Building on more than a decade of experience connecting leading hospitals with their post-acute providers online, Curaspan Health Group extended its Synchronized Patient ManagementTM portfolio to payers.
ReviewCentral® is the only payer-provider network that helps payers generate better clinical and financial outcomes with workflow automation and shared, real-time information with providers.
Built on a secure HIPAA-compliant communication platform, ReviewCentral combines messaging tools with work lists, alerts and business intelligence to make concurrent reviews more efficient. Start them as soon as possible, with a notice of admission and daily census updates pulled from hospital ADT feeds with patient demographic and insurance information mapped to payer and contracted facilities. Confirm eligibility. Get a discharge summary. Authorize placements. Quickly and efficiently.
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Challenges
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Benefits of Curaspan
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Partner relationships. |
Better interactions with more timely, informed decisions.Structured workflow and standardized communications produce faster response times that increase provider satisfaction while automatically generated audit trails resolve differences quickly. |
Quality care. |
Improved medical outcomes.Timely delivery of discharge summaries trigger 48-hour post-discharge follow-ups to help cut readmissions. Data captured for key metrics (e.g. readmissions by provider, physician, placement, diagnosis) promotes best-practice protocols. |
Financial performance. |
Controlling costs with better data.The timely delivery of the notice of admissions starts discharge planning sooner, helping to meet geometric LOS; cut inpatient acute-care costs; and avoid lengthy, costly appeals. |
Staff productivity. |
Decreased manual labor, increased efficiency.Workflow automation combined with a communication platform shared by payers and providers drives administrative efficiencies and optimizes the multi-site use of liaisons. |
New models of care. |
Communication with post-acute communities.Connectivity via a secure shared communication platform with acute and post-acute providers fosters collaboration and provides patient-centric transparency. Documentation is exchanged easily and in a timely manner. |
Compliance. |
HIPAA-compliant software that generates documentation.Curaspan utilizes 128-bit encryption and secured EDI of patient information via HL7 protocol. Solutions are HIPAA- and ARRA-compliant and provide automatically generated audit trails, complete with date and time stamps. |
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Challenges
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Benefits of Curaspan
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Identifying and eliminating inefficiencies. |
Decreased manual labor. Increased productivity.ReviewCentral eliminates the need to fax and make phone calls. It streamlines concurrent reviews, for example, by providing a daily census pulled from hospital ADT feeds with patient demographic and insurance information mapped to payer and contracted facilities. Automatic alerts and structured workflow make staff more productive. |
Missing or incomplete information. |
Automated, real-time communication.Built on a secure Web-based communication platform with messaging tools and shared with providers, ReviewCentral helps cut time-consuming, costly appeals involving missing pieces of required information or eligibility issues. |
Provider, patient satisfaction. |
More timely, better-informed decisions.Real-time connectivity dramatically cuts the need for phone tag and faxing, enables the secure and efficient exchange of complete information (e.g. notice of admissions, review packages, discharge summary) and helps ensure the timely exchange of complete information and the prompt start of concurrent reviews. |
Risk management. |
Technology-based checks and balances.A more structured workflow with a user-centric dashboard, tickler work list, in-application pop-ups and automatic alerts (e.g. for next action due) minimizes missed steps. All activities are time- and date-stamped creating an automatically generated audit trail. |
Choosing user-friendly technology. |
No steep learning curve.ReviewCentral is easy to use and requires only 2-hours of training. |
Avoiding costly, difficult-to-use IT investments. |
Easy-to-implement, user-friendly solutions.With software-as-a-service (SaaS) applications, Curaspan manages releases, operations, infrastructure and upgrades. You'll be up and running in about 8 - 10 weeks with minimal involvement from your IT department. |
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Challenges
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Benefits of Curaspan
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Missing or incomplete information. |
Automated, real-time communication.Built on a secure Web-based communication platform with messaging tools, ReviewCentral helps cut time-consuming, costly appeals involving missing pieces of required information or eligibility issues. |
Meeting deadlines. |
Ticklers for deadlines, reminders for information.Workflow communication tools enable timely delivery of documentation (e.g. final adverse determination letter, responses to appeals). |
User-friendly technology. |
No steep learning curve.ReviewCentral is easy to use and requires less than two hours of training. |