Best Web-Based Utilization Management Software of 2024

Each record is a real person. Every data point can be a game-changer in someone’s life. It is a connection that needs to be understood and taken action on. Our goal is to improve the management of health information and enable better health. Ciox has been advancing healthcare for over 40 years through better health information management, and the exchange of health information. Our extensive experience in medical records spans many industries. This allows us to modernize workflows and facilitate access to clinical information. We also improve the accuracy and flow health information. Our clients can manage, protect, and use health information to improve their operations, optimize revenue, and provide better patient outcomes. Ciox HealthSource, a fully-scalable clinical data platform Ciox HealthSource utilizes Artificial Intelligence technology for higher quality data, lower administrative burden, and better financial performance.

Imagine being able to support someone in treatment using a mobile secure, user-friendly tool. It would be incredible to be able to rally the professional team of a client and their natural support network to increase the chances of a successful treatment. Rallyest allows you to give your clients the best. Rallyest is happy to announce the addition to its indispensable feature list of video capabilities. Rallyest can capture secure video using a smartphone, computer, or tablet. This secure video can be shared with clients, their support network, and their professionals. Patients in treatment settings can have better and more confidential input, support, or connection. Engage clients and involve their support network to increase treatment success. Gather support from a client's extended family, friends, coworkers, clergy, or professionals. One location for client's photos, videos and updates.

AssureCare, a privately-held healthcare technology company, provides innovative care management solutions for commercial and health and human service providers. AssureCare's flagship platform, MedCompass is used by healthcare providers across the United States to provide end-to-end care management for millions. MedCompass transforms healthcare management through streamlining workflows and automating processes. This allows care professionals to make better decisions and achieve lower costs and a significantly improved quality of care. AssureCare is a leader in the development of modular, seamless solutions that improve patient outcomes and reduce unnecessary costs associated with population health management.

Connexall is a hospital-wide event management and control platform. It was ranked number one in the 2015/2016/2017 awards and 2018 Best in KLAS Awards. It acts as a backbone to clinical workflow by communicating the correct information to the right person at the right time on the right device. The Class II medical device software, based on more than 20 years worth of R&D, is completely vendor-neutral. Connexall has offices located in Canada, Brazil, Portugal, Hong Kong, and the United States. It works with more than a thousand of the most innovative and renowned hospitals and health systems around the globe.

Therap is the industry's leader in electronic records and documentation for long-term care services for people living with Intellectual or Developmental Disabilities. Therap is a web-based software suite that provides a complete solution for organizations supporting people with intellectual or developmental disabilities in their home and community-based services (HCBS), and other settings. Therap uses secure cloud technology to improve the quality of services within day programs, assisted living facilities and ICF/IID facilities. It also supports community support programs and state agencies. It is easy to communicate and report daily between the states, administrators and health care professionals as well as families and quality assurance teams.

Transforming fragmented health data into actionable insights. Clarify Health's analytics platform cuts through all the noise. We provide precise insights into provider performance, patient journeys and therapy adoption to help you thrive in a post-pandemic environment. Our advanced analytics software allows you to confidently improve physician performance, match patients with the right care, and negotiate value-based arrangements. Get insights to help accelerate product growth and launch, show real-world impact, enable outcomes-based commercial agreements, and facilitate product launches and growth. You can identify top physicians and facilities faster, provide a more personal experience to members, maximize value-based engagements, and more accurately identify top doctors and facilities. You can get timely insights from thousands of predictive models that organize data into real time analyses to show a demonstrable ROI. Big data is the driving force behind this. Innovative technology is the driving force behind this. Transforming health data into positive impact.

Prioritizing the front end. Front-end solutions that are integrated to improve the patient's financial experience and the revenue cycle. Address deliverability is determined to minimize returned mail and unpaid bills. Verify the patient's identity and demographic data to reduce input errors. Verify insurance eligibility of patients at the point-of-service. Verify medical necessity before service to maximize revenue and regulatory compliance. Automate PA from beginning to end in seconds. Automate the notification to ensure that payers are notified of hospital admissions in a timely manner. Communicate patient out-of pocket expenses promptly and accurately. Increase collections by determining financial aid eligibility and propensity to repay. Patient access, once overlooked, has become a driving factor in hospitals. Patient access staff today have one of most difficult jobs within the organization. Registrars are expected to be accurate and fast, and to provide excellent service.

In the ED seconds are crucial. Collective curates data from patients into a focused alert that helps ED providers make informed decisions quickly for better patient outcomes. Get notifications for patients with patterns of high utilization or complex needs as soon as they register--notifications are also sent to other members of the patient's care team, so they can intervene and redirect patients to more appropriate settings for care to avoid misuse of emergency room services. Collective can send alerts via fax, network printers, email or text message, or deliver notifications directly to your EHR. This ability to embrace the unique needs and workflows of each facility aligns providers by giving them a common playbook. Wherever the patient goes the collective follows.

Despite the fact that population health and episodic management are important for reducing hospitalizations, and emergency room (ER), use, 20 to 30 percent of members are admitted every year. Many more will visit the ER. Unmanaged, these patients may end up in expensive clinical settings for longer periods of time, or with higher readmission rates. They may also have less-than optimal outcomes. MemberMatch®, a software solution from Accountable Care Organizations, ESRD Seamless Care Organizations, and health plans, allows them to actively manage high-cost clinical episodes of their members by alerting the care managers in real-time about a member's discharge, admission, or ER visits. The management of care is made easier by real-time notification. Members are less likely than ever to be in expensive clinical settings for longer periods of time, or have high readmission rates. MemberMatch offers timely information to improve the odds of optimal outcomes.

FIT eLearning offers a fast and new way to learn and implement feedback-informed treatments. FIT eLearning, which is based on the groundbreaking PCOMS evidence-based practices, is designed to help you gain abilities and confidence regardless your learning style. Excellent knowledge of PCOMS/FIT. Clients receive a meaningful outcome and session rating process. To keep sessions on track, a simple red, green, and yellow signaling system is adopted. A way to track your clinical effectiveness across clients. Identification of your professional baseline. The ability to measure micro-improvements in future skills growth. A certificate for 12 hours of online psychotherapy training using feedback-informed treatment. Whether you are an individual practitioner or part a larger group, FIT eLearning can help you create a culture for feedback and incorporate the outcome and scales (ORS & RRS) into your clinical practice.

Hospital budgeting is a mess. A typical hospital spends between three and six months and 100,000 hours creating a budget that is often tens of million of dollars off the mark. It is also out of date when it is finally finalized. There must be a better way... there is. StrataJazz, the most advanced planning tool on the market, simplifies and streamlines the way healthcare providers plan, budget and forecast their capital and operating expenses. The result is a more efficient, accurate and agile planning process. StrataJazz uses top-down, rolling planning methods, seamless integration cost data, best-practice automation, workflow and analysis to create a collaborative, results-oriented plan and budget that is significantly more accurate, efficient, and less time-intensive.

High-value decisions can be made and cross-functional collaboration within the care system can be enhanced. The Incedo™, Healthcare Management Platform is a complete medical management solution that seamlessly integrates utilization management, care coordination, health care navigation interventions, and care management to improve operational efficiencies. Facilitate communication between Care Management, Clinical, and Utilization Management teams by sharing a member care plan. This allows for easy transition between UM/CM. Enhanced Data Capabilities - A flexible data repository that can be customized for granular tracking and reporting simplifies data capture and CMS compliance.

Analytics-driven claims and remittance management software for healthcare providers. It is designed to automate workflows, increase resource utilization, prevent denials and accelerate cash flow. Your first pass claim acceptance rate will increase. Our comprehensive edits package will help you keep up to date with changes in payer rules and regulations. Automated tasks and intuitive workflows that are exception-based will increase productivity. Our flexible, cloud-based technology is available to your staff from any computer. Automated generation of secondary claims and explanations of benefits (EOB), from the primary remittance advisor, will help you manage your secondary claims volume. Predictive artificial intelligence (PAI) helps you focus on the claims that are most urgent. Avoid denials and errors before submission. You can process claims faster. Print and deliver primary paper claims. Collated claims and EOBs can be added for secondary claims.

Orion has been providing professional services and technology solutions to the addictions and mental healthcare profession since 1992. Orion's flagship software product, AccuCare EHR (cloud-based), was developed by a highly skilled team of clinicians, engineers, and is designed to improve all areas of your agency including billing, clinical, administrative, research, and analysis. AccuCare includes everything from custom-built screening/assessments, admission/discharge, treatment planning, progress notes, telehealth, e-prescribing, scheduling, electronic billing, custom reporting and more. AccuCare Web Based Practice Management System is supported and managed by a dedicated team that can answer any questions about the system and how it can be integrated into your existing documentation and billing processes. Your subscription includes customer support and automatic upgrades based upon real customer feedback.

Companies in many industries are concerned about managing inventory. But, the medical device industry is more important than any other. A single product can cost thousands while surgical loaner kits can cost tens to thousands. Medical device manufacturers and hospitals can increase their sales revenue, decrease capital investments in inventory, and reduce operating expenses by effectively tracking, managing, or leveraging field inventory. Medical Tracking Solutions, Inc. was founded by a team of industry professionals who are experts in the areas of medical devices sales, distribution, logistics, loaner kits processing, software development, and logistics. Manufacturers and hospitals can use the MTS proprietary software, iTraycer or they can take advantage of our full service, where MTS partners and logistics providers to offer a turnkey solution.

The right combination of software and clinical resources is essential for effective management of patient care. These resources are critical in an industry that is labor-intensive. They should not only enhance and support the care management process but also contribute to corporate profitability. AveCare's seamless integration with care management functions (CM DM & UM), streamlined workflow, management capability, and affordable pricing Structure allow organizations to optimize their clinical and financial resources while improving patient outcomes and quality. Data can be exchanged from multiple sources, including eligibility, claims, networks and pharmacy. Integrated by design allows seamless integration of case management and disease management/education functions. You can view and access all CM/DM/UM activity as well as information relevant to a patient from one place.

VitalHub's portfolio includes solutions for complex hospitals and integrated health systems. Our technologies enable frontline staff, clinicians, and leaders to improve patient experiences and increase operational efficiency, which results in safer care for patients. We provide solutions that optimize patient flow, perioperative and demand & capacity, clinic management, clinic management, and patient journey. VitalHub solutions increase transparency and communication by providing real-time whole system visibility, integrated information for coordinated care, optimization of patient movement, and integrated information for coordination. VitalHub's EHR Suite of Solutions goes beyond standard clinical data collection. Our solutions provide a holistic, comprehensive view of clients and patients at the point-of-care.

As technology advances and treatments become more sophisticated, integrated solutions and access are essential. We are your full-service partner and can support you throughout the clinical pathway so that you can continue to deliver excellent care without compromising safety or quality. Preventing contamination is a common challenge, regardless of whether you are creating the cures for today or the cures for tomorrow. We can help you ensure a safe and productive research or production environment. For advanced medical equipment to be fully functional, it requires a combination of financial planning and preventive maintenance. We provide total cost control and peace-of-mind, so you can focus on what's most important: saving lives. We are a leader in medtech and we put all our resources into helping our customers save as many lives possible.

The Care Management Suite, a data-driven solution for care management, provides visibility across the continuum of high-risk and at risk populations. It facilitates more patient-centric workflows, reduces overall costs, and improves the quality and safety of patient care. The Care Management Suite improves operational, financial, and clinical outcomes through data analytics. The Care Management Suite includes three applications: Population Builder™, Population Care Workflow, & Population Care Insights. A streamlined workflow that covers everything from patient enrollment, active and passive care management, patient records, care coordination, and patient records is a time-saver and a way to improve care. An analytics-driven DOS platform aggregates disparate EMR data and claims to give a complete patient view.

It is easy to set up. Our HIPAA-compliant software and services are seamlessly integrated into your current workflow. The software allows you to stratify your patients and identify those who may be eligible for CCM or other preventative programs. Our care team + software can manage enrollment/eligibility, patient call cycles, administrative record keeping and more. Our seamless integration allows us to keep our fingers on the pulse and respond to your patients' needs. Physicians can access vital information in a single click. Here's how it works.

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

Data from multiple sources is needed to improve the patient experience. Midas Health Analytics helps improve operational and clinical performance by providing solutions that manage risk and control costs, turn data into actionable insight, and make data-driven decision in the face of constant regulatory changes. In today's complex healthcare environment, you can achieve unprecedented operational efficiency by evaluating, interpreting and demonstrating the quality of care results to stakeholders.

Many hospitals, ambulatory surgical centers (ASCs), and health systems face significant procedure documentation challenges. Many physician documentation methods, such as transcription, dictation and EMRs lack standardization, which can lead to non-compliant, inaccurate and incomplete procedure notes. Because they are made with unstructured data, the reports are difficult to search and hard to analyze. Insufficient, tedious workflows can lead to financial loss and frustrate physicians. This intuitive workflow navigation tree guides physicians to make quick documentation selections. Users can run over 100 reports and analyze structured reports to help organizations meet compliance and quality standards. It can be connected directly to endoscopy scopes in order to collect all relevant images, and then add them to procedure notes.

Our AI-driven technology transforms healthcare data from both structured and unstructured into a reliable, high-quality, standard dataset that can be used throughout your organization. It is the industry's best. Our products and services allow you to access data in near real time from disparate systems. This allows your administrative and clinical team to reclaim that time for quality and research. Our products and services can be used to collect, analyze and act on data regardless of its source, therapeutic area, organization department, or existing reporting or BI tools. Atlas combines human expertise with the power of AI to automate the time-consuming task of finding and understanding patient data for clinical registers. Cartographer analyzes, interprets, and interprets patient information across all platforms. He also standardizes the data and makes data recommendations.

Cloud-based software for quality reporting and analytics in home health can help improve organizational performance and validate OASIS information more efficiently. Home health agencies can identify opportunities to improve their star ratings, reduce readmissions and boost referrals. OASIS Intelligence will help you improve the performance of your home health agency. Our cloud-based software can handle everything from organizational performance analysis to accurate, rapid validation of OASIS information. Use the most recent data to identify performance trends, gaps, and drive faster process improvement. Ensure that you are getting the right reimbursement and quality with automated alerts. Our flexible and comprehensive reporting allows you to view everything from monthly trends, condition-specific analyses and patient-level results.