Healthcare is ever evolving and constantly shifting in response to consumer trends, regulatory changes and new technologies. Typically, these changes take place gradually with adoption rolling out bit by bit until finally reaching the tipping point among hospitals and health systems. We have observed this in recent years with transitions related to value-based care, electronic health records and interoperability, to name a few.
The impact of COVID-19 on the healthcare industry is unlike any of the changes we have seen in recent years. The change was sudden, swift and required immediate action from every healthcare provider regardless of size, setting or demographics. The pandemic allowed no time for committees, focus groups or research teams to develop lengthy strategic plans. As an industry, it tested our ability to adapt, act quickly, think creatively, and take calculated risks when necessary. The pandemic represents a sea change in healthcare that as leaders, we are all just beginning to grasp.
One area of significant change is the transformation in healthcare business models and connections between providers. Even before COVID, healthcare had observed a significant increase in merger and acquisition activity. The past year accelerated this trend as organizations form partnerships to better weather the lingering impacts of the pandemic.
Small hospitals that have taken bigger hits have sought to be acquired by larger health systems in order to survive. Conversely, large systems with more diversified portfolios and existing services such virtual care and digital functionality are growing as a result of these new acquisitions, partnerships and technologies. As organizations merge and seek to standardize their processes, there is a renewed focus on business function integration and centralization. The result is a more integrated delivery model with increased connections and data sharing between providers.
Vyne Medical, a leading provider of health information exchange and electronic healthcare communication management solutions, today announced the acquisition of Ahana Health and its connected care technology. Designed to empower groups of clinicians to collaborate in delivering high-quality care to patients, the solution will be incorporated into Vyne Medical’s cloud-based Refyne platform.
The connected care solution provides a virtual space for healthcare providers to collaborate with each other and with patients, delivering care that transcends geographical and organizational boundaries. The solution also enables live, one-on-one clinical encounters, provider/patient-initiated care, and the ability to build care plans for patients with complex care needs.
“Data-sharing among practitioners has long been a challenge, and it’s one we meet head-on by integrating this collaborative functionality into our rapidly evolving Refyne platform,” said Marcy Tatsch, president of Vyne Medical. “This innovative solution was created to streamline and improve patient care delivery for a group of regional clinicians, and we see a clear path for expanding its use to bring that same level of advanced care connectivity to hospitals and health systems across the country.”
Vyne Medical’s SaaS-based Refyne platform helps optimize workflows and maximize reimbursements for hospitals, health systems and other care providers. Its initial release focused on denials management and featured the Refyne Audits solution to streamline government audit workflows through the electronic submission of medical documentation.
The Refyne Connected Care solution supports provider initiatives such as shared care planning, workforce collaboration and virtual care options. The functionality will assist providers in partnering to deliver an optimized patient experience through improved care coordination and digital innovation.
“We are thrilled to join Vyne Medical and align around the mission of connecting disconnected data across the care spectrum,” said Chelsea Bodnar, MD, founder of Ahana Health. “The voices of providers and families who contributed to the development of this technology will now be amplified as Vyne integrates the solution to improve care experiences for both the clinicians who deliver care and the patients who experience it.”
Vyne Medical today announced the launch of its new Refyne platform. Purpose built for healthcare, Refyne is designed with the look and feel of a modern consumer-facing app and features to help optimize administrative workflows and maximize reimbursements for hospitals and health systems.
This initial release of the cloud-based platform features Refyne Audits which simplifies the process of receiving and responding to audit requests from the Centers for Medicare & Medicaid Services (CMS). In fiscal year 2020, CMS estimated the improper payment rate for Medicare fee-for-service at 6.27 percent, representing $25.74 billion in improper payments.
“Our nearly 10 years of experience as a leading CMS-Certified Health Information Handler tells us that managing government audits plays a significant role in effective denials management.” said Marcy Tatsch, president of Vyne Medical. “That experience coupled with the Refyne Audits solution enables us to add immediate value for both new and existing clients.”
Refyne Audits facilitates the electronic transmission of supporting documentation to assist providers in filing timely audit responses and appeals. The solution enables participation in the CMS Electronic Submission of Medical Documentation (esMD) initiative with the Electronic Medical Documentation Request (eMDR) functionality necessary for efficient audit management.
“With Refyne Audits, providers can automate workflows and supply the solicited evidence necessary to fight government audits well within strict timelines,” said Scott Overholt, chief business officer at Vyne Medical. “Hospitals can quickly submit hundreds of pages of documentation to demonstrate appropriate levels of care and most importantly, they can track their submissions to prove timely responses.”
Vyne Medical, a leading provider of electronic health information and communication management solutions, announces the launch of new functionality to help streamline hospital administrative functions. Auto-indexing accurately transforms documents and unstructured patient information into structured, shareable data for use across hospitals and health systems.
Part of Vyne Medical’s Trace platform, auto-indexing technology leverages advanced machine learning and form recognition technology to read incoming text and map it to targeted fields in Trace. Demographic information contained in high-volume forms such as physician orders, insurance forms and patient registration forms is automatically classified and pre-populated into the appropriate patient record fields.
“Vyne Medical remains dedicated to helping hospitals and health systems improve the way they capture and share information to ensure a more complete patient record, create workflow efficiencies and recover lost revenue,” said Marcy Tatsch, president of Vyne Medical. “Auto-indexing accomplishes these key objectives by quickly transforming documents into structured, reliable data.”
Vyne Medical announces an agreement with INTEGRIS Health for implementation of its Trace communication management platform. Oklahoma’s largest not-for-profit health system will implement Trace solutions across the system’s eight acute care hospitals and centralized access center.
The Trace platform encompasses voice recording, electronic faxing and image capture to automate and manage communication surrounding patient care. Data is digitized, indexed to the patient record and centralized for enterprise access and exchange. INTEGRIS will use Trace solutions to standardize and monitor key patient communication events and support its consumer financial engagement strategy.
“Trace solutions will help ensure the quality of our patient interactions prior to admission, while capturing valuable consumer insights contained in phone calls, emails, faxes and other revenue cycle communications,” said Susan Garcia, vice president of revenue cycle at INTEGRIS. “A digital audit trail of these interactions will support our goal of providing seamless service across all INTEGRIS facilities. It provides the objective data we were missing to better manage the entire patient encounter.”
Patient access team members will use Trace software to support daily activities at INTEGRIS hospitals and its centralized access center. Associates will record scheduling, preregistration and patient financial counseling phone calls with patients. Face-to-face recording will be implemented to record in-person patient encounters in registration, financial counseling and discharge planning. The Trace Quality Assurance solution will be used to review and score recordings.
“Forward-thinking health systems are investing to optimize patient encounters and identify new opportunities to improve consumer engagement,” said Lindy Benton, Vyne CEO and president. “We are excited to partner with INTEGRIS to reduce the cost of operations and improve KPIs by automating and leveraging data from these exchanges.”
With admitting physicians, INTEGRIS plans to automate delivery of faxed physician orders to eliminate paper and manual processes involved with faxing. Trace voice solutions will also be used to record pre-admission phone calls with physician offices. To improve communication with payers, INTEGRIS will document pre-authorization inquiries via payer portals and record payer voicemails granting approval for services. Medical records faxed to health plans will also be captured, along with the date and time stamp of delivery. Proof of these exchanges will help INTEGRIS reduce claim denials and improve reimbursement.
Vyne Medical, the leading provider of healthcare communication and data management technology for more than 800 hospitals and health systems, today announced a partnership with Adventist Health System for implementation of its Trace communication management and quality assurance platform.
One of the nation’s largest faith-based health systems, Adventist Health System will implement Vyne Medical’s Trace platform to manage critical communications including voice, fax, electronic, image and document exchange.
“As we work to streamline and simplify the care process for consumers and providers, we needed a solution built to support the intricacies of our workflow,” said Tim Reiner, senior vice president of revenue management for Adventist Health System. “With Trace, we can capture many types of communication and integrate them with our existing systems to create a more complete patient record and ultimately enhance the consumer experience for those we care for.”
Physician orders. Trace will be implemented as the single platform to manage both fax and electronic orders for Adventist Health System. Orders will be available in real time with features such as alerts, notifications, worklists and reservations to establish an electronic workflow for order management.
Voice recording. Staff will use one of three Trace recording applications – on-demand, auto-record or face-to-face recording – to record interactions with patients, physicians, payers and other providers. Recordings will be indexed to the patient account and referenced to support strategic initiatives such as quality assurance, compliance, patient experience and financial performance.
Quality assurance. An audio search function will allow managers to search recordings for key words and phrases to ensure the appropriate use of scripting and identify training needs. The Trace Quality Assurance tool will be used for quality assessment of recorded interactions, allowing managers to produce online scorecards and track performance by associate, team and performance measure.
“Trace will help us reach our long-term goal of eliminating faxing and other paper-based processes,” said Brent Snyder, executive vice president and chief information officer for Adventist Health System. “A secure, auditable workflow for orders will increase our efficiency, reduce delays and help us provide better service to our physicians and patients.”
“We are excited to partner with Adventist Health System in its effort to enhance quality and efficiency,” said Lindy Benton, CEO and president of Vyne. “Through this work, we are committed to reducing costs through automation while improving key performance indicators.” Continue Reading