credentials to implementing an end-to-end credentialing system.

CORE brings together the industry to accelerate automation and develop processes that streamline healthcare services for patients, health plans and providers. CAQH, a healthcare organization's trusted source of member and provider data, helps reduce costs, improve payment accuracy, and transform business processes. In an ever-changing healthcare landscape, it is vital to improve payment and claim processing systems. The new and updated CAQH CORE operating rules represent a significant advance in our ongoing efforts to improve efficiency.

Certify provides API-first licensing, credentialing, and enrollment to payors and health systems as well as rapidly-growing digital health companies. We provide insights and enable organizations to achieve high performance. Our one-click credentialing solution helps you build best-in-class provider network. Automated, real-time NCQA-compliant credentialing for scaling provider networks. Automated monitoring to ensure compliance of provider networks. We take the guesswork and paperwork out of licensing so you can scale to new markets seamlessly. You can join the network to get reimbursed quicker so you can get back on your feet. Streamlined processes to cross-state licensure for all license categories in all 50 US states. Streamlined enrollment for payers to allow providers to be in-network in new market. Our dashboards allow you to track enrollment progress. Our best-in-class method will clean, normalize, or enhance your provider data.

Collaboration for patient care requires constant connectivity. It is important to simplify how you exchange this information with your payers. Availity makes it easy for payers to work together, from the initial check of a patient’s eligibility to the final resolution of your reimbursement. You need quick and easy access to information about your health plan. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity Essentials Pro, a premium, all-payer option, is also available to providers by Availity. Essentials Pro can improve revenue cycle performance, reduce claim rejections, and help to capture patient payments. So you can concentrate on patient care, Availity will remain your trusted source for payer information. Providers can integrate HIPAA transactions into their PMS through our electronic data interchange (EDI), clearinghouse, and API products.

Our automated solutions will give you back hours of your day, and millions in your pocket. You can access the key players - providers, payers and partners - as well as the real-time accurate data that you need to ensure that care delivery is never missed. We handle all the complicated connections across thousands payers. Here you will find all the information you need for a fast and easy registration to any payer. Cloud computing has never looked so good. Central command to manage and store provider data in real time, connected everywhere. Provider verification made simple. Our platform will process your request quickly.

The burden of CMS and state regulations in the health care industry creates challenges for time and money. Health plan members communicate with compliance directors every day, despite the fact that outdated processes and anxiety about not meeting regulatory compliance are common. It is time to centralize and have control over your organization's compliance program, and the entire process of creating material. CodySoft®, a web-based suite of software products, is designed for health plans and their complex environments. Project management of provider and member marketing materials is more efficient and cost-effective. Increased accuracy and reduced regulatory compliance risk It is easy to manage investigation issues. Access your dashboard online via a secure portal without any IT integration. You can easily generate reports for regulatory audits or metrics tracking. You can see real-time updates.

Innovit's iICE Training programs are designed to provide relevant knowledge and skills for your employees. You can be sure that your team will continue to improve their systems and processes for the sustainable management master data by incorporating 'best practices' in product information management. Innovit is a global provider of solutions that specializes in MDM (Master Data Management), PIM [Product Information Management], GDSN (Global Data Synchronization), UDI Compliance, Unique Device Identification (Unique Device Identification), and NPI Workflow Automated software.

Build the interoperability solution you need. Rhapsody is a flexible toolbox which allows your team to adapt to any modern environment. Rhapsody helps you provide the highest level service by ensuring healthcare data flows where, when and how your unique environment requires. Create flexible solutions for every connection requirement. Streamline workflows using a solution that's infinitely configurable, and specifically designed for healthcare. Create intricate integrations using a robust toolkit, which has been tested around the world. The platform has customers in 36 different countries. Create FHIR interfaces that are cutting edge with ease and simplicity using REST and FHIR specific JSON. Security is a primary concern, and is built into the entire product. This is to protect any protected health information that passes through the engine.

Model N is an end-to-end platform that empowers companies to maximize their revenue by transforming Sales, Marketing, Channels and Finance. Model N's revenue management solutions can help you maximize your revenue by turning tactical, siloed activities into strategic, end-to-end revenue processes using automation and intelligence. Revenue Cloud bridges the gap between back-office and front-office activities, providing a single system of record for all revenue execution. Customers can easily set up and quote complex products, quickly reach terms on complex contracts, have better channel data, which allows for visibility into channels and efficient management of incentive programs, avoiding overpayments. Model N Rebate Management allows you to better engage your channels and maximize revenue.

Authorize, claim processing and payment are available at the point-of-care. Improve care coordination and improve outcomes for lower medical costs while streamlining administrative processes. Engage providers at point of care to share and capture data in real time, resulting in an unprecedented exchange of health information. We work with our clients to develop risk management strategies that produce better outcomes at lower costs. We aim to improve the user experience of everyone in the ecosystem. To optimize clients' resources, we deliver a minimum of a 3:1 ROI. Conexia has created a core technology platform (ONE), which can be customized to meet the different regulatory requirements and operational processes of each client in each geographic region. Our initial implementation is usually an overlay on the existing technology ecosystem of the payer to create real-time processes.

HealthEC's best platform for population health management, which includes our CareConnect™, and our analytics module 3D Analytics™, is designed to improve quality of care and patient experience and overcome the most difficult data challenges in the healthcare industry. A universal data warehouse that contains normalized claims, clinical, SDoH, and other data from all sources will help you conquer system chaos. CMS certified for reuse. Integrate, customizable care plans, decision support tools, and robust care management support can eliminate workflow disruption. Integrate community resources and address social determinants of healthcare to provide patient-centric care. Clear dashboards or at point of care provide actionable insights that inform strategies at the provider, provider, practice, organizational, and patient levels. Enhanced MCO performance reviews, compliance with the CMS interoperability rules.

HealthStream supports EchoOneApp, a legacy platform. CredentialStream is recommended for new customers.

Post Acute Analytics (PAA), which is a leader in the transformation of healthcare delivery, aims to improve patient lives through real-time insights from a connected healthcare system. Our AI-based, turnkey integration solution, PAA Anna™, Platform - makes this possible. It integrates with both payers' and healthcare providers' systems. Anna allows patients to see their post-acute care journeys in real-time. It also allows for proactive intervention to prevent costly and negative events. Our solutions provide providers and payers with real-time data, turnkey integration engine and medical leadership that allow them to make decisions that improve patient outcomes and reduce total cost.

Our Provider Enrollment & Credentialing services allow practice providers to be enrolled for the services that they provide. We ensure that payers have the data required to process your claims. New Provider Enrollment. To maximize revenue opportunities, establish relationships with new payers or those who are not yet listed. Re-credentialing Hospital applications and commercial payers Annual Maintenance. Annual Maintenance. CAQH Maintenance and Attestation. Re-validations for Medicaid. Expirables: DEA. License. Malpractice. Expert Credentialing Services for Healthcare Physicians. It can be time-consuming and costly to manage and understand the requirements of your healthcare center's credentialing. We understand the impact provider credentials can have on your cash flow as a full-service revenue cycle management company. Our provider credentialing service offers options for both new and established providers.

Optimize patient care and cash flow with clear financial insight. Affinity Revenue Cycle Management eliminates the need to add bolt-on applications, thereby lowering the overall cost of collecting from payers and guarantors. All the best healthcare software solutions in one platform. Automating the revenue cycle speeds up claim processing and lowering the cost of collecting. Harris Affinity helps healthcare organizations to focus on what is most important: patient care. Our RCM software helps us automate the revenue cycle, speed up claim processing, and lower the cost of collecting. To send and receive data directly to a payer/clearinghouse, use electronic transactions (EDI). You can unlock screens without having to contact support. Easy to understand dashboards allow you to analyze data. Optimize complex scheduling procedures. Patients can receive automatic reminders about appointments.

SE Healthcare's Physician Empowerment™, a suite of specialty-specific data analysis tools, provides solutions that will enable your practice to be more competitive in an increasingly competitive market. - Get the reimbursement that you are entitled from payers - Make your practice more appealing to other networks. - Increase your transparency and reputation to convert website visitors into patients. - Retain existing patients by identifying issues and creating a better experience for patients. - Improve the culture at work for physicians - Increase patient engagement and satisfaction - Address important issues such as physician burnout, quality, safety, and safety.

Our integrated platform of end-to-end health plan solutions simplifies healthcare for employers, payers, members, and providers. Valenz combines member-centric services and data-driven insights to provide personalized service and guidance that improves outcomes and ensures high-quality care. We engage early and frequently with results-driven support, education, and services in order to avoid more serious, costly health events. Valenz can help you achieve a healthier population of members while also saving money on the plan and for your members, year after year. Let's get started on your path to better, more efficient healthcare by gaining the tools and transparency that you need to make quality-first, cost-effective decisions. Valenz's healthcare ecosystem optimization platform integrates a range of configurable solutions into a single ecosystem strategy. This allows for extensive visualization of cost and quality opportunities.

CredentialMyDoc is a web-based software that makes it easy to enroll providers and create credentialing documents. It streamlines data entry and validation, reduces errors on forms, streamlines billing and increases provider satisfaction.

Milliman MedInsight® was founded in 1998 and is a leading provider for healthcare data and analytics. Over 300 payers/ACOs/employers and government agencies trust Milliman MedInsight. Our comprehensive suites of analytics and data enable organizations to leverage healthcare information for better clinical and financial outcomes. We deliver actionable insights on healthcare utilization, costs and quality using our deep industry expertise and advanced technologies. Milliman MedInsight empowers stakeholders with the tools they need to navigate the healthcare landscape, from risk management to value-based care.

Empowering patient consumers to triage their care to the right services and care. We help providers and health systems acquire new patients and keep existing patients by providing a better, more consumer-centric experience. We help improve patient engagement and outcomes. We offer plan members self-service symptom check, triage, and step by step guidance to help them find the most suitable, convenient, cost-effective and trusted in-network healthcare. We work with digital health, healthcare innovation and healthcare SaaS companies in order to enhance digital products with clinically-validated AIchat solutions.

With one comprehensive software suite, you can improve clinical quality metrics, accuracy of risk scores, patient and provider involvement, patient outcomes, transparency in operations, and economic performance. Inovalon Payer Cloud transforms workflows into data driven processes that support the key objectives of your health plan. Our converged SaaS solution, backed by industry-leading analytics, delivers the member-centric insight, speed, accuracy and flexibility that you need to keep up in this ever-changing, diverse marketplace. Inovalon’s SaaS healthcare payer solutions deliver member-centric insights to help health plans improve healthcare outcomes, economics and quality. Payer solutions that improve member outcomes and care while improving operational performance and efficiency through sophisticated analytics and dynamic data intelligence.

EMCsoft's Claims Management Ecosystem ensures that healthcare providers and billing firms submit clean claims to insurance companies for proper claim adjudication. It's the integration of our flexible claims processing software Claim Agent, and a comprehensive fitting process called The Four Step Methodology into the claim adjudication process. This approach automates, supports, and facilitates your claim adjudication process in order to maximize claim reimbursement. Request our free online demo for a great introduction into the functionality/features of Claim Agent and how it fits into your claim adjudication process. Claim Agent processes your claims quickly, efficiently, and at a cost-effective rate. The software can be used with any system, making it easy to implement. We offer custom edits, bridge procedures, payer lists, work flow settings, and custom edits for each user.

Your ability to communicate across a flexible platform is crucial if you are a value-based organization. NaviNet Open is America's most trusted payer-provider collaboration platform. It facilitates provider engagement and generates trustworthy, actionable data throughout all stages of care delivery. NaviNet Open, a secure platform for multi-payer providers, improves communication, reduces costs, and increases provider satisfaction. It allows payers and providers to exchange crucial administrative, financial, clinical, and other information in real-time. Security is a top priority for NantHealth. HIPAA compliant, steadfast in values, NantHealth has been awarded EHNAC HNAP accreditation from 2006. NaviNet Open has been HITRUST certified and has met all industry-specific requirements. It manages third-party compliance, security, and privacy risks in a manner that is appropriate.

Driving AI - First as a business strategy to payers, providers, and PBMs with products or platforms that are built on AI and run on cloud. A "healthcare platform" is a combination of applications and emerging technologies that provides a tailored solution for healthcare. This is a significant modern and faster way to disintermediate core administration processing systems (CAPS). Infosys partnered with HFS to better understand the role of emerging technologies and digital platforms in achieving business goals, the impact of these platforms on healthcare payer KPIs, as well as the relative attractiveness and value of healthcare platforms.

ReferralMD is the most trusted referral management, provider management and patient engagement platform. Referral management, e-consults and provider CRM are key tools to reduce leakage and increase market share. ReferralMD offers proven referral management, econsult, and telehealth solutions. These solutions help hospitals, health networks, and payers to streamline the referral process, reduce patient leakage, and improve communication between patients and providers. ReferralMD provides powerful clinical decision support tools, real-time analytics and customer service improvement to healthcare providers.

HealthRules®, Payer is the next-generation core administrative system that offers transformational capabilities for health plans of any size and type. Health plans that have implemented HealthRules Payer for more than 10 years have been able quickly respond to market opportunities and stay ahead of their competitors. HealthRules Payer differs from other core administrative solutions because it uses the patented HealthRules language™, a vernacular similar to English, which delivers a new approach to configurations, claims processing and information transparency. HealthRules Payer transforms health plans that want to grow, innovate, and compete beyond other core systems.

CareStat, SHP's comprehensive analytics solution for post-acute care, unites acute providers, ACOs and payers with skilled nursing facilities and home health agencies. Our goal is to advance post-acute provider partnership, patient outcomes, operations and utilization. CareStat, in addition to SHP’s proprietary readmission algorithm, uses real-time OASIS data (HHA) or MDS data (SNF) to support patient management throughout the continuum of healthcare. Reduce readmissions, and reduce length of stay. Collaboration and partnership efforts should be intensified. Improve referral patterns and patient satisfaction. Simplify the data transfer for quality and outcome metrics to save time. Your organization understands the importance of actionable insight when it comes to managing trends within a numbers-driven sector. To be successful, your initiatives need the right tools and knowledge.

Maincare provides digital health solutions to healthcare organizations, care teams, and payers. We help them deliver high-quality, population-health management, and improve performance. We create new-generation, fully integrated digital health platforms that provide better coordination and care. Improved patient engagement and outcomes Improved care coordination and population health at a lower cost. Maincare Solutions is constantly innovating to improve the quality of healthcare and improve the health of the population. We are the partner of choice for supporting population health programs, helping groups healthcare providers work together in a safe, seamless information sharing and exchanging environment, optimizing and optimizing care process performance, and other related services. We have the expertise to provide customized solutions that will best suit your project.

You want to provide the best care possible for your patients. We share that goal. Aledade provides primary care providers with access to cutting-edge data analytics and user-friendly workflows. It also offers strong payer relationships, regulatory expertise, and local support from attentive specialists. Our goal is to make it easy for primary care practices and community health centers to participate in value-based healthcare. This will improve outcomes for patients, as well as support a high-quality, cost-effective healthcare system for your area. Aledade ACOs can be joined by independent primary care providers and community-based health centers that want to participate in the Medicare Shared Savings Program, any other government programs or commercial contracts.

Valer's technology simplifies and speeds up prior authorization and referral management. It automates submissions, status checks, verification, reporting and EHR synchronization for all medium-to-large healthcare settings, specialties and payers on one platform. Valer is a technology solution that caters to all specialties and payers. It was designed for your needs, not for ours. Valer is specifically customized to meet your needs, unlike off-the shelf products that limit specialties and service lines or payer mix. Valer's dashboard is so easy-to-use that it increases staff productivity and simplifies staff training. It also measures staff and payer performances across all service lines for continuous improvement. Valer connects to all of your payers, not just some. We connect to all payers, for all specialties and service lines. Real-time updates on payer rules are also available.

Zuub, an AI-powered revenue cycle management platform for dental practices, automates key administrative tasks to optimize revenue cycles. The platform includes features such as real time insurance verification, digital treatments plans, online payments, accounts receivables management, and digital consents. Zuub integrates seamlessly with existing practice-management systems to reduce manual processes, improve efficiency, and increase patient transparency about procedure costs and coverage. The platform supports more than 350 insurance payers and allows practices to verify insurance in less than 5 seconds. Zuub’s digital treatment plans help patients understand and accept their treatment, while its partnership Sunbit offers flexible financing options for patients.

Unstructured health data can be unified and liberated with Interactive AI and NLP solutions that deliver health insights to Providers. Payers. Life Sciences. Interactive AI and NLP solution to unlock healthcare insights from unstructured clinical data. Provider. Accelerate data abstraction and clinical validation of clinical notes information. Reduce time and costs needed to identify care gaps, review care quality dashboards and create registry reports. Payer. To better manage high-risk and high-cost member cohorts, integrate and analyze claims data and clinical notes. Life Sciences. Use clinical trial databases and data taken from clinical notes to quickly match patients with clinical trials. Real world clinical data and evidence can be leveraged. Ember is a complete solution that combines NLP and predictive analytics. Streamline. Healthcare Analytics for Unstructured Data to Improve Quality and Efficiency.

The Innovaccer Health Cloud will accelerate your transformation. You can unify patient data, create comprehensive financial and clinical insights, and innovate faster. We help providers integrate disparate patient information to provide actionable insights at point of care, collaborate across care teams and achieve better outcomes. We facilitate connectivity and collaboration among payers, providers, members, and members to manage risk and compliance as well as rising member expectations. We assist medtech and biopharma companies to build digital solutions at the intersection of healthcare and better use real-world data throughout the value chain. Transform from silos to an open platform that unifies healthcare data into one longitudinal patient record that allows for whole-person care.

BillFlash is your one-stop shop to find Billing & Payment Services that are compatible for you. Our site MyProviderLink.com allows you to send paperless bills online, saving you money. You can customize the payment methods and messages you accept. MyProviderLink.com allows you to expedite online payments. Our site MyProviderLink.com allows you to receive online payments from patients or customers. You can receive messages from payers with your online ePay. Your consolidated Payments Report includes ePays. Professionally printed bills can be sent via USPS First Class Mail. You can customize the accepted payment methods, colors, and messages. With payment coupons and return envelopes, you can simplify the process. Pay by mail, phone, or walk-in. Online access to OfficePays is available at MyProviderLink.com. Your consolidated Payments Report will include OfficePays. The BillFlash integration with the Billing Application reduces the time it takes to complete your work.

We help hospitals, payers, and life science companies to make the leap to value-based healthcare by comparing treatments, drug prices, processes, and costs. Our CRCA™, P&T platform empowers P&T boards to achieve data-driven improvements in quality metrics such as 30-day readmissions and average length of stay (ALOS). Our unique POPBUILDER Rx™ solution allows for comparative analyses between selected cohorts as well as CRCA's real world data index of more than 140MM longitudinal patient records. Our drug remittance dashboard analyses and reports drug remittance information across payer types and for targeted groups of high-cost drugs, down to the NDC. Our Agilum Healthcare Intelligence team and insightful analytics help hospital finance departments monitor and improve their service line profitability, profitability, productivity, revenue cycle performance, and costing.

Today's ambulance practices face many challenges. It can be difficult to connect with other doctors, payers, and pharmacies while also complying with changing regulatory requirements. Veradigm Professional Electronic Health Record™, originally developed by physicians, is the best solution for physician practices looking to improve patient care, streamline operations, and increase revenue. Professional EHR is a one-click template that allows physicians to quickly and efficiently record patient visits based upon what they have ordered in the previous under similar circumstances. They can then make any necessary changes with just a few clicks, which improves provider satisfaction. Physician Desktop provides providers with a simple way to manage patient populations by providing all clinical information on a single screen.

Preventive medicine is the future. Healthcare providers can identify high-risk patients and intervene when necessary. Our goal is to help clinicians keep patients safe. ADR reduction within Healthcare providers facility Between 5-10% of hospitalized patients experience an ADR during their hospitalization. This adverse event increases risk, prolongs stay, and denies payers reimbursement for additional hospitalization days or procedures. These adverse drug reactions can be prevented. ACO's, HMOs and payers can be helped to reduce hospitalizations and preventable ER visits. ADR reduction among the population, with a special focus on the elderly. ADR is responsible for 15%-30% of all ER visits by 65+ patients. These visits often include hospitalization. These Adverse Drug Reactions can be prevented. What We Do. Advanced Science Multi-disciplinary science. Our technology is based in medical research and advanced data science. This powerful combination yields better results.

MAPay is a decentralized network payment solution that offers greater security, lower transaction costs, and improves payment performance for many industry stakeholders. MAPay, a global technology company in healthcare, has developed a platform that is able to transform healthcare payments. The Company is poised for a leading industry position in healthcare payment processing. Healthcare is a zero-sum industry. Misaligned incentives and a lack of transparency regarding billing & pricing, as well as non-interoperable systems, drive up healthcare costs while reducing the quality. Every day, the Network resolves new use cases among healthcare systems, government entities and medical apps. Your challenge us with yours. The network's backbone is a hybrid architecture that combines distributed ledger technology, traditional databases and payment processing.

ReferWell has helped payers and provider networks manage 200,000 care transitions, covering more than 10,000,000 lives. Improve medicare, member experience and care gap closure to improve quality. Improve network adequacy between disparate EMRs, while reducing expensive transitions and eliminating leakage. Improve access to care, and identify new revenue streams from 340B to support community care. Reduce revenue leakage, strengthen relationships with community providers and direct care to the appropriate hospital specialists. ReferWell is HIPAA-compliant and integrates seamlessly with all major EMRs, scheduling platforms and EMRs to allow for the sharing of clinical information between providers. This allows for better coordination of care and less time spent on the phone or fax. ReferWell supports all integration protocol. ReferWell empowers provider networks by enabling them to guide patient care transitions, and gain full visibility of all patient and provider behavior.

Sift simplifies healthcare payments by integrating actionable information into revenue cycle workflows. This helps healthcare organizations optimize payment outcomes and reduce costs to collect. Sift provides healthcare providers with actionable intelligence to help them protect their receivables, and increase cash flow. Sift records patient financial information and insurance claims into a HIPAA compliant, cloud-based, and normalized database. This provides a single source for truth around your healthcare payments. Sift bridges the gap between an EHR, clearinghouse and workflow tools of a provider and a patient engagement platform. Sift unites the data points from all systems to create a unique data set and provide holistic payment oversight. Sift combines multiple data science techniques to provide comprehensive and integrated recommendations for payer assessment, denial management, patient collection, and patient acquisition.

Our healthcare clients have relied upon us for decades to solve their most pressing business problems. HGS Healthcare Technology employs a holistic consulting approach to identify and solve the problems of healthcare payers and providers. Our core focus is on the client's best interests and we are equipped with a strategic solution mindset. Our operations and technology specialists will create a customized solution roadmap and recommend the necessary adjustments to improve efficiency, engagement, data management, overall processes, and overall performance. Proven strategies to engage members and provide better experiences. HGS integrates with your systems and can tailor it to meet your specific needs.