Electronic referral isn’t rocket science. It’s workflow science.
Lost revenue is the last thing providers can afford. Yet, that’s exactly what each missed or misplaced referral represents. Whether lost in transition, delayed by specialists, the result of patient no-shows or routed to providers outside the preferred provider network (resulting in leakage), missed referrals decrease patient volume and provider revenue. The devil is in the details - of workflow management.
Fusionfx Referral Management manages the life cycle and workflow of a patient referral, giving clinicians a single, composite view of relevant information, regardless of the information’s source. Clinicians and referral coordinators find specialists, book appointments online, transmit clinical data, view the completed consult note and track referrals from beginning to end, all within a unified portal.
A rich set of management reports and a business intelligence dashboard also are available to help the executive team identify trends, problematic clinics, network leakage, payer mix and service line utilization.
With Fusionfx Referral Management, providers can:
- Improve outcomes, ensure access and minimize exposure and disruptions.
- Increase patient volume to clinics and ancillary departments.
- Prioritize higher value clinics and service lines, reduce network leakage and improve referral rate.
- Ensure payments, reduce no-shows and enhance revenues.
- Reduce turnaround time of specialist notes.
- Fulfill the care coordination and information exchange requirements of meaningful use.
Features
- Automated referral list management and tracking
- Referral creation from the EMR or online portal
- Customizable workflow configuration to support different clinics, locations and entities
- Support for state- or province-wide deployment
- In-network and out-of-network provider directories with service information
- Online capture of patient instruction and insurance and clinical data
- Provider and patient messaging and notification
- Leveraging of such HIE infrastructures as EMPI and XDS
- Vendor-agnostic, preference-based searching for available schedule slots from multiple facilities
- EMR integration for retrieving and sending clinical and administrative information in the referral
- Comprehensive management reporting and business intelligence dashboards
- Integration with patient portal for online patient referral requests
- Quick memo feature facilitates communication among coordinators
- Checklist to quickly identify key missing steps in the referral workflow for quality check
Benefits
- Improve workflow efficiency with automated process that eliminates paperwork, redundant data entry and unnecessary phone calls
- Identify and reduce network leakage
- Capture lost revenue
- Maximize revenue with payer mix analysis and referral pattern adjustment
- Improve service line utilization
- Ensure patient compliance with recommended care
- Increase referrals to outpatient clinic and ancillary departments
- Enhance referring physician satisfaction and physician alignment
- Maximize internal resource utilization
- Assist marketing department to conduct physician outreach
- Extend and maximize HIE infrastructure and services
