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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:
Denials Workflow Manager product features: - Standalone or integrated: Can be used as standalone product, or integrated with Experian ClaimSource to align claims and denials information on the same screens. - Customizable: Work lists generated based on client specifications, such as denial category and dollar amount. - Analytics: Access standard product reports, analytics reports, and forward responses to HIS/PMS systems. - ANSI reason codes: Provides ANSI reason codes and payer proprietary codes as well as descriptions.
About Experian Health:
Experian is a global information services company that provides information, analytical tools, and marketing services to help clients manage their commercial and financial decisions. The company helps organizations manage credit risk, prevent fraud, target marketing offers, and automate decision making. It also enables individuals to check their credit report and credit score as well as protect against identity theft. The company is listed on the London Stock Exchange (EXPN) and is a constituent of the FTSE 100 index. Experian was co-founded by Michael A Barron and Bernie Brenner in January 1980 and has its corporate headquarters in Dublin, Ireland, with operational headquarters in Nottingham, United Kingdom; California, United States; and São Paulo, Brazil.
Product Description:

Patients placed in the wrong bed status with improper documentation results in massive revenue loss and patient dissatisfaction.

Physicians can’t keep up with constantly changing criteria needed to admit patients to the hospital, and hospitals spend tons of money and resources fixing bed status issues retrospectively.

AdmissionCare provides the admitting physician with automated admission criteria - such as MCG - integrated directly into the EHR workflow to help document medical necessity that increases payer reimbursements and reduce denials.

How does it work?

  • Integrate into the clinician's EHR workflow
  • Determine the most appropriate bed status for each patient at admission
  • Synchronize payer criteria with the clinician's documentation
  • Collect revenue for the care provided, while avoiding costly denials
About EvidenceCare:

EvidenceCare is a unique type of clinical decision support system (CDSS) with its EHR-integrated and content-agnostic platform that empowers better care decisions by improving clinical workflows.

Founded in response to the professional experience of emergency physician Dr. Brian Fengler, the platform provides clinicians with evidence-based insights and measurable outcomes that improve hospital margins.

Based in Nashville, Tennessee, EvidenceCare is a 2x honoree of the INC 5000 list of fastest growing companies, a 2x Fierce Healthcare Best Product winner, and one of Modern Healthcare's Best Places to Work in Healthcare.

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:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

By integrating medical necessity documentation criteria into the admitting physician's workflow, hospitals spend less time and resources fixing denial issues and conducting peer reviews after hospital admission.

Pediatric use cases:

There are guidelines specific to pediatric conditions

Users:

ER physicians, admitting physicians, hospitalists, UR clinicians

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, ADT

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech

Hardware Compatibility:

Desktop

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

EHR Integrated on the front end of the clinician workflow

Differentiators vs Competitors:

EHR Integrated on the front end of the clinician workflow

Keywords

Images

No images provided

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AdmissionCare 2.0 Hero Screenshot (800px).png

Videos

No videos provided

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Downloads

No content provided

media thumbnail
AU Health AdmissionCare Case Study.pdf

Alternatives

Company Details

Founded in 1980

Founded in 2014

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