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

Categories

Solutions

Description

Product Description:

HealthNautica’s eORders™, software is a comprehensive, easy-to-use, cloud solution for managing the entire perioperative process and surgical scheduling without changing your scheduling system. It begins with the physician’s office filling out an online surgery scheduling or procedure request.

Gone are the days of illegible, incomplete, inaccurate faxes sent back and forth between the physician’s office and the facility’s scheduling department. The cumbersome and error prone faxing process is replaced by an electronic form that is configured to each facility’s exact specifications and reacts to the user’s input thereby assisting the physician’s office in getting it right the first time.

All orders are legible, complete, screened for CMS Medical Necessity, incorporate SCIP, VTE, SSI and ACS NSQIP measures, verified for insurance eligibility, pre-certified and satisfy edits by CMS, commercial payers and the facility. Our solution ensures efficient surgery center scheduling and block time management while streamlining processes such as prior authorization.

About HealthNautica:

Healthcare Software Developer

Product Description:

This solution automates the process of checking requests under review as well as continued status changes and updates. It supports many portals such as Evicore, Magellan, UHC and others. The solution includes business rules, exception handling and daily reporting functionality with customizable dashboard views. AI is also used to do analysis and supply predictive capabilities. The solution can also be hosted and supported by CampTek as an ongoing managed service.

About CampTek Software:

CampTek Software is a Full-Life-Cycle Intelligent Automation/AI SaaS Provider with proven results implementing and supporting automation solutions through our successful methodology. Our unique hosted model offers many powerful advantages including a shorter time to market, 24/7 support and overall lower cost of entry. Our approach is simple, scalable and repeatable.

CampTek will be with you on every step of your RPA & AI Journey!

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:
  • Surgery/Procedure/Diagnostic Request Screening and Submission
  • Patient Engagement
  • Coordination of Care
  • Revenue Cycle Management

Used by:

  • Hospitals
  • Healthcare Systems
  • Ambulatory Surgery Centers

Pediatric use cases:

Pediatric Facilities

Users:
  • Physicians/Providers
  • Hospitals
  • ASCs
Description:

Industries: Healthcare, RCM

Provider Systems: Epic

Payer Portals: eviCore, United Healthcare, Magellan

Challenge

A large healthcare provider needed to ramp up their automation strategy to offset labor instability and attrition. Currently the staff manually have to go out to payer portals, submit requests and check statuses of Prior Authorizations, sometimes multiple times. Through Task Mining AI (Artificial Intelligence) analysis, it was determined that staff were spending about 30 – 40% of their time submitting requests and checking the status for 19,000 prior authorizations per month.

Prior Authorization Requests: 3 bots processing prior authorization requests in 3 separate portals (EviCore, Magellan and UHC).

  • EviCore: 923 transactions per month
  • Magellan: 595 transactions per month
  • UHC: 7,063 transactions per month

Prior Authorization Statusing: 3 bots processing prior authorization statuses in 3 separate portals (EviCore, Magellan and UHC).

  • EviCore: 5,536 transactions per month
  • Magellan: 3,572 transactions per month
  • UHC: 986 transactions per month

 

Solution:

RPA bots are a much more accurate and effective solution to verify the status of patient health authorizations, RPA bots can repeatedly check requests under review for status changes and updates.

CampTek Software was engaged because of its healthcare and Epic experience. Through task mining, AI models were created, and results were reported back to the customer with enormous success. The next phase of design and build all occurred in a brief time. The bot now in production includes business rules, exception handling and daily reporting functionality. It is also supported by CampTek as an ongoing managed service solution for the provider.

The Bot is now saving 2,696 FTE (full-time employees) hours per month or 32,352 hours (about 3 and a half years) per year. The FTE capacity gain is 17 FTEs (full-time employees), and the ROI (Return on Investment) is $1,085,000 per year.

Pediatric use cases:

None provided

Users:

Any healthcare provider

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, ADT

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

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

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

None provided

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:

Provides agnostic interoperability that integrates a solution outside the competancy of the EHR and facilitates a companion to the EHR

Differentiators vs Competitors:

Pricing and customer support are key

Differentiators vs EHR Functionality:

We offer Intelligent Automation as a Managed Service and have successfully built automations for every major EHR.

Differentiators vs Competitors:

We not only focus on development but also full support of bots once they are in production. Each bot has its own custom dashboard view so that our customers are continuously informed of its daily trransaction metrics and KPIs.

Health Equity

We offer patient engagement options in multiple languages through text and email. We also offer provider engagement options through text and email.

This privacy notice discloses the privacy practices for Nebo II Inc. d/b/a HealthNautica, our website https://healthnautica.com and our mobile app eORdersNOW. HealthNautica provides a software platform to facilitate and coordinate care and reimbursement. HealthNautica’s software streamlines the workflow, improves care, operational efficiencies and reduces denials and payment reductions. Our software replaces cumbersome and error-prone phone and fax processes ensuring that patients are managed safely, efficiently and with improved outcomes. HealthNautica receives personal health information (PHI) through health care providers (and their office staff) who are requesting health care services on behalf of their patients. It also collects PHI through hospitals and surgical centers that provide these services. PHI is also be submitted by the patients who are the recipient of the health care services. Patient consent for the collection, use and disclosure of PHI is managed by the health information custodians (e.g. physicians, hospitals, surgical centers). HealthNautica supports the disclosure of PHI only under the following circumstances: Between health information custodians who are arranging health care services to patients. Where permitted and/or required by law, report information to government agencies, payers and other entities responsible for patient care and reimbursement. HealthNautica is committed to the protection of PHI at all times. HealthNautica employs administrative, physical and technical safeguards to protect PHI from theft, loss, unauthorized use, modification, disclosure and destruction. This includes: All PHI is hosted in secure, access controlled data centers All information is encrypted at rest and in transit HealthNautica software authenticates and limits access only to authorized users All user’s access to PHI is logged and audited HealthNautica adheres to a privacy policy to ensure PHI is protected. This includes: All staff are aware of the purposes for which PHI is collected and maintained and trained on their legal obligations to protect PHI Agreements with participating health care providers that outline privacy and security requirements Monitor security to detect for any breaches PHI is not used or disclosed for purposes other than those for which it is intended. HealthNautica does NOT sell, rent, share or provide PHI or even any de-identified information in the aggregate to any third party. https://healthnautica.com/about-us/privacy/

User support is provided by subject-matter experts during extended business hours (Monday-Saturday). These same experts are on call after hours. We provide unlimited onsite and remote training sessions.

Keywords

Images

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Growing Surgical Volume - OR Manager.png

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Videos

No videos provided

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How to Leverage Automation to Take Control of Your EMR Data

Downloads

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Patient Self Scheduling.pdf

Alternatives

Company Details

Founded in 2018

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