Best Payer Intelligence Products

Innovaccer’s Data Activation Platform, leveraging modern cloud lakehouse architecture, is designed to help organizations rationalize their IT expenditures by driving ROI and realizing cost-saving opportunities within their infrastructure. Its data lake architecture provides more than 200 prebuilt connectors to allow hospitals to onboard and test data. With intelligent algorithms, the platform delivers deep AI- and ML-powered predictive insights to support

hospital operations. It’s one of the most cost-effective data archiving solutions and has a variety of use cases to impact productivity, efficiency, and quality for physicians, care coordinators, and healthcare leaders. 

Andor Health was born over 4 years ago with a single mission; to fundamentally change the way in which care teams, patients, and families connect and collaborate. By harnessing the latest innovations in OpenAI/GPT models, our cloud-based platform unlocks data stored in source systems - such as electronic medical records - to deliver real-time actionable intelligence to care teams within ubiquitous virtual collaboration platforms like Zoom. By perfecting communication workflows, our platform accelerates time to treatment, decreases clinician burnout, and drives better patient outcomes.  

Healthcare institutions and providers use ThinkAndor® to enable providers to configure patient and clinician interactions with ubiquitous team collaboration platforms. This eliminates the need to manage added applications. ThinkAndor® enables a frictionless virtual interaction allowing physicians and patients to communicate without being distracted by disjointed technologies during a virtual consultation. 

ThinkAndor is the only integrated virtual collaboration platform that can truly bring together all aspects of outpatient, inpatient, post-acute and at home virtual care collaboration through the 5 Pillars of Virtual Health: Virtual Visits, Virtual Hospital, Virtual Patient Monitoring & Care Management, Virtual Team Collaboration, and Virtual Community Collaboration. 

Features include:

• Virtual visits launched from the EHR
• Voice-to-text clinical notes
• Real-time alerts and notifications
• Secure collaboration channels
• ThinkAndor® AI Bot provides relevant content and clinical context to visits and care teams
• Device-agnostic virtual rounding, nursing, sitting and remote consults to power the virtual hospital
• Remote specialty consults such as Tele Stroke, Tele Psych, and Tele ICU
• Access to a virtual on-demand network
• Multi-room/patient virtual sitting for a variety of risk types
• Virtual nursing to address staffing shortages

In 2020, Microsoft M12 took an investment position in Andor Health and works very closely to optimize virtual interactions leveraging OpenAI and GPT. Since then, Andor Health has grown to serve over 70,000 providers and over 500 hospitals leveraging the Andor Health platform across the US, Canada, and UK. Orlando Health, Medical University of South Carolina, Tampa General Hospital, Yale New Haven, and the National Institutes of Health are among some of the most notable. You may find some of our most prestigious partners here, https://andorhealth.com/partners.html. 

Most Importantly, Black Book has ranked Andor Health as the #1 Virtual Care Collaboration Solution with the Highest Client Satisfaction in 2023! Black Book Market Research used 18 key performance areas of operational excellence to rank Virtual Care Solutions vendors, and recognized Andor Health as the Highest in Client Satisfaction.  More importantly, Black Book reached out to nearly 1000 provider organizations, hospitals, and health systems to perform this independent market evaluation with Andor Health taking  #1 in 13/18 key performance indicators across all 5 pillars of virtual health & collaboration! This success is a proven indicator of Andor Health’s focus to empower clinicians and care teams with distinct, AI-powered virtual collaboration experiences. 

HealthNautica’s eORders™, software is a comprehensive, easy-to-use, cloud solution for managing the entire perioperative process and surgical scheduling without changing your scheduling system. It begins with the physician’s office filling out an online surgery scheduling or procedure request.

Gone are the days of illegible, incomplete, inaccurate faxes sent back and forth between the physician’s office and the facility’s scheduling department. The cumbersome and error prone faxing process is replaced by an electronic form that is configured to each facility’s exact specifications and reacts to the user’s input thereby assisting the physician’s office in getting it right the first time.

All orders are legible, complete, screened for CMS Medical Necessity, incorporate SCIP, VTE, SSI and ACS NSQIP measures, verified for insurance eligibility, pre-certified and satisfy edits by CMS, commercial payers and the facility. Our solution ensures efficient surgery center scheduling and block time management while streamlining processes such as prior authorization.

The Clinician Journey with Avo Assistant:

• Reviews Patient Chart: Clinician reviews the patient chart prior to encounter, receiving an automated chart snapshot and best next step summary in the EHR based on the patient records and institutional guidelines.
• Records Patient Conversation: Clinician meets with the patient and records the conversation on mobile using Avo’s scribe technology, or using existing ambient software. 
• Generates Documentation: Clinician goes back to workstation and in one-click auto-generates documentation in any format, thanks to easy prompting available behind-the-scenes in Avo Builder.
• Submits Orders and Billing Codes: Clinician uses Avo Pathway to check protocol for admitting this patient and pends orders based on the latest evidence. Clinician submits note with MEAT criteria for accurate billing. 

The Stel Vitals Hub seamlessly and securely connects bluetooth vitals devices to health records without complex setup, WiFi, or mobile applications.

Healthcare leaders are struggling with the reality of the digital divide and integrating hundreds of point solutions across the care continuum.

Patients simply plug in the Hub and use their vitals device.
Care teams can better monitor patient trends and alerts within their preferred workflow.

With Stel, patients don’t require Wi-Fi, smartphones, or tech-literacy to connect with their care teams. 

Stel passively and securely connects the device data to their care team’s Electronic Health Records (EHR) or preferred platform without risking Protected Health Information (PHI) or complicated workflows. 

Clinicians can order, deliver, and monitor care from one unified platform within their current workflow. These include everything from connected devices to services including meal delivery and transportation, from patient education to surveys and PROs. Looking to alleviate the disparity in healthcare delivery while recognizing common technologies most people share, Xealth helps health systems make digital health a competitive asset.

Xealth enables healthcare teams to order digital content and services as easily as they do medications today. Patients can then access these digital health prescriptions from the provider's portal, so that they can actively manage their health.

• Digital Pathways (Algorithms) and Calculators: Library of 150+ society and academic institutional guidelines digitized into an actionable format and 50+ top clinical calculators.
• Knowledge Base: Information warehousing of your unique guidelines and protocols, customizable with Avo Builder.
• Custom Builds: Transformation of your guidelines and protocols into actionable clinician tools by our informatics experts.
• Analytics: Dashboards on algorithm and calculator usage to guide your education and adoption strategy.

XpertCoding is an AI enabled autonomous medical coding platform that automates over 90% of medical coding with 99% accuracy within 24 hours. XpertCoding also includes a Business Intelligence suite with a Clinical Documentation Improvement (CDI) Dashboard and a Comprehensive Data Analytics Dashboard, providing essential insights for healthcare leaders and teams to optimize operations.

What organizations can expect from XpertDox:

Unmatched Automation and Accuracy

• Fully Automated Medical Coding: Automates 94% of claims without human review, ensuring speed, accuracy, and efficiency with minimal supervision.
• Performance-Based Coding: Tracks quality and performance metrics effectively with support for Category II CPT codes.
• Reduces Coding Errors to Less Than 1%: Ensures compliance and minimizes claim denials, delivering precise and consistent coding outcomes with >99% coding accuracy
• Faster Claim Processing in less than 24 Hours: Accelerates claim submission timelines, ensuring faster reimbursements and reduced backlogs.
• Smart Claim Scrubber: Customizable to align with payor-specific rules, reducing denials and rejections for smoother claim submissions.
• EMR or EHR-Agnostic Solution: Enables easy data extraction and Fully Automated Claim Submission, ensuring uninterrupted workflows with any EMR or EHR system.
• Modifies and Improves 80% of Claims: Streamlines workflows, eliminating bottlenecks and enhancing operational efficiency.

Enhanced Financial Outcomes for Clients

• Flexible Pricing Model: Offers transparent, per-claim pricing for scalable and cost-effective solutions tailored to your needs.
• Delivers a 15% Increase in Charge Capture: Optimizes revenue generation and ensures accurate billing practices.
• Reduces Claim Denials by 22%: Strengthens the revenue cycle and minimizes payment delays.
• Drives 23% Growth in PMPM Payments: Boosts practice revenue by up to 19%, significantly enhancing financial performance.

Revenue Cycle Optimization and Advanced Insights

• Revenue Cycle Dashboard: Provides real-time visibility into key performance metrics and financial health, empowering data-driven decisions.
• Clinical Documentation Improvement (CDI): Optimizes compliance and documentation accuracy for improved financial outcomes and streamlined workflows.
• Advanced Analytics Suite: Benchmarks provider and clinic performance with actionable insights, helping healthcare teams make informed, strategic decisions.
• Proactively Recovers Missed Charges: Identifies and retrieves overlooked charges from previously submitted claims, enhancing revenue integrity.

Secure and Risk-Free Implementation

• HIPAA-Compliant Infrastructure: Ensures secure data privacy and full regulatory compliance, offering peace of mind for healthcare organizations.
• Risk-Free Implementation: Includes zero upfront fees and a complimentary first month, allowing you to experience the benefits without risk.
• ISO 27001, ISO 22301, SOC2 Type II compliant

Proven Results

• Reduces charge entry lag by 40%, ensuring timely claim submissions. Achieves less than 1% coding errors, significantly improving compliance and reducing denials.
• Enhances efficiency and accuracy, enabling healthcare teams to focus more on delivering high-quality patient care.

XpertCoding by XpertDox

XpertCoding is XpertDox's premier autonomous medical coding platform, designed to accelerate the revenue cycle with unmatched accuracy and efficiency. With risk-free implementation, zero upfront fees, and a complimentary first month, healthcare organizations can experience the transformative benefits of XpertCoding firsthand.

• Create: Use Avo’s customizable templates, EHR data-pulling functionality, and AI features, to create tools that work for your organization in our "no code" Builder paltform with "drag and drop" functionality. 
• Simulate: Enhance team collaboration and simplify the review process by verifying with your teammates in Avo Builder.
• Publish: Provide instant access to your tools and make seamless updates as you receive feedback and as medical evidence evolves.

• eCART is a research-based, AI-driven software as a medical device (SaMD) that utilizes a machine learning algorithm to continuously assess hospitalized patients’ risk of impending death or intensive care unit (ICU) transfer, assisting medical staff in swift and accurate recognition of patients requiring increased medical attention. eCART draws upon readily available patient data from the EHR, rapidly quantifies disease severity, and predicts likelihood of critical illness onset, hours before it happens.
• eCART received FDA 510(k) clearance in 2024, with clinical performance data of nearly two million hospitalizations from 21 hospitals, including an unprecedented level of real-world prospective data, to ensure consistent accuracy across geography, age, race, and top medical conditions (e.g. sepsis, COPD, heart failure). 
• Built upon more than a decade of ongoing scientific research, eCART was developed at UChicago Medicine by Dr. Dana Edelson, MD, MS and Dr. Matthew Churpek, MD, PhD and is well chronicled in published literature. The analytic and workflow have been in use in clinical practice since 2016.