| Isici | Intake.Dental | Pearl RCM |
|---|---|---|
| Ukugxilwa okuyinhloko | Umjikelezo ophelele wemali engenayo: qinisekisa, vumela ngaphambi, hambisa, landelela, faka, phikisa, funda | Ukuqinisekisa ukuthi kusekonzakele ngaphambi kokuvakasha: ukufaneleka, izinzuzo, imibhalo kanye nokuhlolwa kwekhwalithi ye-X-ray |
| Lapho kuhlala khona | I-dashboard yayo, ifunda futhi ibhale emuva ku-PMS | Ifakwe ohlwini lwesikhathi se-PMS nekhadini lokuqokwa |
| Ukufaneleka | Ukufaneleka nge-electronic amahora angama-48 ngaphambi kokuvakasha ngakunye, kunyukele kucingo lwezwi le-AI lapho impendulo ye-electronic ingaphelele | I-Precheck: ukufaneleka kusuka kuma-clearinghouse amane kanye nama-portal aphezulu kwe-300 wabathwali, kuboniswe ekhadini lokuqokwa (ngokwe-Pearl) |
| Izinzuzo ngezinga lekhodi | Isitolo ngekhodi ye-CDT ngayinye: i-% yokumbozwa, imikhawulo yokuphindaphinda, izikhathi zokulinda, izimpawu zesivumelwano sangaphambi — kubhalwe emuva ku-PMS | Izinzuzo ngezinga lekhodi ziboniswe ohlwini lwesikhathi (ngokwe-Pearl) |
| Ukuqinisekiswa ngezwi | I-AI voice agent ishayela umkhokheli lapho ukufaneleka nge-elektroniki kuhluleka | Akuchazwanga ekhasini lomphakathi le-RCM likaPearl |
| Izigunyazo zangaphambi kwesikhathi | Uhlu lomsebenzi oluhlelelwe ngokubaluleka, imithetho yomkhokheli ngamunye efundwe kusuka ekunqatshweni, ukubalwa okudwetshwe kusuka kumarekhodi, ukuciniseka kwangaphambi ngokwe-elektroniki ngokuzenzakalelayo, izexwayiso zokuphelelwa yisikhathi | Akunikezwa |
| Izexwayiso zemibhalo yangaphambi kokuvakasha | Amaphuzu omngcele wokunqatshwa ngaphambi kokuhambisa kanye nokulungisa okuqondile okuqanjwe; imithetho yokunamathisela ngamakhodi ngalinye | Izenzo Zokumangalela: izexwayiso ezisemshini zama-X-ray alahlekile noma aphelelwe yisikhathi, izinkinga zekhwalithi, kanye nezingaphezulu zokugqunywa ngaphambi kokuvakashela |
| Ikhwalithi ye-X-ray ekuthwebuleni | Akunikezwa | I-Imagecheck ibonisa iziphene zekhwalithi ye-X-ray ekuthwebuleni |
| Ukuhambiswa kwemangalelo | Yakha imangalelo kusuka ezinqubweni eziqediwe bese iyihambisa nge-clearinghouse yayo, kufaka phakathi okunamathiselwe nokubalwa | I-PMS iyihambisa imangalelo |
| Ukulandelela imangalelo | Iziqinisekiso ze-277CA kanye nezinkokhelo ze-835 ezihambisana nemangalelo ngalinye; imibuzo yesimo ye-276/277 emangalelweni amadala | Akuchazwanga ekhasini lomphakathi le-RCM likaPearl |
| Ukufakwa kwenkokhelo | I-835 ifakwe kwinkundla yemali, ukushiywa okuvumelekile kwesivumelwano kusuka kumanani e-CAS womkhokheli, ama-EOB ephephandaba ahlolwe | Akuchazwanga ekhasini lomphakathi le-RCM likaPearl |
| Ukwenqatshwa | Isilenga sezenzo esihlelwe nge-CARC/RARC, ukuphikisa kwe-AI okuvela ekushathini, kuthunyelwe kabusha njengekhaladi elihlinziweyo (ukuvama 7) | Kugxile ekuvimbeleni: ukwenqatshwa okuncane okuvela emibhalweni ngaphambi kokuvakasha |
| Ukuzimela | Isigaba ngasinye Sivaliwe / Sincoma / Silingise / Okuzenzakalelayo, ngokwasekliniki ngalinye | Izexwayiso nedatha ekhishiwe; abasebenzi benza ku-PMS |
| Ukumbozwa kwe-PMS | Ukuhlanganiswa okuqondile nezinhlelo ezikhulu ze-cloud kanye nebhuloho eliqinisekisiwe elimboza abanye abangu-60+ | Open Dental, Dentrix, Eaglesoft, CareStack, Oryx, Curve, Denticon (ngokuka-Pearl) |
| Amanani | Claims Intelligence $299.99/mo; Insurance Suite $399.99/mo; Ukuqinisekisa kuphela $199.99/mo — konke kubhalisiwe obala | Akushicilelwanga ekhasini le-RCM likaPearl njengoba besikwazi ukuthola; xhumana no-Pearl |
Ukufaneleka kwe-elekthronikhi kusebenza emalini angama-48 ngaphambi kwaso sonke isikhathi sokubonana. Uma impendulo ye-elekthronikhi yomkhokheli ingekho noma ayiphelele, i-ejenti yezwi ye-AI ishayela umkhokheli ibuze imibuzo umakhi-zikweletu angayibuza; okusele kuya ohlwini lokuqhubeka nokuxazulula inkinga. Izinzuzo zigcinwa nge-CDT code ngayinye — iphesenti lokumbozelwa, imikhawulo yesikhathi, izikhathi zokulinda, amaflegi okuvuma kwangaphambili — futhi ibhalwe emuva ku-PMS.
I-Precheck idonsa ukufaneleka nezinzuzo ezisekelwe ku-code ezivela ezindaweni zokususa okungcolile ezine nangaphezu kwamasango abakhokheli angaphezu kwangama-300 futhi ibonise ekhadini lesikhathi sokubonana, ngokusho kuka-Pearl. Lobo bubanzi bamasango buyinzuzo yangempela kubakhokheli abaphendula kangcono ngesango kunangokusebenzisa ukuthengiselana nge-elekthronikhi. Ikhasi lomphakathi lika-Pearl alibhali ukubuya emuva kwezwi.
Uhlu lomsebenzi wokugunyaza kwangaphambili oluhlengwe ngosuku lokulandelayo lwesihlalo lwesiguli, olunemithetho ngomkhokheli ngamunye efundwe ekwalelweni komkhokheli lowo uqobo, inqubo yesidingo sezokwelapha ebhalwe kusukela kuchati, nokuqondisa kwangaphambili kwe-elekthronikhi okungesimo kubuya ngokuzenzakalelayo. Zonke izimangalo zithola amaphuzu engozi yokwenqatshelwa ngokucacile okulungisiwe okuqanjwe.
I-Claim Actions iphakamisa izexwayiso zohlelo lokutholakala okungekho noma okudala kwe-X-ray, izinkinga zekhwalithi, nezikhala zokumbozelwa ngaphambi kokuvakashela, futhi i-Imagecheck imaka amaphutha ekhwalithi ye-X-ray ekuthwebuleni. I-Pearl ithi lokhu kuholela ekwehleni kwekhodi ngaphansi nangaphansi kwama-80% kanye nokwenqatshelwa okuhlobene nemibhalo — izibalo zika-Pearl uqobo. Ukugunyazwa kwangaphambili akuyona ingxenye yomkhiqizo.
Isimangalo sakhiwa ezinqubweni eziqediwe ku-PMS futhi sithunyelwe ekuxhumaneni kohlelo lokususa okungcolile lomphimbo olunamafayela anamathiselwe nenqubo. Ukuvunywa kwe-277CA nezinkokhelo ze-835 kuqondiswa emuva kusimangalo ngasinye; izimangalo ezithule zithola umbuzo wesimo se-276. Izinkokhelo zithunyelelwa encwadini yezikweletu ngokuncishiswa kokubhala kwenkontileka okubalwe ezilungiselelweni ze-CAS zomkhokheli uqobo, futhi ama-EOB ephepheni enjululwe kube yilokhu kugeleza okufanayo.
Umsebenzi we-Pearl RCM uphela lapho isimangalo esihlanzekile sishiya i-PMS. Ukuhambisa, ukulandelela nokuthumela kuhlala ne-PMS nendawo yokususa okungcolile umkhiqizo osewusebenzisa.
Ukwenqatshwa ngakunye kuhlukaniswa ngamakhodi e-CARC ne-RARC kube isitebhisi sesenzo — ukuvala ngokuzenzakalelayo okuphindaphindiwe, ukubhalisa isiguli, ukubhala phansi, ukuphinda uthumele okulungisiwe, uku-aphila, ukunyuswa. I-AI ibhala impendulo kusukela kuchati futhi iyiphinde ithumele njengesimangalo esilungisiwe (imvamisa 7) ngenombolo yesimangalo somkhokheli. Ukuzama okukodwa okuzenzakalelayo, bese ihhovisi lithunyelwa i-imeyili.
Indlela ka-Pearl ukuvimbela: ubambe inkinga yemibhalo ngaphambi kokuvakashela ukuze ukwenqatshwa kungenzeki. Ukusebenza ukwenqatshwa okusafika akubhaliwe ekhasini lomphakathi lwe-RCM lika-Pearl.
Yonke isigaba singu-Off, Recommend, Simulate, noma Auto ngomkhiqizo. Ukuhambiswa kwesimangalo nokugunyazwa kwangaphambili kwe-elekthronikhi kuqala nge-Off ukuze kungabi nalutho olubhalisa kabili ngenkathi i-PMS isathumela. I-Simulate ibhalela lokho ebeyizokwenza ukuze nikwazi ukukuqhathanisa neqembu lenu ngaphambi kokushintshela ku-Auto.
I-Pearl ikhipha idatha nezexwayiso ngaphakathi kwe-PMS; abasebenzi bayasebenza kuyo lapho. Ayithathi izinyathelo esimangalweni uqobo.
I-Intake.Dental idweba amanani ayo: I-Claims Intelligence (ukuhambisa, ukulandelela, ukuthumela, uku-aphila, nokuhlaziya abakhokheli) ingu-$299.99/ngenyanga; I-Insurance Verification ingu-$199.99/ngenyanga; i-Insurance Suite ihlanganisa kokubili ngo-$399.99/ngenyanga. I-Pearl ayishicileli amanani e-RCM ekhasini layo lomphakathi njengoba sithola, ngakho inombolo efanayo ayivumelekile lapha — celani i-Pearl isilinganiso futhi niqhathanise ne-Suite. Imiphumela eshiwo yi-Pearl — ukuze kuphansi ngaphansi kwama-80% ukwehlisa ikhodi nokuwalelwa okuhlobene nemibhalo, kuze kube yimahora angama-35 abasebenzi asindisiwe ngesonto — yizimangalo zika-Pearl uqobo; asikwenzi simangalo sephesenti esifanayo kuleli khasi.
Ayikho imikhiqizo ethatha indawo ye-PMS, ngakho-ke ayikho ukuthuthwa kwedatha kunoma yiluphi uhlangothi. Ukuhamba kusuka ku-Pearl RCM kuya ku-Intake.Dental kusho ukuxhuma i-PMS, ukushiya yonke isigaba ku-Simulate ngeviki ukuze niqhathanise irekhodi lalo nalokho eqembu lenu elikwenzile, bese nivula ukuhambisa futhi nivale ukuhambisa kwe-PMS ngesikhathi esifanayo ukuze kube nomthumeli oyedwa. Ukuhamba ngakolunye uhlangothi kusho ukugcina indawo yokususa okungcolile yamanje nenqubo yokwenqatshwa futhi wengeze ukuhlola okwenziwa ngaphambi kokuvakashela kuka-Pearl ngaphakathi kwe-PMS.
Cha, ngokwencazelo yayo yomphakathi. I-Pearl RCM isebenza ekuclelweni ngaphambi kokuvakashela — ukufaneleka, izinzuzo ezisemazingeni wekhodi, izexwayiso zokubhalwa kwamarekhodhi kanye nokusebenza kahle kwe-X-ray ngaphakathi kwe-PMS — bese i-PMS ithuma isicelo. I-Intake.Dental ithumela ngokuxhumeka kwayo kwendlu yokucima futhi ilandelela ukwamukelwa kanye nezimali ezibuyiswayo kuya kusiselo ngasinye.
Izigunyazo zangaphambili aziyona ingxenye yencazelo yomphakathi ye-Pearl RCM. I-Intake.Dental igcina uhlu lwemisebenzi yezigunyazo zangaphambili olubekwe ngokulandelana ngokwesuku sesihlalo, ilungiselela inkulumo-mbiko evela ekushathini, ithumela ukuqondwa kwangaphambili nge-elektroniki, futhi inamathisela inombolo yokugunyaza ekuclelweni okuzayo.
Yebo, futhi ukuhlanganisa kuncane. Izexwayiso ze-Pearl ezingaphakathi kwe-PMS kanye ne-Imagecheck zisebenza ekuvakasheleni; i-Intake.Dental isebenza ekuclelweni kusukela ekuthumeleni kuya phambili. Uma nisebenzisa kokubili, shiya isigaba sokuqinisekisa se-Intake.Dental sivaliwe noma ku-Simulate ukuze nigweme ukuhlola ukufaneleka kabili kwesiguli esisodwa.
Izindawo ezintathu: ihlala ngaphakathi kwekhadi lokuqokwa kwe-PMS kunokuba ibe yisikrini sesibili; ihlola ukusebenza kahle kwe-X-ray lapho ithatha, into i-Intake.Dental engayenzi; futhi ububanzi be-portal ebinqunyiwe — amaportal e-carrier angaphezu kuka-300 — ubanzi kunalokho indlela eqala nge-elektroniki eyingena kuwo wedwa.
Zingamazwi e-Pearl uqobo oluvela ekhasini layo lomphakathi — ukwehla okufinyelela ku-80% kokudalwa phansi kwamakhodi nokwenqatshwa okuhambelana nokubhalwa kwamarekhodhi, futhi kuze kube ngamahora abasebenzi angama-35 alondolozwe ngesonto ngalinye. Asiziqinisekisanga futhi asishicileli iphesenti eliphikisayo.
Khetha i-Pearl RCM uma okudingayo yisicelo esihlanzekile esiphuma ku-PMS — ukufaneleka kanye nokubhalwa kwamarekhodhi kuhlolwe ngaphakathi kohlelo lwesikhathi, ama-X-rays ahlolwe lapho ethatha — futhi i-PMS yakho nendlu yokucima sesiphatha konke okunye kahle. Khetha i-Intake.Dental uma nifuna konke okunye kuphathwe futhi: ukuqinisekiswa kwezwi lwe-AI lapho i-elektroniki inhluleka, izigunyazo zangaphambili, ukuthunyelwa kwezicelo nokulandelela, ukufakwa kwezimali ezibuyiswayo, kanye nokwenqatshwa okuphendulwa njengezicelo ezilungisiwe, isigaba ngasinye sivulwa kuphela lapho nina nikushilo.
I-Pearl RCM ihlala ngaphakathi kohlelo lokuphatha umtholampilo futhi isebenza esimangalweni ngaphambi kokuvakasha: ukufaneleka kanye nezinzuzo ngezinga lekhodi ekhadini lokuqokwa, izexwayiso ze-X-rays ezingekho kanye nezikhala zokumbozwa, kanye nokuhlolwa kwekhwalithi ye-X-ray ekuthwebisweni. I-Intake.Dental iqala endaweni efanayo bese iqhubeka — izimvume zangaphambi, ukuhambiswa kwezimangalo ekuxhumaneni kwayo kwi-clearinghouse, ukulandelela ukwamukela kanye nemali ebuyiswayo, ukufakwa kwe-ledger, kanye nezimpikiso ezithunyelwa njengezimangalo ezilungisiwe. Zihlangana esinyathelweni sokuqala bese zehlukana kukho konke okulandelayo.
Bhukha umboniso wemizuzu engu-30 bese sinikhombisa kahle ngendlela esiqhathanisa ngayo ngezici ezibalulekile endaweni yenu.
Uma usuvele usebenzisa i-Dentrix, nansi into i-Intake Dental eyengezayo nokuthi kungani ingathathi indawo ye-PMS yakho.
