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

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Categories

Solutions

Description

Product Description:
  • Janus Health Prior Authorization supports the full auth process, from determination to statusing.
  • Seamless EHR integration enables your team to operate within their established workflows, maximizing efficiency and boosting employee satisfaction. Intelligent automations allow staff to avoid unnecessary follow-up, working only those auths that demand attention. Plus, cover more of your specialties like radiology, cardiology, surgery, and more, across ~80% of your payer mix.
  • Experience enhanced operational efficiencies that support employee retention, save valuable staff time, and reduce authorization-related denials, increasing revenue and reducing cost-to-collect.

About Janus Health:

Janus Health is fundamentally transforming the future of revenue cycle work with our groundbreaking end-to-end artificial intelligence platform. Our rich history in healthcare and technology allows us to instinctively understand what it is about revenue cycle management that creates significant challenges for healthcare organizations. We’ve developed Operational Intelligence and Intelligent Automation solutions to aid revenue cycle teams in optimizing their workflows, so they can do more with less and ultimately collect more cash.

Product Description:

Simplify Utilization Management between providers, members, and care management. Affinitē UM leverages Intelligent Automation to streamline administrative actions so your team can operate at the top of their licensure.

About Vital Data Technology, LLC:

Vital Data Technology empowers health plans to continuously improve outcomes, accelerate compliance and control costs. Vital Data’s Affinitē™ platform unifies formerly siloed data and leverages artificial intelligence and machine learning to drive actionable interventions. The platform’s modules include: Affinitē™ PlanLink™ for real-time CareFlow™ automation and case management for stakeholders throughout the care continuum; Affinitē™ ProviderLink™ for prioritized, actionable patient interventions; MyVitalData™ for mobile app member engagement; Affinitē™ Quality for optimization of quality management and HEDIS® performance, and Affinitē™ Risk for Hierarchical Condition Category (HCC) risk adjustment.

Vital Data Technology is trusted by health plans nationwide across Medicare Advantage, Medicare, Medicaid, commercial and self-funded adult and pediatric populations and has received NCQA HEDIS® Certification for five consecutive years. For more information visit: www.VitalDataTech.com or call (866) 482-8399.

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

Product Capabilities

An unattended automation is initiated from the EHR, determines whether an auth is required, and returns the response to the EHR. From there a user can initiate the submission workflow, if needed.

We leverage real-time automations instead of relying on a quickly outdated rule library, allowing us to keep up with the payer landscape and prior authorization changes. We can develop some client-specific rules per automation.

Leveraging Janus Health Teleport, Prior Authorization automates navigation to the authorizing payer or portal to the point where human intervention (clinical documentation upload and submission) is required.

An unattended automation checks the status of submitted authorizations and returns it to the EHR.

Use Cases

Description:

Prior Authorization automates auth determination at scheduling, so patient access staff only touches those accounts requiring authorization submission.

Pediatric use cases:

None provided

Users:

Patient access specialist

Description:

Affinitē was able to identify members at risk of experiencing pre-term birth at 20 weeks of gestation.  This enabled earlier intervention by Care Management and reduced the risk of complication and lowered overall costs.

In this group, over 10% of the members identified had costs associated with pre-term birth of over $500,000.

Pediatric use cases:

None provided

Users:

Proactively identify members in your population via AI-modeling in order to intervene earlier in the treatment process and positively impact their health outcomes.

EHR Integrations

Integrations:

Acute care EMR

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:
  • Broad payer and specialty coverage, driven by providers' needs (not payer sponsorship)
  • >80% of payer mix
  • Teleport streamlines auth initiation
Differentiators vs Competitors:
  • Broad payer and specialty coverage, driven by providers' needs (not payer sponsorship)
  • >80% of payer mix
  • Teleport streamlines auth initiation
Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Keywords

Images

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Videos

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Downloads

No content provided

https://insights.vitaldatatechnology.com/vital-data-technology-wins-healthcare-innovation-award-for-2022

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