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

Categories

Solutions

Description

Product Description:

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

About TQA Healthcare - Formerly Element Blue:

TQA Healthcare enables healthcare and life sciences organizations to transform the patient experience and reduce costs through increased personalization, intelligent automation, and AI. 

The practice’s solutions impact patient access, the revenue cycle, order processing, and clinical needs at the most critical stages of the patient journey, resulting in a seamless encounter.

By empowering individuals to actively manage their unique experiences, TQA Healthcare increases the satisfaction of every healthcare consumer: patients, staff, and clinicians.

Houston-based, TQA Healthcare is formerly Element Blue. 

Product Description:
  • The Praia Health Identity and Engagement Platform is a managed Platform-as a-Service offering for health systems that enables high value, identity-driven digital experiences that engage and re-engage consumers with their health—before, during and between episodes of care. The solution enables health systems to own and leverage patient relationships, personalize their consumer experiences, and optimize and extend their operational model.



    The platforms’ Identity-Driven Personalization Services create, verify, authenticate, and manage robust consumer profiles that extend beyond the medical record—securely combining data and preferences across the consumers’ health ecosystem. These extended consumer profiles enable highly personalized recommendations—including health system transactions, services, and programs specific to each individual consumer.



    Our Consumer Experience Products and Services streamline the delivery of health-system branded signed-in experiences that fully utilize the power of the platform. Extend your existing custom web or mobile apps, or build new applications that utilize the Praia Health Platform, all via our Praia Health Platform API.


    The platform’s Ecosystem capabilities enable a health system to leverage their existing internal and 3rd party technology investments and take advantage of market-driven innovative solutions. The platform includes integration of the EMR and basic clinical services and can be expanded to support additional solutions for care delivery, population health, marketing, clinical trials research, wellness, revenue cycle, health plan solutions, care at home and more.



    New consumer insight will be realized through our Analytics and Insight Capabilities. The product is fully supported through our robust implementation, transition, and post-launch Service and Support offerings.



    By digitally engaging consumers in their personal health journey and then seamlessly connecting them to individualized services, support and resources, the Praia Health Identity and Engagement Platform creates and operationalizes a digital health flywheel—algorithmically driving net new direct and indirect revenue through recommended actions and operational efficiencies through self-service capabilities.
About Praia Health:

Praia Health removes barriers to care by digitally connecting health consumers to the services, products, and resources they need. The platform is anchored by patent-pending identity and profile technology that creates better experiences for patients by seamlessly connecting fragmented data sources and point solutions.

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:
  • Prior Authorization
  • Claims Status
  • Coding
  • Scheduling
  • HIM
  • Remittance Posting
  • Provider Credentialling
  • Accounts Payable
  • Human Resources
  • Clinical Services
  • Patient Access
  • Revenue Cysle Management 
  • Supply Chain
  • Finance
  • HR
  • Referrals
  • Faxes
  • PDFs
  • Emails
  • Scans
  • Invoices
  • Patient Charts
  • Patient Records
  • Lab Orders
  • Mail
  • Paper Documents
  • Resumes
Pediatric use cases:

Same as for any health system, but additional applications related to newborn insurance and patient proxy for infants and children.

Users:

Revenue Cycle Leaders

Finance Leaders

IT Leaders

HR Leaders

HIM Leaders

Operations Leaders

Description:

With over 40 use cases launched or in development, Praia strives to create specific ways consumers needs are met by orchestrating how health is organized specific to people needs. Our categories include:

  • Care Delivery
  • Population Health
  • Access & Navigation
  • Patient Experience
  • Marketing
  • Clinical Trials & Research
  • Health Plan
  • Care at Home
  • Wellness
  • Revenue Cycle
  • New Business Offerings (e.g. Concierge)

Pediatric use cases:

None provided

Users:

Health consumers, patients

EHR Integrations

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:

Not applicable

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:

Not applicable

Integrations:

Patient portal

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner

Hardware Compatibility:

Not applicable

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:

While EHRs offers integration tools, achieving seamless data exchange, particularly with non-EHR systems, can be challenging due to their limited interoperability.

This can create communication hurdles between providers using different EHRs, healthcare facilities not on a particular EHR, and providers who need to integrate with other advanced technology platforms outside of the EHR ecosystem.

Element Blue's solutions can integrate with any platform and are independent of particular products or technologies. This affords our teams unlimited creativity when ideating custom solutions for each healthcare organization.

Differentiators vs Competitors:

Element Blue's practice is dedicated exclusively to healthcare and life sciences. This is unique among our UiPath competitors, who serve multiple industry verticals.

A UiPath Platinum partner, Element Blue is recognized as a leading systems integrator with more than 20 years' experience in working with some of the world's best known providers, payers, diagnostics, and life sciences organizations.

Differentiators vs EHR Functionality:
  • Unlike EMR portals that only engage patients, Praia also enables engagement for services and programs outside of the EMR

  • Praia's identity services is managed at the Health System enterprise level allowing the health system to federate with the EMR and all other digital or platform application through secure sign on protocols.

  • Praia's personalization intelligence powers logged in users to have an n of 1 experience vs. the same experience that EMR portals provide. The adoption and ongoing engagement is higher with this function.
Differentiators vs Competitors:
  • Unlike traditional identity solutions Praia manages identity across the consumer health ecosystem both independently from and integrated with the health system’s EMR. Praia creates, verifies, and authenticates a consumer profile and combines those accounts with personalized recommendations across the entire care delivery ecosystem

  • Unlike mobile shell or DFD offerings Praia integrates data and digital health solutions into a single experience linked to a single identity layer that dynamically drives personalized experiences based upon what is known about that consumer.

  • Unlike CRMs that offer chort-level personalization for batch marketing campaigns & outreach Praia offers N of 1 personalization delivered algorithmically through consumer apps and web experiences, working either alongside or without a CRM.

  • Unlike messaging & communicaitons offerings that offer SMS outreach based on cohorts Praia systematically engages health consumers through highly personalized system- branded apps and web experiences.

Keywords

Images

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Praia Health Flywheel.JPG

Videos

1 of 3

Epic Claim Denial Resubmission with BCBS.mp4

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Downloads

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66329_EB RPA Case Study REVISED.pdf
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PraiaHealth-Customer&PartnerBackgrounder-FINAL.pdf

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Company Details

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