How health viewx patient referral management software helps people in different designations in healthcare

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1
How HealthViewX
Patient Referral Management
Software Helps People
In Different Designations In Healthcare?
www.healthviewx.com
Learn how a patient referral software can help

Patient begin a journey with the hospital when they are referred to that
hospital to improve their health condition. Their expectation of the referral is
usually high as they have sought another hospital for better experience and
treatment.
Why is Patient Referral Management
important for hospitals?
So hospitals must try to live up to the expectations of their patients. In order to
manage huge volume of referrals, a hospital must have an effective Patient
Referral Management System in place.

This blog highlights challenges faced by operations manager, revenue cycle
manager, healthcare IT department, patient referral coordinators and care
providers (physicians and specialists) and how HealthViewX Patient Referral
Management Software can help.
Why is Patient Referral Management
important for hospitals?

Challenges faced by physicians

1
Manual and time-consuming process – The process of creating
a referral is too manual and time-consuming. In every stage of
the referral, the physician has to put in a lot of effort. Here are
few instances,
● The physician has to wait for the insurance pre-
authorization process to be done
● Finding the right specialist takes a lot of effort from the
physician’s side
● After sending the referral, the physician has to wait for
referral updates from the specialist.

Challenges faced by specialists

1
Multiple referral channels – For the specialist/imaging center
who receive referrals face more difficulties than the referring
provider. The receive referrals through various channels like fax,
email, direct message, website, user-filled forms, etc. Managing
and tracking all of it manually is a tedious task. The chances of
missing out on a referral are high.

2
Poor communication framework – The existing referral process
has no quick mode of communication to contact the PCP or
referral coordinator for missing information. The specialist has
to wait till he/she gets the necessary information before starting
with the referral process.

Challenges faced by referral coordinators

1
Insurance pre-authorization – A referral coordinator has to
consult the insurance company if the diagnosis prescribed meet
the insurance requirements of the patient. This process takes
time as the referral coordinator has to wait for the insurance
company to respond.

2
Finding the right specialist/imaging center – The next big step after
insurance pre-authorization is finding the right specialist or imaging
center for the patient. The referral coordinator has to consider many
factors like the patient’s convenience, specialist’s availability, new
specialists in the locality, etc. This is time-consuming as there will be
many specialists and imaging centers. Narrowing down the search
manually will be difficult for the referral coordinator.

3
Handling multiple software – A referral coordinator has to handle an
EHR, fax system, appointment scheduling software all at the same
time. The coordinator has to
● Collect the patient information and demographics from the EHR
● Do the insurance pre-authorization
● Find the specialist
● Send out the referral as a hard-copy fax

Challenges faced by an operations manager

1
Patient Referral Leakage – An operations manager will be
primarily worried about how many patients are referred out of
the network. Patient referral leakage is a determining factor in a
referral network. In many cases, the patients are referred out-of-
network even when there are appropriate specialists within the
network.

2
Referral Analytics – As a large number of referrals flow in and
out of the network, it is difficult to track the exact number. It is
also tedious to track the number of referrals in various status
and to close referral loops. The operations manager also needs
to know how many referrals were sent or received, how many
were processed, how many are yet to be processed, etc.

Challenges faced by a revenue cycle manager

1
Patient no-show rates – After receiving the referral, the
specialist/imaging center schedules appointments with the
patient. In some cases, the patients are not notified clearly
about the appointment. When patients do not show up, it is
difficult for the specialist/imaging center to track. It results in
revenue loss and patient dissatisfaction.

2
Costly software – As mentioned earlier, a referral process
needs an EMR/EHR, appointment scheduling software and a fax
integration system. So many softwares for a single process is
not efficient.

Challenges faced by an IT strategist

1 Handling sensitive patient data – Patient data must be handled
securely. Considering the current manual process, it is difficult
to maintain data security.

Insurance pre-authorization process
1
HealthViewX automates the insurance pre-authorization process. The
provider need not coordinate with the insurance company for prior
authorization. The HealthViewX solution will do it for them. This reduces
the manual effort of the referral coordinators.
How can HealthViewX solution add value
to the process?

Intelligent Provider Match
2
The HealthViewX “Smart Search” feature makes it easy for the referring
provider in finding the right provider. It has smart filters and search
options that help in narrowing down the specialist based on the
requirements. This saves a lot of time for the referral coordinators.
to the process?

Timeline View to track referrals
3
With the help of a referral status, the referring provider can get to know
what stage the referral is. A timeline view shows a history of stages
through which the referral has progressed. The chances of a referring
provider missing out on referral updates are very less.
to the process?

Referral closure and feedback
4
The referring provider can close the referral when it gets completed. The
receiving provider and the patient can give a feedback on the referral
process to the referring provider. Thus the referring provider can make it
easy for the other the next time.
to the process?

Multi-channel referral consolidation
5
The HealthViewX solution can capture fax, phone, email, online form
referrals or any other referrals in a single interface. It makes it easy to
monitor and manage all channels of referrals in a single queue.
to the process?

Patient coordination framework
6After finding the receiving provider, the referral coordinator refers the
patient. When the receiving provider receives the referral, the provider
will get notified of the referral. Even the patient will be notified of the
referral. The receiving provider can schedule appointments based on the
patient’s comfort. This will cut down patient no-show rates.
to the process?

Referral Analytics
7Helps in tracking the number of referrals and gives complete information
about the referrals processed, missed, scheduled etc with the help of a
Referral Data-centric Dashboard. It helps the operations manager in
taking informed decisions.
to the process?

HIPAA compliance
8
The solution is completely HIPAA compliant which enables secure
patient data exchange.
to the process?

HealthViewX Patient Referral Management
Solution smooths the referral process and
solves challenges faced by people in different
designations in healthcare.
Schedule a demo with us and our patient
referral management experts will guide you
through our HIPAA compliant solution.

Email: marketing@healthviewx.com
Phone: +1 (214)-461-0242Contact us anytime.
How can we help?

How health viewx patient referral management software helps people in different designations in healthcare

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