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

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

Simple creates long-term care solutions for regulatory compliance, reimbursement optimization and quality measurement. More than 5,000 skilled nursing facilities trust Simple solutions to simplify their healthcare data and improve daily workflow.

• 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