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

0 review

Referrals Management
Referrals Management

0 review

Categories

Solutions

Description

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. 

Product Description:

Interactive notifications let patients know when they've been referred, book, and get real-time confirmation. Patients can receive automated reminders to finish scheduling a referral on a cadence, depending on the organization's workflows and needs. Patient bookings are integrated directly with the EHR schedule, and providers can be notified when a patient completes scheduling.

Increase rates of referral conversion to completed appointments, cut out the phone tag for staff, and streamline patient acquisition with self-service opportunities for patients.

About Luma Health:

Luma was founded on the idea that healthcare should work better for all patients. Instead of a disconnected experience, where patients are forced to be their own healthcare advocates and provider teams struggle to reach their patients, every point along the care journey should be simple, seamless, and effective. 

Luma’s Patient Success Platform™ empowers patients and providers to be successful by connecting and orchestrating all the steps in the patient journey, along with all the operational workflows and processes in the healthcare ecosystem.

Headquartered in San Francisco, Luma serves more than 650 health systems, integrated delivery networks, federally qualified health centers, specialty networks, and clinics across the United States, and today orchestrates the care journeys of more than 35 million patients.

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:

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

Description:
  • Increase referral-to-completed visit conversion rates by providing actionable scheduling links to patients who have received referrals
  • Automate contact touchpoints for new patients to schedule referral visits
  • Automate process of follow-up and closing loop on outbound referrals to outside clinics
Pediatric use cases:

This workflow is relevant in pediatric care delivery.

Users:

Referring providers

Specialist providers

Patients

EHR Integrations

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

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Patient portal, Pop health platform, Behavioral health, Access +/or revenue cycle, Other

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Meditech, Cerner, Allscripts, NextGen, athena, GE, eClinicalWorks, Allscripts/Eclipsys, Athenahealth, Other

Hardware Compatibility:

Mobile / Tablet (web optimized), Desktop

Client Types

Awards

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Differentiators

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

Differentiators vs EHR Functionality:

Luma's referral workflows fill a gap left by many EHR systems; the integration of external communication tools with EHR enables end-to-end, closed-loop referrals without the manual phone calls, touch points, and reminders typically required from clinic staff.

Differentiators vs Competitors:

Luma's deep integration, breadth of market-leading platform solutions, and connection across a healthcare organization's tech stack makes next steps delivered to patients and staff more informed and actionable, differentiating our platform from patient engagement and experience vendors.

Keywords

Images

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Referral Insights - Network GAPS & OPPS.JPG

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Videos

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Downloads

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VillageMD Case Study.pdf
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Banner Health + Luma Case Study.pdf

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Company Details

Founded in 2015

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