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Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
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Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Infinx - Prior Auth
Infinx - Prior Auth

0 review

Rhyme
Rhyme

0 review

Categories

Solutions

Description

Product Description:

Get faster prior auth approvals using artificial intelligence and automation with exception handling by specialists.

About Infinx:

Infinx Healthcare provides tech-enabled patient access and revenue cycle management solutions for providers, hospitals and health systems. Combining technology like artificial intelligence, automation and workforce management, with exception handling by our skilled patient access, clinical, coding, billing and compliance specialists, we help clients preserve and capture more reimbursements and expand operating margins. 

Product Description:
Prior authorizations can include many voices and layers, but the administrative burden doesn’t have to be so heavy. Trade the fax-phone-portal hustle for a real-time intelligence platform that connects directly to your payers, so decisions—and patient care—are free to move faster. Rhyme makes it easy for providers to move from transactions to deeper, more meaningful interactions. Our platform funnels the right questions to the right people at the right time.
About Rhyme:

Prior authorization, minus the frustration. Rhyme connects payers and providers intelligently inside the prior authorization workflow, reclaiming the time lost on back-and-forth efforts and returning it to the patient. Join the largest integrated prior authorization network in the country!

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:

In a recent survey, AMA reported a staggering 86% of providers felt that the mechanics of administering prior authorization processing is a burden, 91% felt that it caused patient care delays and 82% reported that the number of prior authorizations required for medical services increased over the last 5 years.

While the healthcare industry is working towards implementing standard electronic prior authorization processing guidelines, it is no secret that in the foreseeable future, providers will still find the process of obtaining prior auth approvals burdensome causing patient care frustrations, delays and abandonment.

Pediatric use cases:

None provided

Users:

Providers, Administrators

Description:

Solutions for Providers

Work smarter, not harder.

Prior authorizations can include many voices and layers, but the administrative burden doesn’t have to be so heavy. Trade the fax-phone-portal hustle for a real-time intelligence platform that connects directly to your payers, so decisions—and patient care—are free to move faster.

Rhyme makes it easy for providers to move from transactions to deeper, more meaningful interactions. Our platform funnels the right questions to the right people at the right time.

Solutions for Payers

The wall between payers and providers? It’s gone now.

Providing thoughtful, quality care for your members is hard to do without meaningful provider interactions. Talking over a wall is an antiquated method, so we tore the wall down. The replacement? An intelligent, collaborative, integrated network that makes life easier for everyone.

Pediatric use cases:

None provided

Users:

Providers, Payers

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Other

Hardware Compatibility:

None provided

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

Prior Authorizations Accelerated by AI and Automation

Our cloud-based, AI-powered prior authorization software provides a complete patient access solution for healthcare providers by leveraging the latest machine learning, artificial intelligence and automation technology with exception handling by our experienced billing specialists.

Requests requiring a prior authorization are initiated electronically to the appropriate payer. Complex requests and exceptions are handled by our team of certified specialists to provide you with complete coverage of your prior authorization claim.

Status notifications are communicated in real-time through automated follow-ups by robotic process automation (RPA). Our RPA bots repeatedly check requests under review for status change updates.

We provide you with complete coverage of your prior authorization requests with a 98+% accuracy and 99.5% adherence to turnaround times. No more auth requests getting kicked back to you due to lack of information. We take care of it for you.

Differentiators vs Competitors:

Provider Integration

Submit and update your prior authorization requests directly from your local EHR/EMR using either an API or HL7 based bi-directional integration.

Authorization Determination Engine

Determine if your request requires a prior authorization using the Authorization Determination Engine, built using machine learning.

Unified Workflow Experience

Perform all prior authorization related functions on a unified web portal, built to offer you an intuitive and seamless experience.

Automated Authorization Follow-up

Keep up with the status of an initiated prior authorization claim using automated authorization follow-up.

Analytics and Reporting

Obtain full transparency into your prior authorization process using detailed and robust analytics and reporting.

Alerts and Notifications

Receive constant alerts and notifications pertaining your prior authorization claim, which includes all updates and payer communications

Differentiators vs EHR Functionality:

Faster

Rhyme meets your staff right where they are in the workflow, raising productivity and reducing time and effort spent on prior authorizations by up to 91%. Plus, implementation is fast, easy, and entirely flexible.

Smoother

Say goodbye to silos and separation. Our shared knowledge network brings providers and payers together in real time, eliminating the back-and-forth game and opening the door for collaboration.

Smarter

We believe in transparent, relationship-based payer connections, where everyone’s in the loop and empowered to do better work on behalf of patients.

Differentiators vs Competitors:

With our deep, direct, relationship-based connections, it’s easy to see why Rhyme is the largest and fastest-growing prior authorization network.

Keywords

Images

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Videos

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Downloads

https://www.infinx.com/white-paper/positively-impact-orthopedics-revenue-with-artificial-intelligence-and-automation/
https://conqueringcolumbus.com/podcast/episode-54-building-company-people-will-love-product-changes-lives-constant-iteration/

Alternatives

Company Details

Founded in 1979

Founded in 2014

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