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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Patient Activation and Outreach
Patient Activation and Outreach

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PolicyCore
PolicyCore

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Categories

Solutions

Description

Product Description:

Managing costs and capturing revenue are top of mind for providers these days. In 2022, industry research showed hospitals and health systems reported negative operation margins for six consecutive months.

To compensate, leaders are seeking ways to activate patients to produce more appointments and revenue. The problem is…manual patient outreach consumes significant resources and, too often, returns disappointing results.

A digital-first approach with Orbita Patient Activation and Outreach means providers can:

  • Optimize call center operations to manage labor costs
  • Reduce the steps required for patients to schedule services that generate revenue
  • Unify the patient experience with integrated, automated communication campaigns

Orbita Patient Activation and Outreach automates patient engagement. Within a single platform, organizations can design, build and manage campaigns for a broad range of use cases – care reminders, appointment scheduling, delivery of test results, medical device updates and more.

About Orbita Inc.:

Orbita is the connective tissue across healthcare communication systems for seamless and personalized patient interactions. We partner with healthcare and life science organizations to implement smart virtual assistants, powered by conversational AI, that engage patients across web, text and voice channels. Our solutions – which meet critical privacy and security standards – help organizations improve operational efficiency by automating workflows as they face the challenges of labor shortages, while also capturing revenue generated by routine, chronic and preventative care.

Product Description:

Empower your team with customized alerts specific to your specialties, geography and payer mix. Get the latest alerts on relevant criteria changes for reimbursements, helping to reduce medical policy and provider manuals to support your revenue cycle management from prior auth to denials management. Visit https://www.policyreporter.com/policycore/ for more information and a free trial.

About Policy Reporter:

Empower your teams with Policy Reporter's payer documents library, change alerts, and reserach tools. 

Healthcare providers face numerous challenges in navigating the complex U.S. healthcare system:​

  • Keeping up with evolving medical necessity criteria, coverage policies, and billing rules​
  • Understanding and complying with diverse payer policies and prior authorization across commercial and government plans​
  • Efficiently managing revenue cycle processes in a constantly changing reimbursement landscape​
  • Ensuring patient access to necessary care while meeting payer requirements​
  • Minimizing claim denials and optimizing reimbursement​

This causes challenges such as: ​

  • Interpreting and applying complex payer policies consistently across the organization​
  • Reducing administrative burden associated with prior authorizations and claim appeals​
  • Staying current with frequent policy changes that impact reimbursement and patient care​
  • Balancing compliance requirements with operational efficiency​
  • Maximizing revenue while ensuring appropriate utilization of healthcare services​

Policy Reporter empowers healthcare providers to address these challenges by:​

  • Delivering analyst-verified alerts for tracking policy changes customize to your specialties and payer mix​
  • Simplifying access to up-to-date coverage criteria, prior authorization and reimbursement rules​
  • Offering comprehensive research capabilities to comply with key contract and claims rules​
  • Supporting efficient revenue cycle management with targeted insights and tools​

Our solutions reduce administrative burden, streamline reimbursement-related research, and empower your entire team to make informed decisions that improve patient care and financial performance.​​

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:

A mid-Atlantic health system launched a cascading marketing campaign to enroll new mothers in an infant-care program. It achieved an overall 56% engagement with 300 maternity patients enrolled in the pilot.

  • 82% engaged via SMS, with 46% successful enrollment
  • 43% engagement through email, with 24% successful enrollment
Pediatric use cases:

None provided

Users:

Hospitals and health systems, physician practices

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Not applicable

EMR Integration & Relevant Hardware:

Not applicable

EMRs Supported:

Not applicable

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Keywords

Images

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Videos

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Downloads

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Alternatives

Company Details

Founded in 2015

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