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

Categories

Solutions

Description

Product Description:
**We are the industry leader in providing pharmaceutical care management.** The pharmacist’s role in providing pharmaceutical care management for complex, high risk patients is more critical than ever. Pharmaceutical care was literally borne and promulgated by our founders, and our services are based on that foundation. It was our work that led to proving the ROI on medication management services, which led to the design of payor benefits, including for Medicare and Medicaid. We epitomize pharmaceutical care in our services every day - it is woven into our culture and operations. Others try to emulate us, but we see ourselves in a very different category than the other MTM vendors. Every day our pharmacists build real relationships with patients based on knowledge, trust and a partnership where together, the patient and pharmacist identify, prevent, and resolve drug therapy problems. Patients who engage with our pharmacists immediately recognize the value of their “personal pharmacist.” **Our services are not a one-size-fits-all.** We are nimble and proud to provide services and products that are tailored specifically for a client. We address what’s most important to you. From our inbound call, Ask a Pharmacist program, to our high-touch Comprehensive Medication Management program, each solution can be customized to meet your needs. This approach fits in well with our Genoa Healthcare culture and way of doing business. Take our pharmacy business for example. We are the 5th largest pharmacy in the nation, yet we have still maintained our tailored approach to each partner we have, as evident by providing multiple solutions such as different packaging types, refill reminders, mailing or delivering prescriptions, med sync, and assistance with prior authorizations. **Our technology is the most clinically robust MTM platform in the industry.** The Nexus Pharmaceutical Care System is our proprietary, workflow-based platform built to support pharmacists and other clinicians in providing best-in-class Pharmaceutical Care Management. Nexus interacts with our Asset Builder tool, a Visio-based rules engine that allows us to easily update or customize workflows to best suit your needs. Whether clinical guidelines have changed, new business requirements are identified, or reporting elements are needed, our workflows are easily adaptable. The Nexus platform: • offers a longitudinal electronic record with a **360° view of the patient** • supports multiple clinical programs including P**art D MTM, EMTM, med rec, adherence, and more** • provides clinical decision support and **personalized care plans** • **interoperates** with other systems (like EMRs, Care Management platforms, ADT feeds, etc.) • supports **several data feeds** such as demographics, prescription, medical claims, lab data • **accepts real-time HL7** notifications from connected hospital and HIE systems • communicates with providers and **tracks drug therapy problem resolutions** • interacts with an advanced telephony system that **optimizes our outreach**
About Genoa Healthcare:
Dedicated to serving the needs of those in the behavioral health and addiction treatment communities, and others who have complex, chronic health conditions, Genoa Healthcare is the largest provider of pharmacy, outpatient telepsychiatry and medication management services. With over 15 years of experience, Genoa Healthcare serves more than 800,000 individuals annually across the United States. Everything we do is informed by our CARE values: Caring, Accountable, Results-Oriented and Ethical.
Product Description:

ReferralMD delivers proven solutions for Digital Front Door, eConsults, Referrals, Faxing and Marketing that help hospitals, health systems, networks, and payers streamline the referral process, decrease patient leakage, and improve communication between providers and patients. 

>>> HOW WE HELP <<<

Digital Front Door

  • Patient Access Tools
  • Patient Scheduling
  • SmartCHAT Patient Intake
  • Patient Communications

eConsults & Referrals

  • Consult Management
  • Referral Management
  • Prior Authorizations
  • SmartFAX Management

Marketing & Services

  • Marketing CRM
  • Advanced Analytics
  • Professional Services
  • SmartEXCHANGE Integrations

>>> WHO WE HELP <<<

Health Systems/ACOs/DSRIPs/CINs

  • Reducing patient leakage through SmartMatch decision support and real-time analytics
  • Standardizing and streamlining the referral management process across the organization
  • Driving operational efficiencies and allowing referral teams to scale more efficiently

PCPs/FQHCs/Dental Practices

  • Matching patients with appropriate providers using SmartMatch decision support
  • Closing the feedback loop with specialists and reducing phone calls and faxes
  • Increasing patients LTV to ensure they are not lost to competitors after referrals are sent

Specialty Care Organizations

  • Increasing referral volume and capturing more revenue using CRM and marketing tools
  • Improving customer service with referring providers through automated status reports
  • Managing referral network and gaining insight into referral patterns using analytics 
About ReferralMD:

ReferralMD delivers proven solutions for Digital Front Door, eConsults, Referrals, Faxing and Marketing that help hospitals, health systems, networks, and payers streamline the referral process, decrease patient leakage, and improve communication between providers and patients. The enterprise platform matches patients with the most appropriate providers and closes the feedback loop between providers and patients. The solution’s powerful workflow and clinical decision support tools help healthcare providers increase revenue, drive operational efficiencies, and improve customer service. To learn more about ReferralMD, please visit www.getreferralmd.com.

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:
Our typical pharmaceutical care management approach is focused on patients living with multiple, complex chronic conditions.  While this does not commonly include adolescents, the way we manage drug therapy and provide patient care does not change based on age.  We believe for the right, high risk population, medication management would be an extremely valuable service for pediatrics where we can make a positive impact.
Pediatric use cases:

None provided

Users:

None provided

Description:
  • Improve patient access through online provider directory and scheduling
  • Improve visibility of provider affiliations across the network and reduce leakage
  • Close the feedback loop, improve loyalty, and increase revenue from referring providers
  • Triage and match patients with the best providers with clinical decision support checklists
  • Communicate with online messages and consults versus fax or phone calls on hold
  • Reduce lost referrals due to improper handling, poor workflow, or antiquated e-fax technology
  • Acquire and retain patients with provider relationship management software (CRM)
  • Reduce no-show rates and improve engagement through automated patient communications
  • Connect different EMRs using ReferralMD as the bridge for interoperability
Pediatric use cases:
  • Pediatric providers can send or receive referrals and communicate with referral partners and patients via the platform.
Users:
  • Care coordinators, referral coordinators, authorization processors, schedulers, marketing representatives, physician liaisons and managers log into ReferralMD. 
  • Clinicians stay within their respective EHR systems since data is exchanged via EHR integrations.

EHR Integrations

Integrations:

Ancillary EMR, ADT, Other

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Other

Hardware Compatibility:

Desktop

Integrations:

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

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:
The Nexus Pharmaceutical Care System is the most clinically robust MTM platform in the industry. In fact, we’ve gotten that feedback from auditors as well as other MTM vendors. It is a workflow-based platform designed to look and feel like a longitudinal, electronic health record. It maintains all clinical and program-based information within a chart, giving users a 360-degree view of each patient. Nexus supports all clinical programs and interventions, including (but not limited to): Medicare’s Part D Medication Therapy Management (MTM) program, Enhanced MTM, adherence, gaps in care, transitions of care, medication reconciliation post-discharge, and more. Nexus enables the ability to consistently apply the highest levels of clinical expertise to medication management with: 1) User-friendly nature of Nexus, accessible to all different types of users, 2) Data exchange and interoperability required to provide effective and coordinated care, 3) In-house analytical rules engine used to drive complex member targeting and risk stratification, 4) Clinical and administrative operational processes via tasks, workflows, and communication tools, and 5) Reporting and analytics necessary to measure individual and team performance, demonstrate an ROI, and meet regulatory requirements.
Differentiators vs Competitors:
Nexus supports the delivery of comprehensive medication management services and the administration of a variety of clinical programs. Nexus meets all requirements of the Medicare Part MTM Program; in which we’ve continued to achieve 100% passing rates for all data validation audits. Special features: • Responsive, secure, browser-based application that works across many devices and platforms • A core electronic medical record (EMR) functionality • Intelligent, automated patient goal setting and drug therapy monitoring, enabling goals of drug therapy to be set for the circumstances of each individual patient • Directed, smart, configurable clinical and administrative workflows to ensure efficient medication management program delivery and focused evaluation and categorization of drug therapy problems and subsequent care plan creation • Medication therapy tailored clinical decision support content and authoring tools to create additional customized decision support content • Links to standardized code sets for all content (SNOMED, ICD-10, RxNorm) • Real-time data integration interface with a leading third party provider data source provides up-to-the-minute updates of provider information • Queues, tasks, appointments and actions direct activities of role based users for efficient program administration • Highly customizable and flexible document and template generation engine, builds to Microsoft products • Automated outbound and inbound electronic facsimile transmission with tasks for management of failed transmissions and processing of inbound facsimiles for action and attachment to the patient profile • Technical flexibility for interface with information exchanges and external applications and EMRs The solution is intuitive, user-friendly, and requires minimal training as it facilitates intelligent workflows to guide patient care.
Differentiators vs EHR Functionality:
  • Online Scheduling – new patients can book appointments from your website without setting up an EHR patient portal account
  • Referral Management – website portal for receiving referrals, customized workflow, automated alerts when referrals need attention
  • Patient Communications – automated text/email messages sent to patients triggered at specific steps in the consult or referral journey
  • Provider Communications – automated consult and referral status updates sent to sending providers to close the loop between PCPs and specialists
  • Fax Management – manage all inbound faxes and push faxed referrals into the referral workflow, ability to split faxes into multiple documents
  • Marketing CRM – physician liaisons can document outreach and compare outreach activity with referral volume from their partners
  • Market Research – over 7 million providers pre-loaded which allows you to identify new potential referral partners in your target markets
  • Referral Analytics – comprehensive suite of analytics to report on all your referral metrics (trends, volume, leakage, service levels, outreach, etc.)

Differentiators vs Competitors:

Differentiator 1: All-In-One Platform

  • Some vendors offer patient access, referral management, e-consults or CRMs. Our cloud-based platform offers them all plus the following features.
  • Real-time analytics across the platform
  • Automated workflow and decision support tools
  • Automated feedback loop with referring providers
  • Automated patient communications via text or email
  • Integrated fax management system (port over existing fax numbers)
  • Integrated Customer/Partner Relationship Management (CRM/PRM)
  • Marketing research tools based on a directory of over 7 million providers

Differentiator 2: Rapid Integration Capabilities

  • Our integration engine allows our Integrations Team to quickly deploy system interfaces using APIs, FHIR, HL7, Direct, etc. which is important when implementing the platform for health systems, ACOs and CINs with many EHRs, data warehouses and other third-party systems across their networks.  
  • In addition, we comply with the third-party system’s specifications rather than asking the vendor to follow our requirements which streamlines the integration process and reduces cost for the client. 

Differentiator 3: All Healthcare Referrals Supported

  • The system is highly configurable and can support all healthcare referral types such as medical, specialty care, therapy, imaging, dental, behavioral health, hospice, home care, etc.  
  • The customization in the system allows clients to define their own workflows, referral forms, patient communication templates, and other settings that can be standardized across the organization.

Keywords

Images

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Videos

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ReferralMD Patient Intake

Downloads

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Company Details

Founded in 1999

Founded in 2011

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