Clarity mines the clinical record for leaked revenue/referral improvement opportunities, then identifies the leaked revenue/referrals and quantifies them by applying a fee schedule to exhibit revenue leakage improvement (revenue capture) opportunities.

Abax’s AI and ML powered analytics platform called Clarity, mines the clinical record for leaked revenue/referral improvement opportunities. Clarity identifies the leaked revenue/referrals and quantifies themby applying a fee schedule x`to exhibit revenue leakage improvement (show revenue capture) opportunities. ClarityAccess support services are designed to provide Patient Access departments with the supplemental support they need to meet the growing staffing and quality needs of their patients. ClarityAccess services are designed to serve as an extension of your current Patient Access Department.

The EMR-agnostic referral management solution is easily accessible via web-based portal. Care teams, staff, specialists, and referral coordinators can create, track, and schedule referrals at point of care. Stakeholders can push referral orders into EMRs in real-time, courtesy bi-directional HL7/FHIR API powered interface. In addition to EMR integrations, it also simplifies the process to auto-populate information from referral order fax by running OCR application and live insurance verification using Change Healthcare integration ensuring quick turnaround time in filling referral forms. It helps to choose best-suited specialists with filters for cost and quality metrics, in-and out of network providers, insurances accepted, languages spoken, distance filter etc. 

Innovaccer is a healthcare technology company that aims to revolutionize the way healthcare organizations collect, analyze, and leverage data to transform value-based, patient-centered, equitable care. Our mission is to connect and curate the world’s healthcare information to make it accessible and useful. The company provides a comprehensive suite of solutions that empower healthcare providers, payers, and life sciences companies to deliver efficient care and drive innovation in the industry. The Innovaccer platform unifies patient data across systems and care settings, empowering your organization to provide higher quality care to patients and populations, while reducing costs, improving experiences, and strengthening financial and operational performance. Innovaccer’s EHR-agnostic solutions have been deployed across more than 1,600 hospitals and clinics in the US, enabling care delivery transformation for more than 96,000 clinicians, and helping providers work collaboratively with payers and life sciences companies. Innovaccer has helped its customers unify health records for more than 54 million people and generate over $1 billion in cumulative cost savings.

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Referral/Revenue Leakage Analytics