Avia Logo

Compare Products


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

0 review

Categories

Solutions

Description

Product Description:

Protego Health is a platform that automates the process of preventing and, when necessary, appealing denied medical claims for healthcare providers. By cross-referencing payer policies, billing/coding guidelines, and medical records, it can utilize AI to identify problems before them become denials, rectify denials, and generate appeal letters.

About Covered Health:

None provided

Product Description:
Acuity Revenue Cycle Analytics is an analytics platform that leverages data from across the revenue cycle continuum (from patient access to remittance) to provide a holistic, cross-functional view into behaviors, processes and trends for the purpose of making timely decisions impacting financial outcomes, staff productivity and patient experience. • Dashboard showing a snapshot of critical information to quickly and easily identify problem areas in the revenue cycle. • Data compilation is automatic and in near real-time. • 80+ standard (yet also customizable) reports are available. • Users can create unique reports using any available criteria for unique use cases. • Suggested performance thresholds based on industry-wide data give context for whether performance is exceeding, on track or lagging goals. • Offers suggested thresholds or customize to meet unique needs. Visual indicators highlight when performance is outside of thresholds. • Acuity Advisor helps guide use of the wealth of data within the application by suggesting reports for common issues. • Reporting Bundles include visibility into data to improve processes in Patient Access, Services Rendered, Billing Efficiencies, Reimbursements, Denial Analysis, and Payer Relations.
About Change Healthcare:
Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.

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

Using inputs from claims and ERA’s, Protego finds and surfaces the relevant policies, cross references the progress note, and generates claim-specific appeals up to 91% faster.

Protego sits within RCM workflows, and reads claim inputs in real time. The software cross references those inputs against billing/coding guidelines and medical policies in order to flag issues before claims are submitted, preventing denials. When denials do occur, Protego dramatically reduces ( up to 91%) the time it takes to research and generate an appeal. It also prevents staff from spending time on the wrong things by indicating where denials were indeed valid.

Use Cases

Description:

A hopsital or specialty provider group is struggling with denied medical claims, and wants a solution to help reduce the human capital required to overturn them. We are primarily working today with outpatient claims, but are in pilot discussions with several hospitals as well. 

Pediatric use cases:

This is relevant across specialties 

Users:

- RCM team

- CFO/COO

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

Prevention and Appeal in the same engine: Protego's intelligencs pulls together billing/coding guidelines and specific payer policies. Using that technology, we can prevent denials at the point of claim creation by reading claim inputs in real time, running them against those rules, and flagging potential errors. On the back end, since some denials are inevitable, we can automate the appeals using that same intelligence engine. 

Incumbent RCM software companies: Move slowly, denials not a core focus area, and with older solutions, the tech is not easy to use or modernize. Our sole focus is excellence in the prevention and addressing of denials. 

New Entrants / Direct Competitors: Very new, and in a fragmented physician market, there are billions of dollars in denials to attack. Our focus is on the truth. What does the payer say they will cover, and how does that match up to what was done?

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Keywords

Images

No images provided

No images provided

Videos

No videos provided

No videos provided

Downloads

No content provided

No content provided

Alternatives

Company Details

Founded in 2007

team illustration
Share your product comparison with your collegues.

Need help narrowing down products?

Add more criteria to see your compatibility level for every vendor. It only takes a few minutes, just create a free account to get started.
back to top