AI RCM

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Ambience Healthcare Transcript

Reviewed by Physician
Internal Medicine
Health System
Fee-for-Service
Digital Health Provider
4.5/5
9 min readReviewed on: 02/06/2024
Summary:
  • Product Usage: The product is primarily used for dictating patient notes in both telemedicine and hospital environments, with the AI function capable of transcribing conversations accurately.

  • Strengths: The product excels in quick and accurate transcription, recognition of names of places and people, and minimal downtime. Audio is saved locally during downtime for later transcription.

  • Weaknesses: The product does not allow an option to select patients pronouns and occasionally misinterprets certain words (a problem referred to as hallucinating).

  • Overall Judgment: Despite its flaws, the product is deemed effective, time-saving, and well managed by the company, with excellent customer service and receptive to user feedback.

Other Products Considered:
DeepScribe
Scribeberry
Nabla Copilot
3M M*Modal Fluency Align

Candid Health Transcript

Reviewed by Director of Implementation
Weight Loss
Value-Based Care
PMPM
Nutrition
Fee-for-Service
Digital Health Provider
Cash Pay
5/5
13 min readReviewed on: 11/15/2023
Summary:
  • Product Usage: Candid is mainly used for post-visit claims adjudication, including claim submission, payment posting, denial management, accounts receivable, and reporting.

  • Strengths: The product offers a clear user interface, sufficient denial management functionality, responsive customer service and is more cost-effective compared to competitors.

  • Weaknesses: The product lacks the ability to bulk edit claims and some configuration options are not available to end users but must be done by their engineering team.

  • Overall Judgment: Despite minor areas for improvement, the product is a valuable, cost-effective solution to revenue cycle management, with excellent customer service and a straightforward user interface.

Other Products Considered:
Change Healthcare

Ambience Healthcare Transcript

Reviewed by Clinical Product Lead
Women's Health
Fee-for-Service
Digital Health Provider
Cash Pay
4/5
19 min readReviewed on: 11/13/2023
Summary:
  • Product Usage: Ambience, an AI scribe, is integrated with athenahealth and is used for patient consultation and note-taking, enabling the clinicians to focus more on patient care.

  • Strengths: Ambience records every consultation, automates note-taking, and is a significant time-saver; it takes only a couple of minutes to produce a note that requires minimal editing.

  • Weaknesses: The system may experience outages, disrupting workflows, and sometimes producing inaccurate medical notes.

  • Overall Judgment: Despite its weaknesses, Ambience has generally met the companys key requirements, and the majority of their clinicians appreciate it.

Other Products Considered:
Nabla Copilot

Candid Health Transcript

Reviewed by Finance Lead
Fee-for-Service
Digital Health Provider
Cash Pay
Behavioral Health
4/5
13 min readReviewed on: 11/09/2023
Summary:
  • Product Usage: The product is used for back-end revenue cycle processes, from claim submission to payer and patient payment reconciliation.

  • Strengths: The product is flexible, accepts APIs, and works with a variety of claim formats.

  • Weaknesses: The product is a startup, meaning they are still building and developing certain features that established products already have.

  • Overall Judgment: The reviewer deemed their choice of Candid Health to be the right one as it provides flexibility and partnership that other mature products might not offer.

Other Products Considered:
Availity Essentials
AthenaHealth
Waystar
Trizetto

Adonis Transcript

Reviewed by Cofounder
Fee-for-Service
Digital Health Provider
Dermatology
Care Navigation
Cash Pay
Care Enablement
4.5/5
16 min readReviewed on: 10/31/2023
Summary:
  • Product Usage: The team mainly uses the Adonis for claims processing, with Adonis taking full control of the RCM process.

  • Strengths: Adonis RCM services require minimal involvement from the users team, making them appear like an extension of the users team; the alignment of incentives was also praised.

  • Weaknesses: The absence of a medical coder for accurate representation of the users care and flow with the right CPT codes was noted as a weakness; the late availability to the dashboard was also seen as a negative.

  • Overall Judgment: The reviewer has been happy with Adonis, relishing the minimal involvement their team needs to have and praising the customer service and the strong connection the company tries to establish with its customers.

Other Products Considered:
Candid Health
Apero
Enter Health
Trucare Billing
Gentem

Ambience Healthcare Transcript

Reviewed by Chief Medical Officer
Women's Health
Value-Based Care
Primary Care
Digital Health Provider
Brick-and-Mortar Provider
5/5
21 min readReviewed on: 10/17/2023
Summary:
  • Product Usage: Ambience is used to automatically generate patient notes and summaries during medical consultations, with the ability to integrate directly into EMR systems for seamless entry of patient data.

  • Strengths: The softwares strengths include high-quality note generation, ease of use, reliability, real-time transcription, and a high degree of accuracy in diagnosis coding; In addition, it has the ability to translate notes into patient-friendly language and integrates smoothly with EMR systems.

  • Weaknesses: Previously, manually entering diagnoses codes was a notable weakness, but this has been addressed with the introduction of an auto-code feature; Unrequested nutrition advice in notes was another weakness, but regarded by some as a helpful feature.

  • Overall Judgment: Ambience is highly valued for its efficiency and quality in producing notes during patient visits, significantly reducing the burden of manual data entry and making it a critical tool for the organization.

Other Products Considered:
Nuance DAX
Abridge
Nabla Copilot
Suki Assistant

Ambience Healthcare Transcript

Reviewed by Chief Medical Information Officer
Primary Care
Brick-and-Mortar Provider
Behavioral Health
4.5/5
11 min readReviewed on: 10/17/2023
Summary:
  • Product Usage: The reviewer uses Ambience, an AI scribe, to alleviate heavy documentation load in their long term care company.

  • Strengths: Ambience is highly customizable, has quick setup times, produces high-quality notes, and helps expedite the closure of notes.

  • Weaknesses: Certain medication names can be misunderstood and chart viewing on mobile devices can be difficult.

  • Overall Judgment: Despite still being in the pilot phase, the reviewer is satisfied with Ambience, citing its contributions to improved patient and clinician satisfaction.

Other Products Considered:
N/A

Enter Health Transcript

Reviewed by Revenue Cycle Coordinator
Specialty Care
Fee-for-Service
Brick-and-Mortar Provider
4/5
13 min readReviewed on: 10/05/2023
Summary:
  • Product Usage: Enter functions as the claims submission provider, handling insurance responses, verifying eligibility, and informing us of any claims denials.

  • Strengths: Enter offers transparency, allowing the reviewer to see actions taken on a claim, are specific in what needs to be done to resolve a given claim, and are responsive to operational feedback.

  • Weaknesses: Enter sometimes does not respond to messages quickly enough, and they sometimes fail to keep track of changes, resulting in redundancy in communication.

  • Overall Judgment: Despite some communication issues, Enter provides a very good service offering transparency, support, and guidance. The reviewer feels their decision was correct.

Other Products Considered:
N/A

Candid Health Transcript

Reviewed by Engineering Lead
Fee-for-Service
Digital Health Provider
4.5/5
22 min readReviewed on: 09/18/2023
Summary:
  • Product Usage: Candid Health is used to submit claims, handle EFT/ERA and EDI enrollments, perform preliminary checks on claims, and manage the claims process through an integrated workflow.

  • Strengths: Candid Healths key strengths include a highly responsive team, a tech-focused approach, and a flexible rules engine.

  • Weaknesses: Ambiguity in service scope was a challenge initially which led to some confusion about responsibilities, the CSV export feature has been less reliable, and larger-scale operations may want to bring certain services in-house to handle higher complexity.

  • Overall Judgment: Candid Health comes highly recommended for its high-quality sales process, support, and account management, with particularly positive remarks on its ability to improve workflows and its desire to grow with customer base.

Other Products Considered:
Gentem
Enter Health
Apero

Candid Health Transcript

Reviewed by Head of Product
Weight Loss
Fee-for-Service
Digital Health Provider
5/5
24 min readReviewed on: 07/27/2023
Summary:
  • Product Usage: The product has been used for about a year and a half for revenue cycle management and it is adapted for scaling up operations, including new features like remote patient monitoring-based billing.

  • Strengths: Its expertise, understanding of venture-backed companies, scalability, and tech focus made it stand out from the competition; it also provides proactive services and handles issues effectively, even offering support for troubleshooting.

  • Weaknesses: The product had minor issues which were promptly addressed with transparency; there were also some gaps in functionality which, though identified and prioritized by the company, led to delays in delivery.

  • Overall Judgment: The reviewer has had a positive experience with the product and its performance, communication, and support from the vendors, considering it to be one of the best vendors in delivering value from their product.

Other Products Considered:
AthenaHealth

Apero Transcript

Reviewed by Operations
Fee-for-Service
Digital Health Provider
Diagnostics
5/5
12 min readReviewed on: 07/06/2023
Summary:
  • Product Usage: Apero was primarily used to power all backend aspects of our Revenue Cycle Management (RCM) process, from claim submission to reporting.

  • Strengths: Apero excels in offering granular tracking and reporting on each individual claim throughout the RCM lifecycle.

  • Weaknesses: While offering a robust solution, Apero could further improve its product by adding higher-level summary features or more visually appealing information displays.

  • Overall Judgment: The company was satisfied with Apero due to its tech-forward approach, responsive customer service, and strategic partnership attitude.

Other Products Considered:
Candid Health

Enter Health Transcript

Reviewed by Head of Product
Value-Based Care
Specialty Care
Digital Health Provider
4/5
22 min readReviewed on: 06/27/2023
Summary:
  • Product Usage: Enter Health was used for revenue cycle management (RCM) services focused on CMS-1450 institutional billing for Medicare and Medicaid in a value-based setting.

  • Strengths: The strengths of Enter health include their advancement in AI and software efficiency, reasonable pricing model at smaller and larger scales, transparency in the data system, well-designed search function for outstanding or processed claims, automated functionalities, and excellent customer support.

  • Weaknesses: The products main weakness was its lack of knowledge and expertise in the users specialty and extensive difficulties in the integration process.

  • Overall Judgment: Enter Health is a robust platform with efficient and transparent processes, despite its shortcomings in handling specific specialties; better understanding of the different models between service-based and tech-based RCM could influence the decision to use it.

Other Products Considered:
Candid Health
Change Healthcare
Trucare Billing
SimiTree