The Digital Clinical Assistant is your solution to the prior authorization process. The Digital Clinical Assistant leverages innovative AI technology and a digital workforce to automate the burdensome process within Athenahealth EHR- eliminating the need to learn new tech or add to existing workflows. As a result, the DCA can improve the time to approval by up to 50%, increasing the number of approvals you can process daily. In addition, the DCA can reduce the cost of prior authorization by up to 60% and alleviate the administrative burden on your staff.

Digital Blue is a healthcare consulting and solutions company focused on improving lives through optimized business performance. Our services and solutions empower leaders across the healthcare ecosystem to eliminate inefficiencies, increase productivity and improve patient satisfaction. Client benefits include; increased revenue, reduced operational cost and administrative burden, and improved quality of care. 

Azodha Platform accelerates innovation in care delivery through a modular, AI-infused, interoperable digital enablement platform. It enhances patient experience and streamlines provider efficiency. Below is a detailed exploration of each core solution:

1. Remote Patient Monitoring (RPM):

Azodha's RPM provides real-time monitoring with AI-driven insights and seamless EHR integration. This device-agnostic platform supports remote patient monitoring devices and wearables, enabling continuous monitoring and proactive alerts for timely interventions.

2. Virtual Visit & Wait Room :

Azodha streamlines telehealth appointments with a user-friendly platform, integrated scheduling, tele and patient onboarding capabilities. The platform optimizes waitroom to drive patient centric and optimized provider experience. 

3. Patient and Provider facing Scheduling:

Comprehensive EHR integrated or stand alone scheduling for patients, provider operations and hospitals for home care, virtual and physical office scheduling

4. Digital Patient Engagement:

Azodha platform integrates and digitized patient care journey navigation across enrollment, onboarding, scheduling, health goals, surveys, chat, education and more via patient apps and portals.

5. Conversational AI:

Azodha uses Gen AI to enhance patient engagement through personalized care plans, AI assist for various patient interactions including scheduling, Q&A with voice interaction capabilities.

6. Dispatch and Logistics:

Azodha platform enables dispatch and logistic insights for home based scheduling and operations

Through seamless integration with existing systems and AI driven digital components, Azodha ensures that healthcare providers can deliver superior patient experience while optimizing operational workflows and administrative costs.

Azodha platform transforms the last mile of care delivery, elevating patient outcomes and experience in innovative care models such as hospital-at-home, virtual care, and diverse home-based care strategies. With a buy-to-build approach, our platform serves as a catalyst, facilitating inter-system and point-of-care interoperability, establishing a digital front door and operationalizing generative AI. Azodha empowers organizations to unlock the full potential value of their existing systems, while bridging any gaps to drive innovative, patient-centric care delivery.

Prior Auth Process As-Is

Prescriber opens the EMR and prescribes the prescription.

The pharmacy will notify the prescriber that a prior auth is needed

Prescriber will submit an electronic request for prior authorization through ePA or insurance portals

Prescribers and their staff input patient demographic information and history and answer clinical questions as they come in. 

The staff is constantly checking for status updates

Duplicate requests come in, typically at night and over the weekend. If the PA request isn't completed quickly enough, these must be filtered out manually.

Backlogged workbaskets and data-entry errors cause care gaps and delays in treatment.

Increased administrative burden is the number one cause in provider burnout and a significant cause for loss in revenue

DCA Optimized Prior Auth Process

The Clinician Opens the EMR and prescribes the medication

DCA monitors the EMR and other systems for PA work and kicks off the automated process

DCA auto-triages PAs and removes ALL duplicate requests as they come in

DCA auto-fills forms via APIs and submits the requests for medications it has been configured for based on your practices' volumes

DCA creates a work queue for any encountered exceptions

nurses work only the PA requests or clinical questions that the DCA is not configured for, saving time for high-value work

Based on payer rules, the DCA posts status updates/tasks to EMR and auto-updates status

60% reduction in manual effort

50% improvement in time to approval

100% elimination of duplicate requests

See more patients, improve employee satisfaction/retention, and get home on time!

Azodha Platform overlays and overcomes challenges of existing tools in healthcare ecosystem such as EHR, CRMs etc 

Key differentiators include:

• Modern patient facing capabilities like self scheduling, seamless and secure logins, interactive chat with care teams, voice and natural language based chat assistance, configurable patient app and portals, integrated SDOH support, digitzed patient surveys etc.

• Seamless Remote Patient Device Integrations: Azodha supports a wide range of devices for real-time data visualization and monitoring, ensuring comprehensive care coordination.

• Patient data summary and insights, with personalized patient care plans and recommendations

• Operational enablement beyond EHR based on provider business model

• True Interoperability: Integration across provider ecosystem with existing EMRs, CMS, RCM and other tools enhancing integrated patient care and operational efficiency.

• Dispatch & logistics to enable home based care delivery

Azodha Platform stands out in the competitive landscape with unique features and capabilities:

• API based backed whitelabelled platform enabling fully configurable user journeys and UI configuration

• AI driven personalization and operationalization of AI in patient interactions and provider operations 

• Rapid Implementation in 4-6 weeks

• Buy to build approach reducing TCO by 3X

• SaaS based licensing approach reducing technology spend by 70%

 • Azodha seamlessly integrates with existing EMRs, CRMs, HIEs, RPM, Wearables to streamline patient and provider experience.