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

0 review

ReferralPoint
ReferralPoint

0 review

Categories

Solutions

Description

Product Description:
One of the big challenges faced by healthcare organizations is the technology divide. How do you work efficiently with practices that aren’t on –the same EHR or even with internal departments that use incompatible legacy systems? PH Exchange makes it easy to communicate seamlessly, securely and affordably across disparate systems, regardless of the technology or paper-based processes used. Our HIPAA-compliant, web-based solution acts as an EHR companion to each system used by members of a healthcare community. We provide an electronic bridge that makes it simple to exchange clinical information securely online – speeding communication, eliminating delays in patient care and reducing costs. PH Exchange is most often used to automate patient referral workflows. But it can also be used to solve a wide range of information management challenges – from collecting reporting data to arming affiliated field workers with an easy way to capture, submit and share notes on patient visits.
About Proficient Health:
Proficient Health offers an integrated suite of solutions specifically for the healthcare industry, to support referral management needs for Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), both large & small health systems, children’s hospitals and payers. Our solutions can work together seamlessly for organizations seeking a fully integrated approach, or as standalone solutions for those seeking to solve specific challenges now and grow from there. We’re setting new standards by offering solutions to connect your entire care community from hospitals and health systems to individual providers on the go. Understanding the importance of collaboration in healthcare, our solutions work hand-in-hand with an organization's existing EHR and disparate EHRs. Proficient Health drives: - Better communication & care coordination among providers (both in the inpatient and outpatient settings) - Streamlined patient referrals & consults - Better patient care - Improved operational efficiencies - Enhanced in-network optimization - Reduced costs for both healthcare providers and patients
Product Description:

Establish Networks
Our data ingestion platform can consume internal and external claims, quality data, and other relevant insights such as patient access or provider loyalty data that allow you to then rank specialists and facilities using a custom weighting method by service line. Our clients leverage this intelligence to build custom referral networks. Examples include a network for value-based care, an owned provider network, an affiliated network, or building networks for community-based resources.

Auto IdealMATCH
Leverage Network Intelligence data at the time of referral. Coordinators are prompted to select the most appropriate specialist for the patient based on insurance, quality outcomes, costs, location, and patient preferences. IdealMATCH is integrated into Epic so it doesn’t disrupt the existing workflow.

Auto Prior Authorizations & Scheduling
ReferralPoint is able to automate a large portion of the referral notification and prior authorization process then enables automated scheduling capabilities based on the workflow of the practice (by patient, by staff, in real-time).

Auto Closing the Loop
ReferralPoint supports closing the patient care loop between the primary care provider and specialist while tracking each step from referral order to a closed loop regardless of the referred-to providers EHR. Once a referral option is selected, ReferralPoint automates communication (SARA) with the patient to guide them along the journey then updates the status of each referral - including automated reminders, follow up, and even feedback surveys which can be used to update the scores of each provider. Because our solution is built on a data ingestion engine, we can close the referral loop a number of ways including engaging the patient, faxing the specialist, analyzing claims or receiving ADT feeds.

About ReferralPoint:

ReferralPoint is the leading expert in referral management solutions for health systems, medical groups, and payers looking to reduce leakage, increase revenue and savings, improve efficiency, and enhance patient satisfaction. ReferralPoint uses data and automation to alleviate staffing challenges while supporting fee-for-service and value-based care initiatives. ------------------------------ Beyond a tech vendor, we're a data-driven network management and closed-loop referral solution, delivering quantifiable financial impact insights, revenue maximization, and streamlined workflows. From reducing leakage to automating communications, we prioritize efficiency, patient satisfaction, and building high-valued Preferred Networks. Our one-click EHR-integrated solution ensures seamless workflows, including insurance verification, IdealMATCH selection, authorizations, scheduling, and real-time tracking. 

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:

Proficient Health streamlines access, communications, and workflows across provider communities delivering data and insights that improve patient outcomes and optimize financial performance.

Pediatric use cases:

None provided

Users:

ACOs, CINs, Hospitals/Health Sytems, Children's Hospitals

Description:

Ideal partners look to automate, streamline, and track outbound referral processes for [de]centralized referral/care coordination teams all from within EHR workflows.

Pediatric use cases:

None provided

Users:

PCP Groups, Provider Groups, Health Systems, FQHCs, ACOs, CINs, Payers

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Not applicable

Hardware Compatibility:

Not applicable

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Pop health platform, Community based organizations, ADT

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Athenahealth, NextGen, Allscripts, GE, eClinicalWorks, Meditech, Epic

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:

We are an EHR companion. 

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

Unlike our competitors, we ingest your patients, claims, and 3rd party data

Differentiators vs Competitors:

More than just a referral app...we're a Data Driven, Fully Automated, Referral Strategy Platform that allows you to:  

1. Analyze Referral Trends over three year look-back to reduce leakage, cost, improve care quality and patient experience

2. Optimize Preferred Networks with provider scoring, patient-provider matching, and actionable insights into gaps and opportunities

3. Automate Referral Workflows with provider selection, scheduling, patient communication, and closing the loop all from within your existing EHR workflow

Keywords

Images

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Referral Insights - Network GAPS & OPPS.JPG

Videos

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Data-driven, fully automated, closed-loop referral management

Downloads

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PH Exchange Overview.pdf
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About ReferralPoint.pdf

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Company Details

Founded in 2008

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