Specialty Practice Management

Veradigm Practice Management’s sophisticated and customizable workflow rules engine automates work queues based on a practice’s preferences. Multi-entity security and management enables information access based on department rules.

Whether it’s scheduling or claims management, workflows designed for your specialty are integrated, enabling synchronized audit trails within Veradigm Practice Management. By automating tasks and workflows, your staff can focus on patient care and service.

Veradigm Practice Management’s Office Manager feature empowers back-office staff by providing a virtual workspace to efficiently manage claims, appointments, and tasks. Its specialization-focused configuration caters to the unique needs of various specialties. The streamlined workflow ensures an organized and efficient process, from appointment management to handling pending claims. With customizable queues, automated actions, and a user-friendly interface, the Office Manager feature within Veradigm Practice Management significantly enhances the operational efficiency and organization of medical practices.

Key Features

• Appointment management queues: Users can configure queues for front-end appointment management, creating a seamless workflow for front desk protocols. This includes the categorization of queues for referrals, no-shows, bumps, eligibility, coverage exceptions, and manual coverage changes.
• Pending claims management: The system facilitates the creation of work queues for back-office billers to process and reprocess claims. It allows corrections, follow-ups, and efficient handling of demographic and file maintenance errors.
• Workflow service: An integral part of the system, the workflow service manages different areas of the revenue cycle, ensuring timely and organized processing of tasks. It runs behind the scenes, optimizing queue population based on configured criteria.
• Customizable queues: The Office Manager offers the flexibility to create customized queues for specific needs, such as denials, unpaid claims, and appointment management. This includes the ability to route queues to specific individuals based on their roles or responsibilities.
• Automated actions: The system incorporates features like automated self-pay collections and customizable workflows, streamlining processes and reducing manual intervention.

Veradigm’s Predictive Scheduler feature within Veradigm Practice Management uses AI and predictive analytics to streamline appointment management for medical practices with any specialization. By utilizing advanced technology, Predictive Scheduler forecasts patient demand, allowing practices to proactively address high-need patient visits, optimize operational efficiencies within scheduling, and enhance overall care delivery. During each implementation of Predictive Scheduler, Veradigm conducts configuration by pulling 12-24 months of historical data for both the practice and providers. The system then presents potential opportunities to enhance scheduling efficiencies based on 40 key metrics related to effectiveness and efficiency.

Key Features

• AI-driven prioritization: Predictive Scheduler uses artificial intelligence to identify high-need patients and automatically prioritizes their visits, ensuring they receive timely care without disrupting the existing schedule.
• Scheduling rule management: The solution helps practices navigate complex scheduling rules by assisting in the creation of messages to ensure adherence to scheduling and reimbursement rules, optimizing efficiency.
• No-Show/cancellation management: Users can update templates based on demand, as well as no-shows and cancellations, reducing open slots and minimizing the impact of missed appointments.
• Dynamic schedule adjustment: To adapt to changing demand, Predictive Scheduler dynamically opens and closes slots on a daily or weekly basis, distributing visits across multiple resources for optimal care delivery and resource utilization.

Physician practices have relied on Veradigm Practice Management’s robust reporting to help specialty practices meet their goals. With real-time information through intuitive dashboards, healthcare professionals can make informed decisions to maintain a financially healthy organization. Dashboard data includes charges and payments, claim status, current A/R aging by payer and coding trends.

Key Features

• Flexible and robust reporting: Users can compare billing trends over time, drill down with one click, and query, based on user-defined rules.

Managing complicated software for medical purposes shouldn’t be a source of stress. Veradigm is distinguished by its user-friendly interface, which was developed with the end-user in mind. Our user-friendly practice management platform ensures a seamless experience for healthcare professionals across different specializations, whether they are entering patient data, evaluating trends, or generating reports.

Key Features

• Simple intuitive design: Staff can effortlessly enter and access the data they need, without hassle.

It’s not just about interoperability between different medical practices and specialties, it’s about adapting a robust practice management system to optimize your workflows. A rich practice management system will continually enhance your operations and productivity within a practice, especially in a changing regulatory landscape. Veradigm Practice Management goes beyond by seamlessly integrating with various healthcare companies, offering practices the flexibility to optimize their workflows according to their unique needs.

Key Features

• Adaptable and interoperable: Veradigm Practice Management is an adaptable system that integrates with healthcare companies to optimize workflows for unique practice needs.
• Flexibility and scalability: Veradigm Practice Management’s open architecture enables specialties practices to share patient information across multiple platforms, meeting the needs of many complex environments.

Veradigm Practice Management has guided thousands of healthcare professionals across the U.S. by providing comprehensive and customized training programs designed for your specialty. With over 30 years of experience, Veradigm is proud of our team of product experts with years of industry expertise to help specialty practices meet their goals and thrive. By actively investing in our solutions, dedicated specialized teams accelerate the development efforts within the effort to meet today’s needs.

Key Features

• Industry knowledge and expertise: Veradigm Network’s community of companies is readily accessible to support and train your practice.