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

Categories

Solutions

Description

Product Description:

Simplify Utilization Management between providers, members, and care management. Affinitē UM leverages Intelligent Automation to streamline administrative actions so your team can operate at the top of their licensure.

About Vital Data Technology, LLC:

Vital Data Technology empowers health plans to continuously improve outcomes, accelerate compliance and control costs. Vital Data’s Affinitē™ platform unifies formerly siloed data and leverages artificial intelligence and machine learning to drive actionable interventions. The platform’s modules include: Affinitē™ PlanLink™ for real-time CareFlow™ automation and case management for stakeholders throughout the care continuum; Affinitē™ ProviderLink™ for prioritized, actionable patient interventions; MyVitalData™ for mobile app member engagement; Affinitē™ Quality for optimization of quality management and HEDIS® performance, and Affinitē™ Risk for Hierarchical Condition Category (HCC) risk adjustment.

Vital Data Technology is trusted by health plans nationwide across Medicare Advantage, Medicare, Medicaid, commercial and self-funded adult and pediatric populations and has received NCQA HEDIS® Certification for five consecutive years. For more information visit: www.VitalDataTech.com or call (866) 482-8399.

Product Description:

AKASA delivers Authorization Management, powered by our Unified Automation® platform, to holistically automate prior authorizations for providers. Through our unique RPA + ML + experts-in-the-loop approach, AKASA determines if prior authorization is required, gathers the necessary information and clinical documentation from your EHR, submits the authorization request to payers, checks on the status of those requests, and documents the results in your EHR. Additionally, we notify payers of inpatient admissions, attaching medical records as required. The result: more timely reimbursement and patient care, with fewer staff frustrations.

About AKASA:

AKASA is the leading developer of AI for healthcare operations and the revenue cycle. We scale human intelligence with leading-edge AI and ML trained on customer data to learn unique systems, continuously adapt to changing environments, and deliver comprehensive automation for complex workflows. Our platform is used by more than 475 hospitals and 8,000 outpatient facilities. Step into the future of healthcare with AKASA. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

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Use Cases

Description:

Affinitē was able to identify members at risk of experiencing pre-term birth at 20 weeks of gestation.  This enabled earlier intervention by Care Management and reduced the risk of complication and lowered overall costs.

In this group, over 10% of the members identified had costs associated with pre-term birth of over $500,000.

Pediatric use cases:

None provided

Users:

Proactively identify members in your population via AI-modeling in order to intervene earlier in the treatment process and positively impact their health outcomes.

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:

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EMRs Supported:

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Hardware Compatibility:

None provided

Client Types

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

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Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

What makes our prior authorization solution unique?

  • It’s a holistic prior authorization solution: Our automation identifies payer requirements, submits requests, checks statuses, and notifies payers of inpatient admissions — freeing your staff from tedious prior authorization tasks. 
  • Our AI intelligently navigates complex auth processes: Our AI intelligently navigates complex auth processes, payer rules and portals, ensuring tasks get done.
  • Our machine ensures auth requests are thorough and accurate: Reduce back and forth with payers by ensuring all required information, such as clinical documentation and supplemental CPT codes, are submitted the first time. 
  • No disruption to your current workflow: Our AI works alongside your existing systems and third-party tools, optimizing prior authorization processes.

Keywords

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