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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
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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
Denial Insights
Denial Insights

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Categories

Solutions

Description

Product Description:
  • Janus Health Denial Insights informs customers’ revenue cycle strategy with a comprehensive view of denial trends. Dive deep to uncover your denial patterns, assess gaps in your workflows, and identify strategic actions—without the help of an advanced data analyst. 
  • User-friendly and action-oriented, Denial Insights dashboards simplify in-depth analysis with clear visuals and robust filtering. Effortlessly navigate through detailed information categorized by payer, denial status, denial category, and more.
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:

Our single platform approach provides immediate visibility into revenue cycle opportunities, tackling some of today's biggest challenges with the following Productized Analytics Suite Modules:

  • Workforce Quality Insights (WQI) – Links front-office actions to financial KPIs
  • Patient Access Insights (PAI) – Enhances financial experience pre-service
  • Revenue Integrity Suite (RI) – Reduces denials and compliance risks
  • Productivity Analytics (PA) – Improves staff productivity in real-time
  • Cost Insights (CI) – Targets controllable costs
  • Business Office Suite (BOS) – Unifies patient accounting data
About MedeAnalytics:

Founded in 1993, MedeAnalytics is an innovation-focused company. Over the past three decades, we have worked tirelessly to reimagine healthcare through the power of data—and helped thousands of organizations achieve their potential along the way.

Leveraging state-of-the-art analytics and data activation, MedeAnalytics delivers actionable insights that support payers, providers, employers, and public entities as they navigate the complex healthcare landscape.

Using artificial intelligence and machine learning alongside the most advanced data orchestration in the industry, we empower organizations to optimize their resource allocation, experience superior patient outcomes, and achieve population health management goals.

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

360° View of Enterprise: Integrates clinical, financial, operational and claims data for a longitudinal view across disparate data sources, encompassing front, middle and back-office functions.

Medeanalytics' Data Science Factory is always generating new components and services to help you automate workflows, detect anomalies, assess risk, anticipate trends, and close care gaps.

MedeAnalytics helps users identify key outliers in their data and distribute the right actionable information to the right people – at the right level – throughout the enterprise. Users easily navigate through scorecards, dashboards, key performance indicators, critical success factors, and other key reporting features. In seconds, they can zoom from high-level KPI’s down to fine-grain transaction detail; from the Executive perspective to the view from any cubicle.

HITRUST Certified, NCQA Certified, AICPA SOC, TRUSTe Certified Privacy Patent-pending technology and industry critical certifications (HEDIS® certified, Data Aggregator Validator (DAV) designation pending)

MedeAnalytics' API ecosystem seamlessly integrates into multiple clearinghouses, payment processors and other third-party tools to bring all applicable registration tools into one platform, resulting in improved operational and financial efficiencies.

MedeAnalytics Innovative solutions help RCM leaders like you predict the denial, the fix, the dollars, and the deposit date – all before the 835 ever arrives. Here’s how we’re driving measurable impact: Accelerated Cash Flow • Predict denials before submission • Reduce Days in A/R • Accelerate cash flow by up to 30 days Increased Recovery Rate • Address issues proactively, not reactively • Fewer write-offs, reduced denials • Improve recovery rate by 20% Reduced Administrative Costs • Focus staff on high-priority denials • Lower labor costs • Save 20 minutes per denial on research & resubmission Revenue Optimization • Prioritize high-dollar claims based on predicted payment likelihood

MedeAnalytics performance analytics consists of real-time insight into quality, how to capture workflow issues at the registrar level to prevent downstream denials, organizing patient data longitudinally.

Patient Access Intelligence is a flexible workflow platform incorporating all aspects of the financial clearance process into a simple task-based work list to support centralized, distributed and hybrid revenue cycle models. With a robust API ecosystem, we seamlessly integrate multiple clearinghouses, payment processors and patient engagement tools to fortify your revenue cycle against data compromises and outages.

Use Cases

Description:

Revenue cycle leaders use Denial Insights to identify workflow issues that lead to denials and the effectiveness of interventions. Customers also use it to identify problem payers, informing contract negotiations and remediation strategies.

Pediatric use cases:

None provided

Users:

VP of Revenue Cycle, Manager of Revenue Cycle

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

Acute care EMR

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic

Hardware Compatibility:

Desktop

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:

Recommended, but not required

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

Differentiators

Differentiators vs EHR Functionality:

Denial Insights is easy to use and interpret without requiring specialized analytics resources.

Differentiators vs Competitors:

Denial Insights is part of a suite of Operational Intelligence solutions that together enable a holistic view of revenue cycle processes, productivity, and effectiveness, unparallelled by other off-the-shelf solutions.

Differentiators vs EHR Functionality:
  • Detailed and summary level reporting for different views to serve multiple purposes; 
  • Standard and ad-hoc reporting allowing clients flexibility to slice/dice based on unique corporate needs;
  • Incorporation of MedeAchieve across entire RCM portfolio to incorporate metric tracking into key enterprise initiative tracking;
  • Worklisting available throughout the RCM workflow;
  • Vendor flexibility – Plug & play any vendor into existing Mede workflows;
  • Robust rules engine to drive efficiencies and streamline workflows;
  • Integration of AI Agents to streamline and reduce manual entry;
  • Predictive analytics using AI intelligence;
  • Focus on productivity analytics to highlight and stratify registrar performance;
  • Integrated Financial Clearance Workflows to maximize revenue generation

Differentiators vs Competitors:

Enterprise Analytics - MedeAnalytics helps users identify key outliers in their data and distribute the right actionable information to the right people – at the right level – throughout the enterprise. 

MedeAnalytics can measure revenue and practice performance across the entire system. Our approach to organizing data into a patient longitudinal record has led to improved financial, operational, and even clinical performance.

Our Integrated MedeAchieve solution improves strategy execution with action plans that define your objectives, align staff around shared goals, and track progress in a closed­ loop system.

Keywords

Images

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Videos

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Downloads

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Company Details

Founded in 1993

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