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Referral Management

Optimized Referral Services help providers achieve care continuity, keep patients in network and improve patient satisfaction. It’s time to close the referral loop for your patients with today’s leading integrated data solution.

Achieve Care Continuity with Referral Services

Treating referral coordination with outdated technology and EHR systems leaves only a fraction of patients in network. The less-than transparent referral process also causes delayed appointments, with patients unintentionally referred to overscheduled providers. But with the healthcare industry recognizing the shift toward consumerism, providing seamless referral support is not only expected, it is integral to the value-based care we associate with patient satisfaction and improved health outcomes.
Our cloud-based software integrates EMR data to unlock insights and determine the next actionable steps in the care plan. Our solution matches patients with conveniently located providers who accept corresponding insurance plans. The result is better communication, more insight, and an opportunity to lay the groundwork for future patient encounters that meet your health system’s standards.

Improving Network Integrity with CareThrough

As part of your care team, our navigators respond to referral requests with an integrated data approach. Our cloud-based software integrates EMR data to unlock insights and determine the next actionable step in the care plan. Our solution matches patients with providers covered by their insurance plan, and conveniently located. The result is better communication, more insight, and an opportunity to lay the groundwork for future patient encounters that meet your health systems standards.
Meet high standards of care

A coordinated experience enables providers to work top-of-license in service of their patients’ needs.
Keep patients engaged in their treatment

When the system works as it should, patients feel they have agency with respect to their health outcomes.
Resolve scheduling challenges

Referral management keeps the trains running for patients seeking appointments with busy providers.
Address number of patients going out of network

It takes optimized data management to ensure that active patients obtain in-network referrals.
Improve outcomes by better monitoring adherence

Coordination also yields improved compliance for medication and other treatment plans.
Retain more revenue

Inaction can be costly. Patients often need support following through on scheduled appointments. No-shows cost health systems millions in lost revenue.
Document patient experiences with updated EMR’s

Our team has the expertise needed to properly document encounters and anticipated follow-up services at other clinical settings.

How It Works

Our focus is connecting labor and cloud-based technology to further the success of your referral management goals, for any specialty. Track the patient experience from the initial visit to the moment the referral is requested, while comprehensively documenting within the EMR. This allows your health system to ensure all follow-up care remains in network, and is the best fit for the patient.

  • Provides insight into how providers make referrals
  • Grow referral networks
  • Monitor data and provide guidance to ensure a ‘best-fit’ referral
  • Check for insurance acceptance, preferred location, quality scores, and more
  • Captures key information in the EMR
  • Avoid discrepancies in coverage and overscheduling
  • Follow up to provide support and coordinate next steps
Health systems today can and should do better than struggle with disconnected referral management. While your clinical staff delivers optimal care, we provide an integrated framework of analytics to better serve patients, close revenue-cycle gaps, and grow your margins.
Care Navigators
As healthcare business models evolve, so should care teams.

Patients who are paired with Care Navigators report feeling less anxiety, and an increased ability to self-manage their conditions between visits. And providers report increased job satisfaction from improved efficiency, and knowing their patients have access to care teams, and strategic support.

Chronic Care Management
With an increased aging population managing two or more chronic illnesses, extending your care teams’ ability to communicate with patients is critical. We take a strategic approach to helping patients chart a path towards their health goals, while self-managing their chronic conditions between clinical visits.

Artificial Intelligence
Our advanced AI solutions tackle complex documentation challenges to reduce the administrative burden preventing doctors from delivering precision care. We'll guide you through the best practices for incorporating AI into your workflow. Gain visibility into your data with enhanced analytics driven by AI and CTAs.

Nurse Care Team Assistants
While nurses comprise the largest healthcare workforce, many suffer in silence from burnout and decreased job satisfaction. Our Nurse CTAs combat burnout with strategic support. From documenting patient encounters to monitoring vital signs, CTAs ensure nurses work top-of-license. CTAs close critical gaps in the care continuum and provide nurses with the added bandwidth to focus on critical care.

Scribe Services
There’s a reason why we’re the nation’s most frequently used scribe company: we offer professionally trained in-person and virtual medical scribes to meet the specific needs of our clients. We offer a variety of scribe programs, as well as technology and personnel solutions that address revenue cycle management, the transition to value-based care, and more through our HealthChannels family of companies.