October Release - Care Navigation 2.12 & Data & Analytics 1.2

Care Central 2.12 

New and Updated Capabilities: 

  • Patient Experience - Validation for Date Fields
    Enhanced data integrity with input validation now added to all date fields.  If an invalid date is added into a date field the person will be informed to enter a valid date.   

  • Send Care Guide Link to Patients
    The Care Guide link can now be sent simultaneously via SMS and Email when triggered within Care Central. 

  • Patient Journey Management Enhancements
    In addition to the existing options to Cancel a Journey or put it on Hold, administrators now have the ability to Close a Journey.  This allows an administrator to close a journey after a consultation if the patient has decided not to proceed with a procedure.  With now both “Close a Journey” and “Cancel a Journey” administrators will be able to differentiate on patients who have decided not to proceed based on the conclusion of an event within the journey, vs patients who stopped engaging and responding as part of the journey.   

  • Automated Insurance Verification & Prior Authorization
    Administrators can now run automated checks for insurance verification and prior authorization for patients managed within Care Central. 

    • Automated Insurance Verification checks: 

      • Patient’s insurance status (active and billable) 

      • Any applicable coinsurance or copay amounts 

      • Patient’s deductible status and usage 

      • Patient’s maximum out-of-pocket limits and usage 

    • Automated Prior Authorization Required verifies if a patient’s plan necessitates prior authorization for specific CPT codes/services. 

    • The automated submission will provide a result within 3-5 seconds  

  • Addition of a Primary Care Provider field on the patient record.
    Administrators now have the ability to enter the patient’s PCP name for reference as part of the patient’s journey.   

Data & Analytics 1.2 

New and Updated Capabilities: 

Data Extracts 

  • Created (CMS) and updated (AJRR) data extracts focusing on PRO Collection & Reporting for Orthopedics, facilitating compliance with CMS and AJRR requirements for our customers. 

Monthly Executive Reports 

  • New chapter on Patient Access & Acquisition (Referral Scheduling) added to provide insights into referral scheduling processes. 

  • Updated Digital Front Door (Appointment Requests - Bariatrics) chapter, offering a detailed conversion funnel of patient prospects from engagement to their initial consultation. 

Administrator Dashboards in Care Central 

  • Introduction of a Provider Activity reports that provides an aggregated view of staff member interactions with Care Central. Staff Members interact with Care Central in two primary ways: by progressing patients through their journey milestones, and by marking various path items as complete in patient's paths. Detail on these two activities are shown in a number of visualizations in the reports. 

For further details or assistance, please reach out to your support team. Thank you for using our solutions!