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Payor Data Automation​

Utilize our fully automated edge computing techniques to harness the full potential of your EMR data. By relying solely on claims for communication with payors, you may be missing out on providing crucial visibility into results labs, vital signs, and other essential elements that play a significant role in accurately calculating HCC scores and control-rate metrics.
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Recent News: Unveiling the Power of Healthcare Data Insights: Part 2- Elevating Financial Efficiency Through Enhanced Risk Scores

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Automated
DignifiHealth offers a hassle-free solution with no technical setup required and no upfront costs. Our platform automates communication with payors, maximizing HCC scores, increasing care gap closure rates, and gaining direct reimbursement for data sharing. With our monthly automation service, you can expect measurable improvements. Rest assured, while you focus on providing patient care, we’ll ensure that you receive credit for your efforts.

Results

Generated

$0m

in surplus for a 

300-provider system

Achieved

$0k

of new reimbursement 

via automated data feed

Increased Enrollment

+0%

of CCM patients 

in 90 days

Generated

$0k

in ARR 

first 90 days

Enhanced Reimbursement
+0%

in the first 90 days of

implementation

Increased
0%

colon screenings 

in 4 months

.

+0%

increase in 

CCM enrollments

Increased from

0%

to

0%

point-of-care 

gap closure

Drove

+0%

increase in 

provider efficiency

Star Ratings
+0

based on 

A1C gap closure

Improved A1C Control
0%

in CCM
patient population

Key Features

  • Auto calculation and attachment of the proper CPTII quality codes.
 
  • From discrete data fields to full visit note text, make the most of the data trapped in your EMR.
 
  • Data for aligned MA beneficiaries is automatically submitted to payors monthly.
 
  • Data from various sources seamlessly integrates and is analyzed without the need for manual manipulation.
 
  • Risk data sharing results in direct reimbursement.
  • Standardized data ensures consistency and compatibility, facilitating easy analysis and reporting.
 
  • Built-in validation checks guarantee data accuracy and quality.
 
  • Assess relevant payors and financial opportunities based on your payor mix.
 
  • Secure data transmission protocols and appropriate access controls are employed to protect sensitive data.
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Used by:

ACOs/MSOs

Clinically Integrated Networks

Hospitals/Health Systems

Provider Groups

Payors

3rd Party Care Coordination Companies

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