Claims Gateway

EDI Direct accepts electronic transactions for an extensive list of payers.

As the industry transitions to Population Health / ACO models, organizations need fully optimized healthcare information systems, such as EHR and ERP applications, to drive efficiency, address ongoing regulatory challenges, and increase physician and patient satisfaction. But optimal use of these technologies also requires careful consideration to select the right applications, design the best processes, implement new systems and effectively train users.

Many hospitals are looking to manage their current application environments while transitioning to a new application portfolio, or optimize existing application environments to maximize the impact of the investment, which requires:

  • Expansion or transformation of current system architectures
  • Consolidation of current solutions under a single, manageable model
  • Implementation of new platforms
  • Support of legacy application environments
  • Redesign of processes to better support clinical and operational environments
  • Programs that drive long-lasting, complete user adoption

Transformation Planning and Execution

We deliver strategies and roadmaps to enhance end-user engagement, alignment and adoption, while promoting population/value-based reimbursement models and increasing patient engagement in proactively managing their own health and utilization. We also offer data analytics consulting to stratify patients, assess risk, improve care, enhance efficiencies, evaluate contracts, provide merger and acquisition planning and support, and assist in the integration of non-acute care services.

System Lifecycle Implementation and Sustainability

Our comprehensive systems implementation services include program and project management, project planning, application design, application build, system testing, adoption and go-live support services (plus ongoing support and assistance with subsequent enhancements, upgrades, and optimization).

Workflow Optimization

We redesign process and workflow to enhance efficiency, reduce cost, and realize benefits associated with systems implementation by analyzing current processes and implementing improved workflows that improve clinician alignment, enablement and adoption.

System Optimization

After implementation is complete, we address aspects of an EHR system that are underutilized or overlooked. Assessing application and technology performance, utilization, and benefits realization identifies opportunities to optimize functionality, enhance system integration, improve operational and clinical collaboration, improve access to content, increase adoption, assure compliance, improve clinical provisioning (clinician and patient), and achieve bottom-line impact.