Every evening we should be able to run eligibility verification for all patients scheduled for the next day in a single batch. Currently we check one ...
When we have a clinical question about a patient being co-managed with a specialist, we currently use personal cell phones (insecure) or wait for the ...
We send appointment reminders via a third-party service that our compliance officer is not comfortable with. We need HIPAA-compliant SMS built into th...
We serve 4 zip codes with very different patient demographics and health outcomes. We need our analytics segmented by geography so we can identify whi...
We need visibility into which insurance companies are denying claims most frequently and for which procedure codes. This would let us proactively addr...
The signature capture on our 3-year-old Samsung tablets drops out intermittently. Patients have to redo the signature 2-3 times. This happens specific...
We have patients with 3+ chronic conditions who we know are likely to deteriorate if they miss a visit. We want to flag these patients and trigger an ...
When a prior auth is denied, we have 30-60 days to file an appeal depending on the payer. We currently track these in a shared spreadsheet. We've miss...
After a chronic care visit, we create a care plan but have no way to share it with the patient digitally. We print it and most patients lose it. A sec...
When a patient has primary and secondary insurance, we manually calculate coordination of benefits. This takes 20-30 minutes per claim and we get it w...
Returning patients fill out the same demographics section every single visit even though nothing has changed. For patients who visit monthly (chronic ...
We send referrals to 14 specialist practices. Once we fax or send the referral, we have no visibility into whether it was received, scheduled, or comp...
We had two patients who came in for approved procedures only to find the prior auth had expired 3 days earlier — nobody caught it. We need an automate...
Patients discharged from the ED are supposed to follow up with us within 7 days. Our follow-up rate is 54% — far below the 80% target for value-based ...
Our Medicare patient population (avg age 72) struggles with digital intake forms. We end up printing them anyway, then scanning the completed version ...
When we look up benefits, the system shows us raw EOB fields that our front desk coordinators can't interpret. We then have to call the payer to get a...
Every prior auth request requires re-entering patient demographics and clinical history that already exists in the EHR. If the platform could pull fro...
We currently verify eligibility the morning of the appointment. 12% of the time the coverage has lapsed — either the patient switched employers or mis...
Our operations team runs a monthly quality metrics report for our value-based care contracts (HEDIS measures, ED utilization, readmission rates). The ...