Healthcare

The Decisions platform helps reduce first-time rejection rates, allowing for faster payment and less follow-up. With the Decisions rules engine monitoring the claims process and continuing to build rules to ensure accuracy, rejection rates fall while efficiency increases.

The Decisions rules engine is helping collections departments to manage their outreach. A rules-based follow-up and escalation plan allows time/date based task creation for follow-up on specific claims cases.

Tracking and scheduling treatments, such as automatically scheduling vaccinations when they are due, ensures care is not overlooked. Wellness or outpatient apps can also use Decisions to build rules and reminders to help patients follow doctors’ orders or manage chronic illnesses.

The Decisions rules engine can help enforce EHR standards from data entry through storage to an interfaced connection to other health care systems. The flexibility of the platform can also support custom workflows.

• Practitioners to record data
• Telemedicine devices to report inpatient data
• Dynamic questionnaires