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Clients
EHR integrations
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Jump to:
Match Score
Clients
EHR integrations
Product attributes
Solutions
Use cases
Differentiators
DEI Practices
Keywords
Media
Company details
Categories
Verata Health Platform
Verata Health Platform

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Match score

Select which hospital or health system you work at and see a personalized match score.

Clients

Select which hospital or health system you work at and see the client list

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Allscripts, Allscripts/Eclipsys, athena, Athenahealth, Cerner, eClinicalWorks, Epic, GE, Meditech, NextGen

Hardware Compatibility:

Desktop

Integrations:

Acute care EMR, Ambulatory EMR, Patient portal, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, Allscripts

Hardware Compatibility:

None provided

Product Attributes

badge_Covid-19

Covid-19

badge_Pediatric

Pediatric

badge_Covid-19

Covid-19

badge_Pediatric

Pediatric

Solutions

Artificial Intelligence Platforms

Revenue Cycle Management Services

Artificial Intelligence Platforms

Patient Financial Experience Tools

Revenue Cycle Management Services

Use Cases

Description:
Our AI-driven platform maintains a national database of payer policies, streamlines the intake of health information, matches patient data to payer rules, automatically completes payer forms, submits prior authorization requests directly to payers, and tracks every prior authorization to completion. Implementation timeline ranges from 1 week (Athena) to 90 days (Epic, large enterprise systems).
COVID-19 use cases:
Verata Health is a digital technology solution that streamlines the prior authorization process and uses artificial intelligence to match EMR data with payer rules to instantly tell you if a prior authorization request was approved. Prior authorization teams and staff can access the Verata Health platform remotely and work on prior authorizations from home. Heath care systems can leverage the platform as they begin to ramp up elective procedures in the coming months.
Pediatric use cases:
Verata Health supports prior authorizations for pediatric patients similarly to prior authorizations for adults.
Users:
Verata Health is used by hospital systems' and specialty practices' revenue cycle teams across the country to automate the prior authorization process. The platform is seamlessly connected to the EMR to automatically prepare and track prior authorizations.
Description:

Sift's intelligence tools and integrated ML recommendations around patient payments enable health systems to:

  • Pre-clear patients upfront.
  • Get more patients on payment plans, earlier.
  • Execute omnichannel contact across the entirety of the patient journey.
  • Help patients commit to meeting their financial obligations before service.
  • Utilize an integrated view of insurance-patient responsibility to optimize resolution and present patient responsibility, early and more accurately.
COVID-19 use cases:

In the aftermath of COVID-19, it will be increasingly important for healthcare providers to be flexible payment partners. To do this effectively, predictive analytics around payments will be essential. Sift identifies who will struggle to pay, how to best structure payment plans for each individual patient, and best contact method and frequency for communication. All of these AI-driven recommendations are integrated into providers' existing revenue cycle workflows, making it easy to integrate a proactive patient payments strategy.

Pediatric use cases:

None provided

Users:

VP or Revenue Cycle, PFS executives, PFS team, SBO and CBO personnel, Patient Payment Collections Team

Differentiators

Differentiators vs Internal Options:
Existing EHRs provide workflow tools and work lists, but the manual work of completing a prior authorization remains the responsibility of clinical and revenue cycle staff. Through its use of artificial intelligence, Verata automates time consuming, tedious and error prone manual processes associated with prior authorization. In addition to significantly reducing the time associated with completing and submitting prior authorization requests, use of the Verata system will result in significantly reduced turn-around time, first-pass auth denials, peer-to-peer consults, claim denials and write-offs, while at the same time increasing throughput and revenue.
Differentiators vs Competitors:
Verata is the only end-to-end AI solution that reads and interprets clinical documentation as a human would, compares it with applicable payer policies to ensure that all rules have been satisfied, completes payer forms and submits a clean and accurate authorization request. Existing competitors rely on robotic process automation of a few steps of the prior authorization process (e.g. status checks, determining whether a prior auth is required, etc.), but the hard work of collecting clinical documentation, recognizing medical necessity rules, completing payer forms and submitting prior authorizations remains manual. Some competitors offer manual outsourced services for prior authorization, but these services still rely on manual, human preparation and remain error prone and expensive.
Differentiators vs Internal Options:
  • Unified and normalized data sets that are accessible and provide a full view of patient payment behavior 
  • Dynamic machine learning based workflows, rather than rigid rules-based logic
  • Intelligence that enables the most effective use of EHR functionality 
Differentiators vs Competitors:

None provided

DEI Practices

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Product Design

None provided

Product Delivery

Engagement options

Keywords

Categories

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Company Details

Founded in 2012

Founded in 2017

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