Why are patients not happy with the existing referral management? What challenges do providers face in the existing patient referral management workflow? How can HealthViewX Patient Referral Management Solution aid? Watch to know!

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1
Why Patients
Require Improved Referral
Management
From Their Doctors?
www.healthviewx.com
Learn how a patient referral software can help

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Why are patients not happy with the
existing referral management?
In the existing referral management workflow, patients face many challenges,

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Location of the receiving provider’s hospital
1
The patient will prefer visiting his PCP as the PCP will be in his locality. In order
to visit a provider in a hospital which is not is the same locality requires a lot of
effort from the patient’s side.
Challenges Faced

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Patient unhappy with the receiving provider
2
Many times, the patient may not be happy with the care he receives from the
receiving provider. Delayed treatment, waiting time, missed appointments are
important reasons for the patient being unhappy with the receiving provider.
Challenges Faced

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Time-consuming diagnostic procedures
3
The patient may have to repeat all the diagnostic tests taken earlier in the new
hospital. This is time-consuming and costly for the patient. The referral does
not help the patient with an earlier treatment but only delays it.
Challenges Faced

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Patient as a communication channel
4
The patient is made to communicate between the referring and the receiving
providers. It may be required for missing patient information, diagnostic test
results, patient medical history, allergies, etc.
Challenges Faced

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Patient insurance coverage
5
The process of pre-authorization is done by the referring provider. If not done
properly, the patient may have to pay for the treatment in spite of having an
insurance.
Challenges Faced

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What challenges do providers face in the
existing patient referral management workflow?

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Limited provider information
1
Physicians do not have information about the providers within their network.
Providers who refer out of network could avoid at least one-third of these if
they had access to more robust information about providers in their
networks.
Even when physicians have access to their health system’s provider
directories, they are not using the directories because they don’t have the
level of information that is needed.

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Patients moving out of the network
2
When physician refer their patients out of their network, patients leave their
network. In general, providers referring patients out of their network are less
likely to have access to availability, location, network affiliation and
insurance information. This is not the best options for a patient.
Further, lack of information within a delivery system can result in missed
opportunities to connect a patient with a provider with similar expertise who
could see the patient sooner, which improves patient satisfaction and
retention, as well as care coordination.

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Inadequate referral information
3
Even when physicians refer their patients out-of-network, the chances of a
successful referral are less.
This is because many providers who receive referrals rate the referral
information poor. Without referral information, receiving providers cannot
treat their patients effectively.

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Inefficient patient appointment scheduling
4
For providers who schedule an appointment for the patient, they prefer doing
it through phone to shared electronic health records system.
When heavy use of the phone occurs, it is difficult for providers to see
capacity in their network to book the next available appointment. So they
bypass the network and book the appointment before the patient leaves the
office.

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HealthViewX Patient Referral Management
Solution at your aid

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End-to-End referral lifecycle management
with bidirectional EMR/EHR Integration
1
HealthViewX platform supports dynamic forms, workflows, task lists,
reports, data visualization and has great integration capabilities. It can
automatically pull referral orders from EMR/EHR in real-time.
It also helps in configuring all other referral coordinator workflows and tasks
with maximum automation. Thus our platform can achieve an efficient end-
to-end referral management system.

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Payer-specific prior authorization process
automation2
HealthViewX platform has a payer management module that maintains and
manages
With this information already present, it provides the referral coordinator the
capability to automate
different payer details
their modes of prior authorization
direct authorization procedures
payer forms
online portal links
prior authorization submission
status checks coupled
fax integration

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Automated Specialist / Patient Notification &
Reminders with Customizable templates and
configurable channels of communication
3
HealthViewX – Template engine platform along with the communication
engine gives the flexibility to the referral coordinators to
choose the relevant format and mode of delivery for Specialist / Patient
communication
tie it along with the referral workflows by setting trigger rules and reminder
rules.

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Secure Online referral portal for Specialists
with easy touch points via Fax /SMS/Email
4
HealthViewX clearly understands the specialists’ referral preferences by,
Multi-channel referral consolidation that brings all the referrals from every
possible source into a single queue.
Detailed referral information through which that the Specialist receives all
the necessary referral details.
Ability to communicate back and forth (electronically or via fax) in a simple
and secure way.

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These are few notable features of HealthViewX
that have enabled referral loop closure from the
specialist side.

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HealthViewX Patient Referral Management
Solution application is the next-generation
software for patient referral management.
Schedule a demo with us and our patient referral
management experts will guide you through our
HIPAA compliant solution.

20. Email: marketing@healthviewx.com
Phone: +1 (214)-461-0242Contact us anytime.
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