InterQual AutoReview™ is a unique cloud-based solution that automates the InterQual® Initial and Episode Day 1 medical reviews at the point of the admission decision, using real-time data from your EHR. This breakthrough in robotic process automation can eliminate up to 75% of the time it takes your UM staff to conduct InterQual reviews, and allows them to focus on the exceptions that require their clinical expertise. The solution also provides real-time decision support, potentially reducing inappropriate admissions and denials. Integrated in Your Workflow: This flexible solution as a service (SaaS) is integrated into leading EHR applications and connected to case management systems. Automatically Conducts an InterQual Review Right from the EHR: Simply submit an order to admit from your EHR, and InterQual AutoReview springs into action—extracting the necessary data to create and populate InterQual Initial and Episode Day 1 reviews. Includes Data from the Source of Truth: Automated reviews eliminate manual data-entry errors and contain the clinical values extracted from the EHR. The result is an accurate medical review that promotes transparency and trust between providers and payers. Transmits Reviews Directly to the UM/CM System: Staff can validate reviews and make any necessary edits from within their existing workflow. Authorization requests can then be sent to payers using InterQual Connect™ at a time the hospital chooses. Provides Instant Notification Back to the EHR: Ordering clinicians see the care determination as soon as the admission order is submitted. Providing clinical decision support at the point of decision helps clinicians ensure the appropriate level of care is chosen from the start. Leverages Natural Language Processing (NLP): Many critical pieces of clinical information are stored in free text, such as imaging narratives. NLP models, trained by clinical experts, extract discrete clinical data from this text to complete specific criteria points within the InterQual review. Extracts Clinical Data to the Cloud: The auto-review process is launched the moment a clinician submits an order to admit. Using the diagnosis as a guide, InterQual AutoReview sorts through multiple sources of information, both structured and unstructured, within the EHR. It extracts the relevant clinical data available at the moment of admission and transmits it securely to the cloud. The process continues to run, extracting new and updated data every 2-4 hours, up to 24 hours from the time the order was submitted. Prepares InterQual Reviews: Using robotic process automation and NLP, InterQual AutoReview analyzes the structured and unstructured data acquired from the EHR at the moment of admission and maps the discrete data to the codified InterQual Criteria. Next, the solution creates InterQual Initial and Episode Day 1 Reviews, and transmits them to your participating UM/CM system. Over the next 24 hours, the solution uses the new clinical data extracted from the EHR to update the Episode Day 1 Review in the UM/CM system. At any time during that 24-hour period, a case manager can evaluate the Episode Day 1 Review, and save or complete it. This will halt the update process, and allow the case manager to use the automated review in your normal approval workflow. Security: Information security is of the utmost importance, and compliance is complex. InterQual AutoReview has met the rigorous standards required to protect your sensitive data and is HITRUST-certified.

Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.

Deliver convenient, quality care asynchronously

Bright.md’s asynchronous telehealth solution lets providers treat low-acuity conditions virtually, without a real-time interaction—all while driving patient satisfaction and quality outcomes. With evidence-based clinical content and seamless integration into your existing workflows, Bright.md automates administrative work to allow providers to practice at the top of their license.

What is Bright.md?

Bright.md is a complete, white-labeled solution for health systems to empower their patient population with self-service online tools that guides them to the optimal type of care based on their concern, and when determined appropriate, take a thorough symptom assessment to receive a diagnosis and treatment plan from their own providers. 

Self-service symptom assessment

Enable an accessible care option 24/7 for common conditions via a patient initiated, online symptom assessment to gather all necessary information for 130+ treatable diagnoses.

Clinical decision support and automated chart note

Treat low-acuity conditions quickly and efficiently, while preserving clinical judgment and autonomy with Bright.md’s evidence-based clinical decision support for diagnosing. Bright.md translates the patient interview into a chart-ready SOAP note and makes it readily available via MDM interface for integration as an encounter in the EHR (Epic, Cerner, Athena).

Online care finder

Achieve positive patient outcomes at lower costs with digital navigation that guides patients to the optimal venue of care, right from your website or portal.

Bright.md is trusted by enterprise health systems around the country including Presbyterian Healthcare Services, Baptist Health, UnityPoint Health, Prisma Health, Mercy Health, and OHSU.

Bright.md’s asynchronous telehealth solution lets providers treat low-acuity conditions virtually, without a real-time interaction—all while driving patient satisfaction and quality outcomes. With evidence-based clinical content and seamless integration into your existing workflows, Bright.md automates administrative work to allow providers to practice at the top of their license.

Health systems around the country, including Baptist Health, Prisma Health, UnityPoint Health, CoxHealth, OHSU, ProHealth Care, and many more, choose Bright.md to improve patient access to quality care, alleviate administrative burden on providers, stay competitive with a convenient, consumer-centered experience, and reduce costs of delivering low-acuity care.

Our content is evidence-based and updated regularly based on the latest clinical guidelines. It is developed, constantly evaluated and updated based on user data and feedback, and maintained by a team of physicians, writers, and editors. Our Interview is available in English or Spanish with medically-certified translation, and all of our content is created at a 4th-grade reading level, removing medical jargon and using images as easy guides. 

Because we've been building and refining our clinical content for more than eight years, improving with reviews and feedback from clinician leaders at some of the top health systems in the country, we've built a clinical content engine that cannot be replicated.

One of the Lead Clinicians at one client shared that he reviewed all of our content in detail and was "extremely impressed", sharing that it would "take thousands of hours of clinician time to even attempt".

Robust, Proprietary Clinical Content

With Bright.md, your providers are reviewers of content, not creators. Our evidence-based content containing 29 unique interviews, and treating 130+ diagnoses, is developed and maintained by a team of board-certified physicians to keep yours focused on delivering care to patients.  

Self-Service Administration

Respond quickly to changing demands with real-time access to custom care routing, interview activation, and more.

Bi-directional EHR Integration

Drive long-term care delivery efficiencies with asynchronous visits that are integrated into your clinical operations workflow.

Bright.md uses standard HL7 protocols and FHIR APIs to sync information that decreases the administrative burden on providers, while creating easy access for patients.