OUR PRODUCTS
For Efficient Healthcare
Our products can help health care organizations of all sizes and specialties automate their revenue cycle management, from patient admission and claim processing, to data aggregation and collections.
Continuum Health Technologies Suite
All of your healthcare needs in one place.
Our cloud-native healthcare products remove obstacles like inaccessible data and inefficient processes, by providing a larger spectrum of healthcare transaction processing services. Recognizing that these functions are essential for the day-to-day tasks our products can help streamline operations and allow to focus on the core processes.
ESTIMATOR™
Patient Estimator™ is a cloud-based analytical and workflow application that accurately estimates and helps collect patient responsibility amounts prior to service, allowing hospitals and physician’s offices to better inform patients up front and alleviate unpaid claims.
Patient Estimator™ uses real-time, goal-driven analytical processing to collect patient balances prior to service, and to ensure that balances unable to be collected get appropriately addressed by financial counselors.
The goal-driven process is activated once Patient Estimator™ receives scheduling or registration data flagged to be analyzed for potential patient balance collection. Users can also manually activate the process to request an estimate for services before registration.
The ability to configure “business rules” for the system helps staff better identify and analyze those medical services that have a patient responsibility, automatically calculate the amount due, and route alerts to the appropriate staff member to collect payment. The system also produces friendly, customized patient responsibility letters to inform them of their estimates.
Patient Estimator™ delivers performance reporting by department and by user to track potential to collect vs. actual amount collected.
DISCOVERY™
Discovery™ is the foundation of Continuum Health Technologies’ revenue cycle analytics system. It is a cloud-based performance analytics application that provides powerful analytical algorithm processing and interactive analytical reporting capabilities. Reporting includes pivots and trend visualization tools, along with interactive executive dashboard views. The application helps health care organizations effectively analyze post-submission claims and identify causes for unpaid, denied, or rejected claims.
Discovery™ data acquisition aggregates data from multiple sources, including EDI 837 claim files, EDI 835 remittance files, host transaction information, and other nonstandard formatted claim data, creating a detailed repository of data at the service line/remark code level.
Discovery™ interactive analytical reporting allows users to slice and dice revenue cycle data in seconds to get an in-depth understanding of the patterns, issues, and root causes associated with claims, payers, departments, denial reason, and remark codes. In just two clicks, users can drill down to the specific claim or denial service line item. Discovery™ knowledge is used in both front-end processes to help prevent denials from happening, and in back-office processes to provide more effective follow-up and denial resolutions.
Discovery™ analytical processing uses a variety of advanced analytics to analyze all revenue cycle data, creating specialized data marts to provide unsurpassed insight to help reduce denials. In most hospitals, denials, bad debt, missed opportunities, and other cash flow delays caused by errors and compliance failures decrease receivables by 3% to 10%. Discovery™ improves your understanding of the root cause of denials and arms you with the knowledge needed to prevent denials before they happen.
GUARDIAN™
Guardian™ is a cloud-based analytics and workflow application that can reduce patient access related denials by 50% to 80% beyond traditional patient access and registration systems and processes.
Guardian™ comprehensively addresses access management using real-time, goal-driven analytical processing. Customizable “rules” help users and their departments achieve new levels of operational efficiency, accuracy, and timeliness. Guardian™ ensures that business goals are met by continuously analyzing, monitoring, and responding to all activities associated with scheduling, preregistration, registration, admissions, and discharge.
By using our analytics and workflow system, data gets automatically processed with predictive analytics and business rules applied, which is in turn used to inform real-time decision-making necessary to perform the tasks needed to accomplish pre-set goals. These goals include: identifying issues, distributing work, and automating workflow to ensure timely completion.
Real-time, goal-driven analytical processing
It dynamically analyzes streams of data and events, uses analytics and business rules to make real-time decisions, facilitates automation, and creates exception-based alerts required to accomplish the objectives and goals of a health care organization. It is a highly flexible, adaptive, and dynamic process management platform. It can handle the uncertainties and unknowns frequently encountered in real-life revenue cycle processes, allowing organizations to implement and deploy processes that may otherwise cause confusion or inefficiency.
CHALLENGER™
Challenger™ is an automated, cloud-based, analytical workflow application that manages post-submission claims. It integrates with all data sources, including EDI 837 final-billed claim files, 835 remittance files, 277 solicited and unsolicited claim status transactions, 997 and 999 acknowledgment transactions, and payment and adjustment files. Challenger™ analytics operate at a claim, service line, and remark code level.
Challenger™ life cycle management uses pre-adjudication claim status processes and transactions, both unsolicited and solicited, to monitor submitted claims until a remittance is received. This enables organizations to begin working on claim issues from the moment they are found in the payers’ adjudication systems.
Challenger™ provides a unified, user-friendly view of an account, consolidating all associated claims, remittances, notes, appeals, and history of all dispositions taken by users. This streamlined dashboard helps improve efficiencies and increase overall staff productivity.
BENEFITS
Denial avoidance results in increased cash, improved cash flow, reduction of re-work (back-end), and increased patient satisfaction. Reporting helps identify gaps, productivity issues, and training needs.
VISUAL ANALYSIS
A new generation HIPAA-compliant virtual healthcare service via cloud, voice and video to increase quality and efficiency. Utilizing BI components to provider telehealth services to patients from the convenience of their mobile phones.
APPLIED AI
We address patients' facts resulting from historical events and recently aggregated data sets. Our infrastructure provides fundamental input to securely prescribe medications during or immediately following a patient consultation.
CUSTOMER-CENTRIC
We deliver human-centric, connected, omnichannel customer experiences. Our healthcare solutions are designed to be predictive and customer-centric to scale processes, reduce costs, while enhancing customer satisfaction.