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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:

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:

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

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:
  • 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

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:

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)

Client Types

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:

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

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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TQA Logo.png

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Growing Surgical Volume - OR Manager.png

Videos

1 of 3

Element Blue Branded RPA with Navinet Aetna.mp4

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Downloads

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Patient Self Scheduling.pdf

Alternatives

Company Details

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