Healthcare Referral Management

Referral management is the process of streamlining end-to-end referrals, increasing transparency, and relaying general care to specialized treatment. However, poorly managed referrals are a significant obstacle to all these things. Issues stemming from poor management of referrals affect patients, providers, and payers alike. From misdiagnosis, operational inefficiency, and broken referral loops to missing patient records,… Continue reading The True Cost of Poorly Managed Patient Referrals – An In-Depth Review Continue reading about The True Cost of Poorly Managed Patient Referrals – An In-Depth Review

Referral management systems are responsible for streamlining end-to-end referral processes and improving transparency within these processes. However, health systems relying on manual referral management solutions continuously suffer from communication gaps between specialists and care providers. The lack of coordination between providers leads to various problems such as clinical operational inefficiency, broken referral loops, missing medical… Continue reading 10 Common Challenges of Healthcare Referral Management Solutions Continue reading about 10 Common Challenges of Healthcare Referral Management Solutions

Why Automate Your Referral Healthcare Processes? A big driver for automation comes down to the cost savings it provides. But that isn’t to say that cost savings is the only consideration. Automation also helps healthcare organizations put their staff to work on what is important and where they are really needed. Cost Savings The CAQH… Continue reading Referral Management: 5 Reasons to Automate Your Healthcare Processes Continue reading about Referral Management: 5 Reasons to Automate Your Healthcare Processes

Patient referrals are the primary ways of directing patients to specialized care. Inefficient management of these referrals leads to many problems not just for patients, but also for payers and health systems. Despite being a critical component of the revenue stream, referral management is often overlooked by healthcare systems. Every year, health systems, on average,… Continue reading Everything You Need To Know About E-Referral Management Systems Continue reading about Everything You Need To Know About E-Referral Management Systems

Increasing regulations on physician groups force health professionals to work longer hours. Healthcare providers have to dedicate a substantial amount of time and resources to identify the most profitable value-based care initiatives. Physicians who provide care to more than 100 Medicare patients annually and bill Medicare more than $30,000 in Part B fall under CMS’s… Continue reading How Closing the Referral Loop Provides MIPS Reimbursement Benefits Continue reading about How Closing the Referral Loop Provides MIPS Reimbursement Benefits

Streamlining communication between specialists and primary care providers (PCPs) is critical for the patient’s treatment. By ensuring seamless communication, health professionals can provide the best overall outcome for the patient. However, despite the critical nature of patient records, many PCPs persist with manual workflows and outdated protocols to transfer e-records to specialists. Due to the… Continue reading 9 Consequences of Patient Records Not Being Available for Specialists Continue reading about 9 Consequences of Patient Records Not Being Available for Specialists

Value-Based Care is a specialized care delivery model where healthcare providers are rewarded based on the health outcomes of their patients. Under this model, providers are given financial incentives to improve patient health, minimize the effects and occurrence of chronic diseases. This encourages providers to help their patients live healthy lives in an evidence-based approach.… Continue reading The Role of Referral Management in Value-Based Health Care Continue reading about The Role of Referral Management in Value-Based Health Care