Healthcare

Delivering healthcare is an extremely complex process executed by intelligent well-trained professionals. The Decisions platform provides a rules-based healthcare workflow solution that enables these highly skilled workers more control in automating the process. The people who understand the processes can change the things that really matter.

Primary Benefits

Improve revenue cycle management
Improve patient outcomes
Streamline clinical research
Share data and stay compliant

Who Uses Decisions

Wellness and health monitoring services
Home health providers
Healthcare plan providers, managed Care providers, and provider networks
Clinical researchers

Improve Your Revenue Cycle Management

From ambulatory care to long-term care, Decisions has assisted healthcare providers in effectively optimizing their revenue cycle. The flexibility of the Decisions platform makes it ideal for automating these complex reimbursement and billing processes.

Optimize Medical Billing

Procedure pricing and billing can create headaches with all the payer policies in today’s healthcare environment. Decisions can help manage the billing process to ensure prompt and accurate billing and payment. With no coding required, billing specialists are empowered to write rules to optimize the process.

Reduce Reimbursement Rejection Rates

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.

Manage Collections More Efficiently

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.

Case Management in Healthcare: It’s Not Just About Patients

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Improve Patient Outcomes

The rules capabilities of the Decisions workflow platform is ideal for processes that are complex and must adapt to the changing environment. The adaptability of the Decisions rules engine can improve patient outcomes in a variety of ways.

Clinical Decision Support

The interaction between patient and medical professionals is dynamic and practitioners are constantly gathering and evaluating data in real-time. Decision’s flexible workflow enables doctors and nurses to drive the process while relying on a rule-based clinical support system to provide guidance.

Implement Treatment Scheduling and Activity Reminders

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.

Improve EHR Data Capture

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.

Make it easier for:

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

Streamline Clinical Research

Leverage rules to manage clinical trials and medical research. The robustness of Decisions supports large complex scientific studies.

Deploy dynamic questionnaires to collect pertinent data
Automate the enrollment of study participants
Automate research workflows for cleaner more actionable data
Enable researchers to build edit and maintain eCRF forms

Share Data and Stay Compliant with System Integration and ETL

Given the complexity of healthcare, it’s a common need for different systems to interact. Decisions can help systems and people communicate, especially if actions are required by individuals or if data needs to be transformed along the way.

HL7 & FHIR Support

The Decisions HL7 integration engine helps healthcare providers connect the various systems to reduce data entry costs and error rates. Connect systems such as:

Practice management systems
Legacy systems
Payment systems

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Ensure Compliance

The Decisions rules engine allows healthcare clients to customize and automate workflows that enforce HIPAA standards at all times, boosting performance without compromising compliance.

Decisions is Trusted By:

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Whitepaper

Rules driven Workflows – Decisions for HL7

HL7 is a text based standard for sending and receiving health care information electronically. Get our perspective on the HL7 standard, learn the basics, challenges, and benefits the Decisions platform can provide for your business.

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Features Matrix Screenshots Tour

Healthcare

Primary Benefits

Who Uses Decisions

Improve Your Revenue Cycle Management

Optimize Medical Billing

Reduce Reimbursement Rejection Rates

Manage Collections More Efficiently

Case Management in Healthcare: It’s Not Just About Patients

Improve Patient Outcomes

Clinical Decision Support

Implement Treatment Scheduling and Activity Reminders

Improve EHR Data Capture

Make it easier for:

Streamline Clinical Research

Share Data and Stay Compliant with System Integration and ETL

HL7 & FHIR Support

Ensure Compliance

Decisions is Trusted By:

Discover More

Rules driven Workflows – Decisions for HL7

Healthcare

New Ocean

Home Care Pulse

Vaccination Scheduling

Building a COVID-19 Screening Web/Text App Using Decisions in several days

HL7 & FHIR

HL7 Health Data Exchange

New Ocean Health Solutions Simplifies Processes and Streamlines Ecosystem with Decisions

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