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Automated Guidelines Healthcare Reimbursement Series

Reducing friction in the reimbursement process is an important challenge faced by healthcare organizations today. Many of them are looking for technology to reduce inefficiencies and cut costs while improving the visibility of integrated patient and clinical data. Trisotech addresses the issue with an easy to use business modeling and automation platform.

Business modeling and automation is a mature technology based on open standards that has proven its value in a wide range of industries. In healthcare, it enables clinical, business and IT personnel to collaborate in a visual environment to document, communicate and automate healthcare guidelines. The technology can be integrated with hospital information systems using FHIR and CDS Hooks. Automating these complex workflows can improve efficiency, allowing resources to be allocated to more challenging problems. Issues can be identified and resolved in real-time with the logic underlying all decisions transparently available to the organization.

To illustrate the capabilities of business modeling and automation for healthcare reimbursement, we will demonstrate how it can be used by payors and providers alike in a series of three webinars:

Webinar 1
Orthopedic Surgery Preauthorization

September 30, 2020

Webinar 2
Preauthorization for Targeted Drug Therapy and Streamlining of the Appeals Process

October 21, 2020

Webinar 3
Documentation of Medical Necessity for CMS Home Services

November 18, 2020

Orthopedic Surgery Preauthorization Webinar
Webinar 1

Orthopedic Surgery Preauthorization

Date: September 30, 2020
Time: 12:00 to 12:30 (ET)
Duration: 20 minutes + Q&R
Featured Panelists:
John Svirbely, CMIO and Denis Gagné, CEO & CTO, Trisotech

Cant make it on the live session? Register anyway, we will send you the link to the recording.

Register

Abstract:

Preauthorization can be a source of stress for patients and providers. It is difficult to keep up with the changes made by different insurers, and there is the threat of criminal prosecution. In the first webinar, we will give an example of a routine preauthorization for an orthopedic surgical procedure – first total knee arthroplasty. The burden for providers can be reduced by integrating preauthorization with models used to prepare the patient for surgery.


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