You Focus on Patients and Priorities
We Automate the Rest!
Unlike manual processes or disconnected tools that result in uninformed referrals, our Ai-powered solution leverages cost and quality data to rank specialists and facilities to build high value preferred networks.
STEP 1: IntelligentDATA™
Building your networks, scoring providers, and matching patients to the ideal specialist starts with accurate data.
Our Enterprise Data Warehouse overcomes the challenge of aggregating and accessing your data by organizing and normalizing disparate clinical and claims data into six categories:
Subjective • Access • Volume • Loyalty • Outcomes • Cost
You assign weights to each category to create an overall IdealMATCH score, giving you the ability to objectively rank providers and facilities.
2: NetworkMANAGEMENT™
With your IdealMATCH scores created, you can now compare specialists by location and manage referral steerage within your networks from a single, centralized map view.
Your networks can be organized by specific organizational goals or objectives – i.e. by payor, geography, or contract type to separate fee-for-service and value-based arrangements.
3: Auto IdealMATCH™
Once your networks have been organized, you can now initiate referrals within your EHR with one click of our IdealMATCH button, which then presents the highest quality, lowest cost, in-network provider, facility, or social service resource.
IdealMATCH factors in patient preference or need criteria such as language, gender, religion, SDoH, and or special transportation assistance.
4: Auto PriorAUTH™
Upon each referral being submitted, SARA (our Auto ReferralCOORDINATOR™) initiates the automated prior-authorization process as needed and then notifies you when the approval status is updated.
SARA pushes patient details through an API, thus eliminating common portal login and manual input steps.
5: Auto ReferralCOORDINATOR™
SARA engages patients in their preferred language and mode (text or email); then helps them schedule their appointment, sends them reminders, makes sure they show up, and follows up after their appt.
SARA tracks each patient’s referral journey, updates the referral CRM with timestamped pertinent notes, and captures a patient experience on a 1 to 5 scale which can be used as a metric to adjust IdealMATCH scores.
SARA provides faster and higher contact rates for scheduling, sharing data, and closing the loop.
6: Auto Specialist CLOSELOOP™
Once the appointment is complete, SARA will begin an automated fax sequence with the specialist requesting the consult note be sent back to the referring PCP.
Given that we can ingest your claims and HIE feeds, you will have access to closed loop dashboards giving full visibility into patient shows, what the diagnosis or procedure was, and the actual cost.
7: Auto 360° VISIBILITY™
The only way to improve is to measure. Our solution allows you to measure every step of the referral journey, from initial order through closed-loop.
Analyze organizational performance and compare each provider, clinic, specialist, facility, or contract to make data-driven improvements that eliminate leakage, control costs, and increase quality and revenue.
Each quarter, our team will present you with an executive overview of key performance indicators and delta improvements.
8: Referral STAFF OUTSOURCE
In addition to our core offering, we offer end-to-end referral management services. Meaning, you can outsource all or any portion of your referral or prior authorization related tasks to us. We’ll process referral orders, PAs, and close the loop; we’ll even put the consult notes in the patient chart.
Your staff can focus on patient interactions and other important care tasks without worrying about backlogs or chasing down payers, patients, or specialists.
INTEGRATION & SECURITY STANDARDS
ReferralPoint provides seamless workflow and integration across multiple EHRs and PM systems. Our integration transactions and standards include:
- Direct Message
- API
- FHIR
- HL7
- Single Sign-On
- CDA
- CCD
Transform Your Referral Management System in 3 Simple Steps
1. Schedule Tailored Demo
Meet with our team to share your current workflow, challenges, and goals. Then, we’ll show you exactly how ReferralPoint can help.
2. Referral Automation Blueprint
We’ll map out the inefficiencies in your current process and deliver a clear plan to streamline referrals, reduce costs, and improve outcomes.
3. Track Results and Drive Value
Implement the new referral process, then monitor clinical and financial improvements in real time as you increase revenue and savings.
Streamline Your Referrals
We’ll show you how our Ai-powered platform can…
» Optimize Provider Networks
» Automate Referrals & Authorizations
» Maximize FFS & VBC Contracts