Manage populations with public health EHR

Public Health

Our interoperable public health solution is designed specifically to manage public health programs such as immunizations and family planning, as well as comprehensive case management for tuberculosis and reporting to meet state and national requirements. 

We offer an integrated, web-based solution that advances your public health goals efficiently by facilitating data exchange with community partner providers, health information exchanges and state registries. We provide an integrated inventory management system for medications, immunizations and supplies, and support multiple sliding fee scales by program. You should have the best resources you need to serve those who need you, and with us as your partner, you’ll have them.

Just for Public Health™

Psychiatry & Behavioral Health Learning Network

One Person | One View | Better Care

What if providers could have one integrated view of a consumer at their fingertips, giving them the information they need to make critical decisions at the point of care? Join Neal Tilghman, MPA, General Manager of Behavioral Health at Netsmart for a Psychiatry and Behavioral Health Learning Network webinar to learn about the vision-turned-reality of "One Person | One View | Better Care".

For Public Health

Application Management Services

Eliminate the ongoing need to hire, train and retain scarce technology talent.

  • Capacity to handle EHR configuration and expansion
  • Eliminates need for continual investment in training of application support staff
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Billing and Collection Services

Flexible skilled billing expertise and services when you need it.

  • Helps ensure consistent cash flow
  • Provides the ability to quickly scale as your business grows
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BI Software for Healthcare

The Netsmart business intelligence solution offers healthcare KPI dashboards that organize and present data in a way that is easy to read and share.

  • User-friendly interface and features do not require programming skills
  • Simplifies healthcare data discovery for key decision-makers
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An integration engine that empowers organizations to connect with providers across all care settings.

  • Provides one point of access to connect to the larger healthcare ecosystem
  • Reduces costs and improves safety by minimizing redundant or unnecessary treatment during transitions of care
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CareConnect™ Inbox

Provides Direct Secure Messaging within your organization as well as the larger healthcare ecosystem

  • Easily and safely share data with other providers, eliminating the redundancy of diagnostic testing
  • Simplify communication among care team members and improve staff efficiency 
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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
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Claims Adjudication

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
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Claims Analytics

Quickly improve SNF claims revenue, reduce audit risk and simplify triple-check processes

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Clearinghouse & Third-Party Liability

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
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Clinical Quality Measures

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
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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
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Document Management

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
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Eligibility Management

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
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Health Status Monitoring

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
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IT Strategy and Advisory Services

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
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Managed Care Organizations (MCOs)

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
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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
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Mobile Dispatch

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
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Nutrition Management

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
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OASIS-Scrubbing & Submission

SimpleHomeHealth™ is your simple solution to OASIS-E compliance. Now you can optimize PDGM reimbursement, streamline OASIS‑Ecompliance and improve patient care — all with one easy-to-use,affordable tool.

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PaaS (Platform as a Service)

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
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Payment portal

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
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Payroll-Based Journaling

SimplePBJ: The simplest, most cost-effective way to master PBJ reporting and compliance

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Predictive Analytics

Use real-time, predictive MDS analytics to optimize PDPM, improve compliance and simplify workflow

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Private Insurance

Simplify managing prior authorizations and claims submissions:

  • Reduces manual reporting
  • Allows commercial health plans to manage usage of prior authorizations and improve outcomes
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Manage your electronic claims and increase your clean claim submission rate with one easy-to-use tool.

  • Increased clean claim submission
  • Faster claim adjudication
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Secure Messaging

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
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Senior Living

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
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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.

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Virtual Care

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

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
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