Middle revenue cycle

Middle cycle revenue aggregates clinical and financial information to help you collaborate with other teams while you perform clinical reviews and plan transition activities. It is also focused on helping streamline coding and billing workflows.

Explore our middle revenue cycle products

Strengthen the quality of care and care transitions Oracle Health Acute Case Management

Help case management teams proactively manage readmission rates, avoidable days, and retrospective denials with our Oracle Health Acute Case Management solution. When case management is powered by a clinically driven revenue cycle, clinical and financial data is aggregated within the physician record, helping to promote time savings for your clinical staff by limiting disparate or duplicative entries and facilitate smooth care transitions.

Utilization management
Manage a patient’s length of stay with utilization management. With InterQual AutoReview, medical review automation is made possible through Change Healthcare, our embedded collaborator. Robotic processes help create the initial medical review when an admission order is entered and decrease the time staff spends on manual chart review activities.

Care transition planning
Automate the search for appropriate and available care transitions. With our care transition planning tools, match patients with appropriate post-acute care based on key clinical and secondary services and quality ratings.

Health information management

Healthcare organizations need an efficient way to manage patient information, which is both a vital part of their health journey and, subsequently, influences reimbursement. Oracle Health HIM connects with your EHR to give you access to near real-time information so you can monitor and support health information electronically for a comprehensive medical record. By leveraging accurate documentation throughout a clinically driven revenue cycle, your coding staff can work toward avoiding delays, protect against audit risk, and focus on more-complex issues and strategic quality initiatives.

Coding staff workflow efficiencies
Oracle Health HIM moves the coder from a fragmented workflow in multiple systems to a seamless, connected workflow within the EHR. To optimize our coding product, we’ve collaborated with industry leaders—including 3M and Optum—to connect their content, grouping, and editing capabilities into the coding workflow.

Chart completion
Oracle Health HIM helps automate chart completion activities—all within the context of a single medical record. Facilitate seamless communication between clinicians and HIM regarding incomplete documentation and track the completion and authentication of documents and orders within the EHR.

Release of information
Oracle Health’s release of information workflow is embedded within the EHR, enabling a streamlined flow to track and fulfill requests. The release of information process is supported while you’re connected to the EHR and enables HIPAA compliance within the workflow.

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