Best RCM Business Intelligence & Reporting Tools Products

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.

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

Scalable and Robust Automation solutions for the healthcare domain. Domain specific solutions that are HIPAA compliant and secure. Healthcare processes around all EMRs and Payers can be automated by using Robotic Process Automation. Software robots can mimic user actions to automate tasks that are otherwise carried out manually. If a process is streamlined, can be defined and/or structured, we got you covered through automation.
Data interoperability and process automation is a breeze for RPA bots. Realize quick ROI through quick turnarounds. Embrace the non-invasive technology through our expertise.

Adonis Intelligence continuously observes claim lifecycles, identifies emerging payer behavior and revenue trends, and recommends the best resolution based on the root cause of any RCM challenge.

Clinical denials require focus and clinician intervention. With more than 100 clinicians on staff, R1 Physician Advisory Solutions can help. We support physicians and case management by navigating the regulatory environment and providing concurrent recommendations to increase billing compliance and reduce clinical denials. Services include remote utilization reviews, admission status reviews, payer peer-to-peer reviews, chart audits, appeals management, and customized education programs for physician and case managers.