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Streamlining Encounter Submission and Reconciliation with Veradigm Comprehensive Submissions

Simplify Encounter Submissions for Government Programs

Veradigm Comprehensive Submissions offers a scalable, flexible, and integrated solution to streamline and improve submissions and vendor management for various government-sponsored programs such as Medicare Advantage, Managed Medicaid, (S)CHIP, ACA/EDGE, and All Payer Claims Database (APCD). By providing a 360-degree view of data throughout the submission lifecycle, the platform ensures easy source data reconciliation. This comprehensive solution validates 100% of submission data before submission, helping users get paid accurately the first time. Additionally, it assigns HCCs and determines risk-eligibility, allowing users to prioritize error correction and submissions based on projected risk revenue impact.

Complete Control and Transparency in Encounter Submission

Veradigm Comprehensive Submissions empowers risk adjustment teams by putting control of the encounter submission process in their hands. The platform ensures full transparency by enabling users to manage work, error correction, and production control effectively. With a multi-program interface and user-friendly dashboards, users can access real-time data and gain valuable insights into financial and administrative intelligence. The solution offers self-reliance for risk adjustment teams, allowing submission and error correction on their schedule, resulting in increased acceptance rates and reduced legwork.

Optimizing Revenue Potential with Data Visibility

Through Veradigm Comprehensive Submissions, users can track and monitor the status of all encounters accurately. The platform provides insight into the risk impact and revenue potential of encounters, identifying areas of revenue opportunity to maximize revenue. By integrating with Risk Adjustment and Analytics products, users can monitor and manage risk adjustment revenue against budgeted gap closures and KPIs effectively. This early visibility empowers users to make informed business decisions throughout the submission process.

Efficient Encounter Submission Process for Maximum Revenue

Veradigm Comprehensive Submissions offers a fully managed, cloud-based encounter data management platform that simplifies the submission process and ensures complete, accurate, and compliant encounters. By using an innovative ETL tool that pre-validates 100% of submission data, users can ensure accurate and timely reimbursement from government-sponsored programs. The platform is CMS-approved and HIPAA compliant, offering a secure environment for managing encounter data and reducing the risk of revenue leakage.

Ensuring Data Accuracy and Compliance

Veradigm Comprehensive Submissions validates all data pre-submission based on CMS and state requirements, ensuring completeness, accuracy, and compliance. The platform allows users to easily fix errors before and after submission, facilitating proper reimbursement. With compatibility with all chart vendors and input file types, the solution is easy to adopt and works seamlessly across various data formats. Full auditing and versioning features provide additional control and visibility into the submission process.

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Enhance Efficiency and Connectivity with Veradigm Diagnostic Ordering and Results Network

Streamlined Integration for EHR Vendors

Veradigm offers EHR vendors a seamless integration experience with the Diagnostic Ordering and Results Network (DORN). With just one API integration, EHRs gain access to a vast network of laboratory and radiology partners. This streamlined process eliminates the need for custom formats for each partner, saving time and resources for both vendors and providers.

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Veradigm: Revolutionizing Healthcare with Artificial Intelligence Solutions

Understanding Artificial Intelligence (AI) in Healthcare

Artificial Intelligence (AI) has evolved significantly over the past few decades, promising transformation in various industries, particularly healthcare. Veradigm focuses on the expanding potential of AI in healthcare, with a comprehensive guide covering its role, applications, benefits, and challenges. AI, with roots dating back to the 1950s, has broad applications beyond human intelligence simulation and problem-solving capabilities. Veradigm dissects AI classifications, including Weak AI with systems like voice assistants and recommendation algorithms, and the theoretical future potential of Strong AI with human-like cognition. The main functional areas of AI, Expert Systems, Machine Learning, Speech Recognition, Natural Language Processing, Computer Vision, and Generative AI, all intersect in healthcare with distinct applications such as expert systems aiding diagnosis and ML enhancing treatment accuracy.

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Unlock Key Insights with Veradigm's NLP-Enriched EHR Data Sets

Efficient Healthcare Data Solutions

In today’s fast-paced healthcare environment, the need for efficient, data-driven solutions is crucial. Veradigm's NLP-enriched, high-quality healthcare EHR data sets are tailored to meet the high-speed demands of modern healthcare challenges. These solutions are not only flexible and scalable but also drive meaningful results by providing clinicians with the necessary tools to make informed decisions.

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Unlocking the Power of Healthcare Data with Allscripts Veradigm

Transforming Healthcare with Data Insights

Allscripts Veradigm offers a cutting-edge solution that empowers healthcare organizations to harness the power of data for improved patient outcomes and operational efficiency. By connecting to the Veradigm Network, providers, life sciences companies, and health plans gain access to valuable insights that drive informed decision-making. With real-world evidence and data-driven analytics, healthcare stakeholders can identify trends, optimize care pathways, and enhance population health management.

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Enhancing Healthcare Outcomes with Veradigm Payer Insights: Integrating Care Gap Alerts into EHR Workflow

Seamless Integration of Care Gap Alerts in EHRs

Veradigm Payer Insights offers a dynamic healthcare Payer solution that aims to improve outcomes and patient satisfaction by displaying gaps-in-care alerts directly within a Provider's Electronic Health Record (EHR). This seamless integration allows healthcare payers to reduce gaps in care significantly, ultimately leading to better patient outcomes, cost reduction, and increased overall satisfaction. By aligning with the objectives of modern healthcare systems, this solution empowers the entire healthcare team to address care gaps effectively, not just physicians.

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