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Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
Our Revenue Intellect™ solution is a cloud-based, guided-analytics platform that is designed to help maximize and sustain financial margin. Revenue Intellect enables users to Identify hidden or hard-to-find sources of revenue loss and access data, ranging from targeted analyses to free-form data exploration, to provide value to all levels of a health care provider's operational structure.
About ConvergeHEALTH:
We create new digital ecosystems to shape the future of health. Businesses and stakeholders across the health care ecosystem—from health plans and biopharma, to government agencies and health care providers, to start ups and tech giants—are all building the future of health. ConvergeHEALTH is committed to delivering solutions that enable these organizations to put patients at the center of health care. ConvergeHEALTH creates new health ecosystems to enable the future of health by combining next generation platforms, deep industry experience and novel collaboration models. We move with the agility of a health startup, backed by the global reach of Deloitte to design and offer platforms and services that empower the shift to value-based personalized health care. We do this by creating digitally connected ecosystems comprised of analytics platforms, industry partnerships, and world-class consulting services, all with the unified vision of putting patients at the center of health care.
Product Description:

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

About TQA Healthcare - Formerly Element Blue:

TQA Healthcare enables healthcare and life sciences organizations to transform the patient experience and reduce costs through increased personalization, intelligent automation, and AI. 

The practice’s solutions impact patient access, the revenue cycle, order processing, and clinical needs at the most critical stages of the patient journey, resulting in a seamless encounter.

By empowering individuals to actively manage their unique experiences, TQA Healthcare increases the satisfaction of every healthcare consumer: patients, staff, and clinicians.

Houston-based, TQA Healthcare is formerly Element Blue. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:
The healthcare industry is full of shifts and uncertainty. Reimbursement methods are moving from volume to value and Healthcare providers’ profit margins are leaking an average of over 8% annually. With disconnected data, ambiguous KPIs, and a rapidly changing regulatory and reimbursement landscape, identifying the source of revenue loss is becoming very challenging.
Pediatric use cases:

None provided

Users:
Revenue Cycle Teams
Description:
  • Prior Authorization
  • Claims Status
  • Coding
  • Scheduling
  • HIM
  • Remittance Posting
  • Provider Credentialling
  • Accounts Payable
  • Human Resources
  • Clinical Services
  • Patient Access
  • Revenue Cysle Management 
  • Supply Chain
  • Finance
  • HR
  • Referrals
  • Faxes
  • PDFs
  • Emails
  • Scans
  • Invoices
  • Patient Charts
  • Patient Records
  • Lab Orders
  • Mail
  • Paper Documents
  • Resumes
Pediatric use cases:

Same as for any health system, but additional applications related to newborn insurance and patient proxy for infants and children.

Users:

Revenue Cycle Leaders

Finance Leaders

IT Leaders

HR Leaders

HIM Leaders

Operations Leaders

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Not applicable

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

Not applicable

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:
Revenue Intellect™ uses comparative and predictive data analytics powered by Deloitte Analytics to deliver: **Preventative denials analytics**: Compare financial performance across multiple metrics against benchmarks compiled from the entire Revenue Intellect client base. Compare current and past performance, while monitoring the effect of specific events. **Proactive underpayment avoidance**: Count on constant updates to the analytics and functionality available within the solution, based on evolution in the industry and advancements in technology. Our out-of-the-box targeted analytics solution is designed to answer needs specific to health care organizations like yours. **Continuous support**: Access to a dedicated, ongoing Deloitte revenue cycle expert to help with identifying insights within your data and working as a partner to improvement your initiatives.
Differentiators vs Competitors:
Competitors have a limited ability to easily harness and understand revenue cycle data to quickly and effectively make business decisions. They also have limitations of “Traditional Key Performance Indicators” and may not have the advance flexible analyses you need to understand the “why” behind a following trend. Revenue Intellect features and differentiators: * One-stop shop for managing revenue cycle performance * One-click navigation for discovering critical issues, prioritized for your decision making. * Automatically-generated insights on demand * Customized reporting and filters with account level drill-down capability * User-friendly Web interface accessible anytime, anywhere * Dedicated revenue cycle expert from Deloitte's Client Services team
Differentiators vs EHR Functionality:

While EHRs offers integration tools, achieving seamless data exchange, particularly with non-EHR systems, can be challenging due to their limited interoperability.

This can create communication hurdles between providers using different EHRs, healthcare facilities not on a particular EHR, and providers who need to integrate with other advanced technology platforms outside of the EHR ecosystem.

Element Blue's solutions can integrate with any platform and are independent of particular products or technologies. This affords our teams unlimited creativity when ideating custom solutions for each healthcare organization.

Differentiators vs Competitors:

Element Blue's practice is dedicated exclusively to healthcare and life sciences. This is unique among our UiPath competitors, who serve multiple industry verticals.

A UiPath Platinum partner, Element Blue is recognized as a leading systems integrator with more than 20 years' experience in working with some of the world's best known providers, payers, diagnostics, and life sciences organizations.

Keywords

Images

No images provided

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Videos

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1 of 3

Element Blue Branded RPA with Navinet Aetna.mp4

Downloads

No content provided

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66329_EB RPA Case Study REVISED.pdf

Alternatives

Company Details

Founded in 2014

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