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

0 review

Alphie
Alphie

0 review

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, ADT, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Allscripts, Cerner, eClinicalWorks, Epic, Meditech

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

Revenue Cycle Management Services

Robotic Process Automation Platforms

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:

None provided

COVID-19 use cases:
How Do I Develop Staffing Flexibility To Accommodate Ongoing Volatility & Uncertainty? RCM leaders will continue to face unpredictable work volumes across the next 12 to 18 months as patients and procedures return in waves. These surges will likely be interrupted by localized outbreaks of the virus as social distancing guidelines ease. Given this volatile environment, traditional staffing approaches will leave organizations either understaffed or overstaffed. Leveraging automation will be critical in order to quickly scale output up or down as conditions demand.
Pediatric use cases:
We work for all revenue cycle departments, regardless of speciality or place of service.
Users:

None provided

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:
Mitigate Financial Risk By Fundamentally Restructuring Operating Costs Health systems are preparing for a significant (and likely unfavorable) shift in payer mix. This transformation of the reimbursement landscape will accelerate and intensify existing efforts to not simply reduce, but dramatically restructure operating costs. By combining advanced machine learning technology and deep domain expertise, a Unified Automation approach enables RCM leaders to upgrade their organization to an entirely different cost structure.
Differentiators vs Competitors:
Unified Automation is a unique approach because it seamlessly blends human judgement and subject matter expertise with machine learning. Unified Automation is also antifragile. This means it extends beyond simple resilience or robustness. Resilient systems resist variance and disorder and stay the same; an antifragile system thrives and improves as a result of that same variance and disorder. Traditional revenue cycle vendors are focused on staff augmentation platforms that require intensive and continuous maintenance resulting in increased costs. These platforms do not significantly bend the cost curve when it comes to revenue cycle performance. Alpha Health is the only Unified Automation platform dedicated to revenue cycle. Hidden costs destroy restructuring efforts. At Alpha Health, our Unified Automation solution is purpose-built for the healthcare revenue cycle. We provide every component necessary to deploy and maintain automation in production. Coupled with our straightforward shared savings model, we can ensure transparent costs tied to real output and value. $3.41 hidden costs for every $1 spent on RPA Bot Creation and Maintenance. Alpha Health provides our clients a way to secure dramatic value with a new cost model. One with no surprises, transparent shared savings via Unified Automation While other automation solutions rely on armies of onsite consultants to shadow your staff, our deployment model has always been built on the mantra of “innovation without disruption.” This approach has always meant minimal in-person and onsite time, and we have completed entire end-to-end production deployments fully remotely.

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Company Details

Founded in 2012

Founded in 2018

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