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

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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:

Improve patient access by accelerating time to care while reducing FTE resource spend on manual, repetitive tasks involved with obtaining prior authorizations.

About Adonis:

Adonis fosters unparalleled revenue outcomes that improve efficiency, reduce costs, and increase revenue. Our partnerships are forged in the commitment to long-term financial success. Whether you're a provider with an internal billing team or you outsource your RCM operation, we're prepared to meet you where you are to improve your billing and collections outcomes.

Compatibility level

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

Clients

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Product Capabilities

Adonis’ Automated Prior Authorizations integrates with providers’ appointment systems to automatically review all upcoming appointments and identify those that will require prior authorization. Adonis uses a combination of machine learning and expert input to keep payer rules up to date, ensuring that all relevant appointments receive a prior authorization.

Adonis leverages machine learning and expert input to continually update its knowledge base. Adonis leverages AI to automatically identify and store payer rule updates.

Adonis’ prior authorization specialists use Adonis’ proprietary work list and form completion tools to more accurately and efficiently submit requests to the relevant payers. The speed and precision enabled by these automations lead to faster and higher rates of approvals.

Adonis’ prior authorization specialists use Adonis’ proprietary work list and form completion tools to more accurately and efficiently submit requests to the relevant payers. The speed and precision enabled by these automations lead to faster and higher rates of approvals.

Adonis’ prior authorization work list and form completion tooling allow for flexible document attachments, ensuring that all necessary information for receiving approval can be easily found and submitted.

Once Adonis identifies that prior authorization is required, the upcoming visit will enter our team’s work list. From there, our team members will prioritize prior authorizations based on service date.

The Prior Authorization Status Dashboard enables status tracking for all prior authorization requests.

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:

Adonis’ Automated Prior Authorizations identifies scheduled patient visits that require authorizations by utilizing existing stored payer rules. Your staff is notified when authorizations are complete, denied, or require additional information not readily available within your system. All authorization data is pushed back to your system of record.

Pediatric use cases:

Adonis' Automated Prior Authorization is applicable across many specialty areas, including pediatrics;

Users:

Front-desk staff, Revenue Cycle Management Team

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

NextGen, athena, eClinicalWorks

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Client Types

None provided
None provided

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
  • Fully Outsourced - Adonis handles all of the Prior Authorization workflows for your team and pushes the data back to the necessary systems
  • Highly automated - Prior Authorizations are performed behind the scenes with minimal intervention from staff
  • Machine Learning Backed Automations - Our machine learning models are trained on your Prior Authorization data, leading to efficiency gains and greater automations over time
Differentiators vs Competitors:
  • Adonis automates the bulk of authorization tasks, allowing your staff to prioritize high-value work and complex follow-ups.
  • Adonis maintains up-to-date payer rules, eliminating the need for staff members to regularly visit payer sites or commit guidelines to memory.
  • Adonis leverages machine learning to deliver exponentially increasing efficiency gains over time.

Keywords

Images

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Videos

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Downloads

No content provided

Alternatives

Company Details

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