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

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Categories

Solutions

Description

Product Description:
With InterQual Connect™, payers can easily automate all authorization requests, even those requiring medical review, within their existing systems. Providers receive quicker authorization approvals for most requests and payers only need to touch the exceptions that can’t be approved automatically—no more duplicative medical reviews or wasting precious staff time on routine authorizations. - InterQual Medical Review & Authorization: InterQual Connect is a flexible SaaS solution, integrated into payer and provider health information systems. It pairs the leading InterQual® Criteria, now available as a web service, with proven and secure connectivity. - A Unique Solution: The only integrated solution to enable full auto authorization, including medical review. - Uses Existing IT Infrastructure: No new hardware, software or IT staff required. - Easy to Implement: Time to value can be as little as 60 days when using a certified Change Healthcare Alliance Partner. - Provides Fast, Secure Connectivity: Uses the proven authorization gateway. - Keeps Users in Existing Workflows: Providers submit an authorization request, and payers receive the request and medical review from within their current UM/CM workflow. - Delivers Real-time InterQual Access: Just-in-time content from our cloud platform helps ensure you get the latest version, but you can choose when to make the switch. - Aligns with InterQual Hospitals: Payers benefit from the shared clinical language with thousands of InterQual hospitals plus a direct connection to those hospitals already on the InterQual Connect cloud. - Supports Payer/Provider Collaboration: Helps reduce the costs and hassle of prior authorization, while providing full transparency of payer criteria to providers. - Medical Review Service: Optimized for integration, this web service delivers seamless access to the InterQual medical review within your UM/CM system or payer’s provider portal. You get the same leading evidence-based InterQual Criteria combined with our modern, user-friendly interface. The SaaS platform helps you reduce your IT burden, providing realtime access to content. You receive software and content upgrades automatically without waiting for installation and validation, but still maintain control of when to switch to the newer content. You also gain the freedom to make the Medical Review Service available throughout a networked system, such as a multi-hospital and outpatient network or multi-location payer. The Medical Review Service works with any modern browser. - Secure Authorization Connectivity: Our cloud platform and authorization gateway enable the creation of a secure network of connected payers and providers by providing a common language, standard API protocols, access controls and routing rules. Providers transmit an authorization request, complete with an InterQual medical review, through the gateway directly to a payer. The payer system then applies business rules and the InterQual Criteria to this request, and instantly delivers the authorization status back through the gateway to the provider. The gateway has been deployed as part of our cloud solutions, and currently supports thousands of authorization transactions per week between connected payers and providers. It is optimized for our interoperable (XML) medical review format, and can also support the HIPAA X12 278 transaction standards.
About Change Healthcare:
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.
Product Description:
  • Create: Use Avo’s customizable templates, EHR data-pulling functionality, and AI features, to create tools that work for your organization in our "no code" Builder paltform with "drag and drop" functionality. 
  • Simulate: Enhance team collaboration and simplify the review process by verifying with your teammates in Avo Builder.
  • Publish: Provide instant access to your tools and make seamless updates as you receive feedback and as medical evidence evolves.
About Avo:

Avo’s clinician support platform empowers healthcare organizations to standardize care and reduce burnout by effortlessly incorporating guidelines and protocols into the clinical workflow. By centralizing the latest information and transforming it into actionable tools in the EHR (or outside of it), Avo simplifies everyday tasks like pre-charting, care planning, documentation, ordering, and more. 

Avo’s foundational product, Avo Pathway, is a medical reference tool that comes with a free library of digitized society guidelines and top calculators. In addition to customizing pre-built templates from leading medical societies and academic medical centers, health systems can leverage their own content to turn pages of guidelines and protocols into useful clinical tools.  

Avo’s time-saving AI product, Avo Assistant, is an end-to-end clinical workflow tool that helps healthcare organizations reduce burnout by automating every day tasks like pre-charting, care planning, documentation (with ambient listening) and ordering. 

The platform is EHR integrated and powered by its "no-code" Avo Builder, which allows systems to use drag-and-drop functionality to customize Avo products. After a quick one-time install, updates can be published immediately without needing IT support. 

Avo was built for clinicians, by clinicians. Randomized control trials have shown that Avo saves clinicians 50% of their time on average and has improved admission delays to the ED by 30%. Importantly, nearly 100% of Avo users advocate for more Avo use cases after implementation. At Avo, we believe there is a better way to standardize care - with love, not alerts. 

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:

Avo's "no-code" Builder allows you to meet the needs of basically any use case given its versality across creating tools with or without AI, leveraging evidence and guidelines, and producing any clinician facing tool. 

Pediatric use cases:

Avo has many pediatric customers who use Avo Builder to house their unique protocols and guidelines. 

Users:

Avo has many clinician users and informaticians who use our Builder. 

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

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, athena, eClinicalWorks

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app), Other

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
  • Easily create and customize clinician tools with a versatile “Builder”: Create interactive clinician tools that can be deployed across a variety of use cases by leveraging “drag and drop” features and templates that pull in relevant evidence-based guidelines and patient information into the workflow to help drive clinician efficiency and aid in decision making. 
  • Simply deploy and maintain clinician tools in the EHR with little-to-no technical resourcing: Implement quality improvement, cost reduction, and reimbursement initiatives in the clinical workflow without requiring months of IT resourcing; after a simple initial install, tools can be created and updated with 0 technical resourcing. 
Differentiators vs Competitors:

There is no Builder platform on the market like Avo's that allows users to completely customize clinician-facing decision support tools and assistants without requiring hospital/EHR IT teams. 

Keywords

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Company Details

Founded in 2007

Founded in 2018

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