Home care EHR that simplifies scheduling, documentation and billing

Person-centered platform providing care coordination, interoperability, analytics, outcomes and risk stratification.

• Addresses care transitions and long-term care needs through person-centered planning
• Highlights potential gaps in care, critical issues and social determinants of health

A web-based solution for state agencies and MCOs that integrates with EHRs and EVV applications to automate claims adjudication and claims error processing.

• Business rules engine to pre-screen
• Provides financial insights through reconciliation of claims status

RevConnect Clearinghouse is a comprehensive, configurable claims submission and remittance management platform that increases first-pass acceptance rates (98 percent or greater), speeds delivery to payers and reduces denials.

• Eligibility checking is integrated with claims processing and flags any issues
• Delivers, fast, clear correction guidance to the user

The clinical quality measures solution is a web-based application that makes monitoring quality measures simple and easy, giving users a real-time review of value-based reimbursement reporting.

• Eliminates the need for complex calculations for measures reporting, allowing the organization to focus resources on maximizing results
• Provides insights into a clinician’s caseload, allowing performance reviews from an outcomes management perspective

Credentialing and provider enrollment are critical to ensuring claims are not denied because practitioners aren’t enrolled with a payer

• Comprehensively manage all group and individual provider enrollment
• Reduce administrative costs for maintaining credentials

EHR-integrated document management and capture solutions give care teams access to documents from within the familiar context of their EHR.

• Role-based document security supports patient privacy requirements for document imaging
• Improves clinical decision-making with relevant, actionable information readily available at the point of care

Eligibility management solutions increase billing accuracy by verifying coverage for the population you serve.

• Batch verification and real-time eligibility via clearinghouse solution
• Coverage discovery that identifies primary, secondary and tertiary coverage, including active government and commercial insurance coverage

Wellness monitoring solution uses self-reported consumer information to give care teams insights and a longitudinal view into the health and wellness of consumers in their care.

• Supports consumer engagement and wellness through self-reported health indicators
• Offers timely insights into the health status of individuals, enabling proactive clinical decisions

Securely exchange health information with thousands of other providers through a single point of connection.

• Direct integration puts clinical data into the EHR without additional manipulation or manual entry
• Data is available at the point of care as part of clinical workflows

Boost your business to the next level with one of our top-notch virtual chief information officers (vCIOs).

• Oversight and management of all IT service delivery functions
• Monthly, quarterly or annual usage of vCIO services

Flexible, interactive data visualizations to help you gauge and quantify your organization’s success.

• Simplifies data discovery so you get answers faster
• Customizable performance tracking and clinical assessment data

Simplify managing prior authorizations and claims submissions

• Web-based solution integrates with 100+ EHRs and EVV apps
• Supports verification of regulatory compliance and prior authorizations

Simplify monitoring compliance with state regulations, prior authorizations and claims submissions

• Reduces manual reporting
• Shows which claims match and which need additional information prior to payment

Mobile dispatch simplifies route planning and helps caregivers respond to requests more quickly.

• Simplifies scheduling and saves time for administrators coordinating visits
• Optimizes visit assignments, allowing caregivers to see more patients

Supports consumer-driven care by connecting individuals to their treatment through a user-friendly, secure solution.

• Provide quick, convenient and secure messaging that drives improved responsiveness to an individual’s needs
• Illustrates consumer’s health and behavior outcomes over time with a longitudinal view of their health and wellness

A fully-integrated system made for any home healthcare organization to streamline everything from patient intake to documentation to scheduling to billing and beyond.

• Reduces barriers to patient information
• Increases efficiency and improves outcomes

A comprehensive healthcare food service platform that reduces food waste and increases patient safety.

• Track patient nutritional needs from admission to discharge
• Reduce food waste and overall costs

An electronic prescribing and medication management tool that allows providers to fully prescribe, review and order medication and tests electronically.

• Helps increase medication adherence and prevent adverse medication events
• Reduces time spent communicating with pharmacies

Let Netsmart manage your software solutions in a secure healthcare cloud, so you can concentrate on what matters most – delivering care.

• Cost predictability and overall peace of mind
• More time for your IT staff to focus on business needs

Netsmart payment solution makes it easy for clients to set up and manage self-serve payments, payment plans, electronic statement delivery and payment preferences.

• An easy way for clients to set up and manage self-serve payments, payment plans, electronic statement delivery and payment preferences
• Reduce customer service inquiries with an intuitive and easy-to-use self-serve option

Simplify managing prior authorizations and claims submissions:

• Reduces manual reporting
• Allows commercial health plans to manage usage of prior authorizations and improve outcomes

Referral management electronically connects organizations with referring sources to streamline the referral intake process.

• Quickly and effectively communicate with referral partners
• Integration with electronic health record simplifies the admission process

Manage your electronic claims and increase your clean claim submission rate with one easy-to-use tool.

• Increased clean claim submission
• Faster claim adjudication

Secure communication solution integrates directly with your EHR to allow real-time internal and external messaging among care team members and support integrated care.

• Provides HIPAA-compliant, real-time, mobile communication among caregivers
• Improves workflow through secure communication with the EHR, mobile devices and desktops

Netsmart senior living management software includes a long-term care EHR that bridges gaps in information and supports advanced connectivity to eliminate communication barriers and improve outcomes.

• Long-term care EHR offers advanced connectivity
• Integrated features support value-based care initiatives for skilled nursing facilities, CCRCs and assisted living facilities

Telehealth provides consumers with an unprecedented level of access to real-time quality care across multiple provider specialties.

• Removes geographic barriers that can prevent individuals from receiving appropriate treatment
• Increases provider coverage area by allowing care to be given and received anywhere

Utilization management from Netsmart automates prior authorizations and allows state agencies and managed care organizations (MCOs) to monitor delivery of Medicare and Medicaid services.

• Aggregates provider data into an easy-to-use dashboard
• Helps reduce costs by highlighting suspected waste, fraud and abuse

• Lowers the cost of providing care
• Expands the availability of staff and high-demand providers

A comprehensive skin and wound care management solution helps your team capture superior wound documentation and gain insights from patient population statistics and trends.

• Provides care teams the ability to remotely monitor wounds
• Reduces litigation risk by providing consistent clinical documentation and healing over time analytics