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ReferralMD Platform

ReferralMD Platform

ReferralMD Platform

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ReferralMD Platform
ReferralMD Platform

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Overview


Avia Summary

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ReferralMD Platform is a solution provided by ReferralMD which was founded in 2011. It belongs to multiple categories of digital health solutions including Care Transitions and Referral Management.
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ReferralMD Platform integrates with major EMRs such as Epic, Cerner, and Meditech.
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Some other resource(s) that may be helpful in learning about ReferralMD Platform include: Mytonomy guide: Selecting a Modern Enterprise Patient Education Solution
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About

CLIENT TYPES
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CLIENTS OVERVIEW
Key Clients
Clients Your Size
USED BY
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EHR integration

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Pop health platform, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Description

Health Systems/ACOs/DSRIPs/CINs

• Reducing patient leakage through SmartMatch decision support and real-time analytics

• Standardizing and streamlining the referral management process across the organization

• Driving operational efficiencies and allowing referral teams to scale more efficiently

PCPs/FQHCs/Dental Practices

• Matching patients with most appropriate providers using SmartMatch decision support

• Closing the feedback loop with specialists and reducing phone calls and faxes

• Increasing patients LTV to ensure they are not lost to competitors after referrals are sent

Specialty Care Organizations

• Increasing referral volume and capturing more revenue using CRM and marketing tools

• Improving customer service with referring providers through automated status reports

• Managing referral network and gaining insight into referral patterns using analytics

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Use cases

Description
Pediatric use cases:

Pediatric providers can send or receive referrals via the platform.

Users:

Care coordinators, referral coordinators, authorization processors, schedulers, marketing representatives, physician liaisons and managers log into ReferralMD.

Clinicians stay within their respective EHR systems.

Differentiators

Differentiators vs EHR Functionality:

No need to manually cut and paste data from portals. No need to fax forms, play phone tag, or sift through emails. ReferralMD connects directly with your EHR, LIMS, pharmacy management, or revenue cycle solution.

Differentiators vs Competitors:

ReferralMD’s prior authorization solution uses machine learning and AI-enabled processes to recognize patterns from health systems. Workflows are dynamically updated to reduce denials and payment delays. Increase efficiency by reducing time-consuming manual processes. With seamless payer connections; connect to health systems for up-to-date benefits and patient OOP responsibilities.

ReferralMD healthcare practices are automating prior authorization workflows. From the moment a physician refers a patient, all the way to submitting, verifying, and tracking a prior authorization. ReferralMD seamlessly integrates with your existing practice software and workflows.

Company information

Founded in 2011

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Reviewer’s Role
  • End user
  • Project manager
  • IT / Technical support
  • Executive sponsor
  • Internal consultant
  • Other

Reviewer’s Org Size
  • XL ($5B+ NPR)
  • L ($3-5B NPR)
  • M ($1-3B NPR)
  • S ($0.2-1B NPR)
  • XS (< $0.2B NPR)

Reviewer’s Org EMR compatibility

Reviewer’s Org Type
  • AMC
  • Pediatric Facilities
  • ACO
  • Rural Presence

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