- By: Natalie Schibell, MPH
Key Themes and Enhancements:
Empowering Care Management with Advanced Tools:
- Configurable Out-of-the-Box Fields: New out-of-the-box and configurable line-item fields at the Business Hierarchy Profile (BHP) level enable precise coordination and navigation in value-based care, offering greater control and customization.
- Request Source Dropdown for Precise Tracking: A new Request Source dropdown at the line-item level allows for precise tracking and management of authorization requests, enhancing overall control of the authorization process.
- Streamlined AOR Validity Capture: The line-item section now enhances the capture of Appointment of Representative (AOR) validity. Multiple new configurable fields at the BHP level—such as AOR Request, AOR Receipt Date, Form Required, and Form Type—ensure all necessary information is readily available and accurately recorded.
Streamlining Authorization and Appeals Processes:
- BHP Level Configurable Line-Item Fields: New AOR-related line-item fields provide greater control over the authorization process, ensuring only relevant information is displayed. Default nodes simplify setup for new installations, and all related fields are enabled by default when adding new nodes.
- Customizable Authorization Header Fields: Administrators can now configure key checkboxes in the Authorization header, including Continuity of Care, Court Ordered, Member Eligibility & Benefits Verified, and Single Case Agreement. Capture critical authorization information accurately, improving efficiency and compliance.
- Advanced UDF Configuration Options: A dedicated tab for Line of Business-specific User-Defined Fields (UDF) enhances field management. Features include inheritance from parent nodes, copying existing configurations, flexible modifications, and promotion to production using IMEX. Updated APIs and a new database table ensure accurate data management and scalability.
Integrating Cutting-edge Virtual Health Features:
- Personalized Patient Engagement: Enhance patient monitoring plans for more personalized and focused engagement, boosting patient retention and driving better outcomes.
- Tailored Care Transition Monitoring: maternal health and implement comprehensive solutions for care transitions. Categorize monitoring plans as Chronic Condition, Transitional Care, or Maternal Health, tailoring care to specific patient needs.
- Timely Care Coordination: Enhance each monitoring plan by associating Key Dates (Enrollment Date, Surgery Date, Due Date) to ensure timely care. The capability to schedule specific and recurring tasks, assign educational content, and leverage next-task suggestions fosters impactful interactions and improves overall care adherence.
Transforming TruCare Mobile’s Interface:
- Holistic Member View: Access comprehensive member details, including demographics, languages, provider information, and communication preferences, ensuring tailored care plans. Improved care coordination through better management of provider and location details ensures consistent and informed treatment, while detailed benefits analysis aligns care plans with coverage for effective benefits management.
- Comprehensive Clinical Summary: View detailed clinical information such as allergy records, diagnosis history, medication tracking, and comprehensive notes, ensuring accurate and safe treatment plans, improves diagnostic precision, and enhances continuity of care and supporting overall better patient outcomes.
- Enhanced User Experience: Quick offline access, streamlined data syncing, and error reduction with confirmation popups enhance productivity and reduce downtime. Flexible viewing options and a modernized interface improve usability, while member signature capture and member locking ensure documentation accuracy and data integrity for a more efficient and reliable workflow.
Optimizing Appeals and Grievances Communication:
- Streamlined AAG Notification Management: Create and access AAG notifications directly within TruCare 24.1 using predefined templates and tags, eliminating the need for multiple platforms, saving time, and ensuring error-free letter creation while maintaining regulatory compliance.
- Integrated Task and Notification Tools: Enhance workflow efficiency with integrated task management, centralized notification access, and advanced letter composition tools. Seamlessly create and manage tasks related to AAG notifications, ensuring all necessary information is included for effective communication and compliance.
- Enhanced Customization and Tracking: Benefit from customizable user-defined fields, dynamic notification tags, and unified correspondence tracking, providing greater flexibility, usability, and comprehensive visibility into AAG-related correspondences and improving compliance and auditability.
Shaping the Future of Healthcare Together
The 24.1 Release highlights our unwavering commitment to advancing healthcare technology and setting the goals of the healthcare industry. Zyter|TruCare is setting new standards in efficiency, productivity, and quality of care for providers and payers. We are excited to help you thrive in value-based care with TruCare 24.1.
Join us in redefining the possibilities of digital health with the TruCare 24.1 Release. The future of healthcare engagement and patient care management is here. Experience the evolution with Zyter|TruCare, where innovation meets excellence for a healthier tomorrow. Begin your transformation today by booking a demo with us!