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

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Categories

Solutions

Description

Product Description:
We know reaching out for help isn’t easy for patients. That’s why Advocatia makes the process of finding the coverage and resources available as simple as possible through our powerful technology and proven processes that connect patients and their families with the right national, local, and hospital programs or affordable health insurance options. Unlike full-service revenue cycle management companies that offer a broad spectrum of services, Advocatia has established deep experience and an in-depth understanding around complex specialty benefits and financial assistance enrollment. We know the programs. We know how to identify those who qualify. And we know how to get them enrollment as quickly and efficiently as possible. The Advocatia Benefit Screening solution combines a powerful screening tool the uncovers all potential programs available to the patient with an engaging communication tool called Benefit Text that streamlines the processes, eliminates unnecessary follow-up appointments, and removes the friction when communicating with patients. By ensuring each patient has the coverage they qualify for, we reduce uncompensated care, decrease bad debt, improve performance, and help hospitals reach their financial goals. Whether we arm a hospital’s team or deploy ours, Advocatia streamlines the intake process and makes the financial assistance experience more efficient for the hospital and for their patients. At the core of our solutions is a state-of-the-art technology that ensures all eligible individuals receive the health coverage they qualify for, including Federal programs such as Medicaid, CHIP, SNAP, programs through the Health Exchange Marketplace, and other state, local and hospital-specific resources.
About Advocatia Solutions, Inc.:
More than $20 Billion of annual uncompensated care provided by hospitals could have been recovered through financial assistance programs. Advocatia dramatically impacts uncompensated care for hospitals by removing financial barriers for their patients. Advocatia’s proprietary algorithms help identify resources and enroll individuals in programs and low-cost healthcare insurance, so they are prepared when they need it and no longer have to delay care. At the core of our program is a state-of-the-art technology that ensures all eligible individuals receive the coverage they are qualified for including Medicaid, CHIP, SNAP, programs through the Health Exchange Marketplace, and other state and local resources. Whether we arm your team or deploy ours, Advocatia streamlines the intake process and makes the financial assistance experience more efficient. By empowering their team and their patients with Advocatia, hospitals dramatically reduce their bad debt, increase reimbursement, and improve their patient experience.
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:

Advocatia's platform is most commonly used by providers who provide Medicaid and charity care screening and enrollment by internal resources. Additionally, Advocatia can provide resources for primary or secondary enrollments. 

Pediatric use cases:

Our platform can assist families who are enrolling in benefits, such as Medicaid, charity care, C.H.I.P. etc.

Users:

Financial counselors, advocates, and patients. 

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:

Acute care EMR, Patient portal, Community based organizations, Access +/or revenue cycle, 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:

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

Awards

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Differentiators

Differentiators vs EHR Functionality:
  • End-to-end enrollment platform
  • Available in 72 languages
  • Programmed for all 50 states
  • Automated application completion and submission

Differentiators vs Competitors:
  • End-to-end enrollment platform
  • Screen for over 1000 unique programs
  • Live in over 200 hospitals
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.

Health Equity

Keywords

Images

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Videos

1 of 1

MichaelPodcast_LauraRobbins (1).mp4

1 of 3

Epic Claim Denial Resubmission with BCBS.mp4

Downloads

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WakeMed Case Study - Approved.pdf
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66329_EB RPA Case Study REVISED.pdf

Alternatives

Company Details

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