athenaCoordinator

Overview

Care coordination that benefits the whole community.

Across the health care system today, care coordination remains inefficient due to redundancies, manual inputs and errors.

athenaCoordinator^SM, formerly known as Proxsys, is a cloud-based care coordination service for order transmission, insurance pre-certification and patient registration among physicians and hospitals, surgical centers and imaging centers. More than 8,000 ordering physicians access the system daily.

Today, athenaCoordinator serves 90 client facilities ranging from small rural hospitals to large academic medical centers and health systems. Over time, we plan to evolve and expand the service to include other health care entities such as independent labs, pharmacies, durable medical equipment companies, ambulance services, and more.

Benefits for Hospitals

For hospital clients, athenaCoordinator manages the difficult and costly work associated with coordinating care among the hospital, payers and patients. This new service delivers more control and cuts down on busywork by eliminating unnecessary redundancies and optimizing the electronic ordering process.

As a service offering, athenaCoordinator handles cumbersome tasks on behalf of clients, creating workflow efficiencies and freeing up staff time and resources.

Hospitals see:

• More revenue from reduced denials, higher procedure volume and increased up-front (or Point-of-Service) collection of self-pay balances
• Faster revenue from fewer delays in payment, elimination of lost orders and pre-appointment patient collections
• Greater control and reduced workload from the completion of pre-registration and electronic order transmission
• Improved patient satisfaction due to a streamlined registration process

Benefits for Practices

Medical practices access athenaCoordinator to send patients to hospitals and other facilities. With this service, they can spend less time managing outbound orders, obtaining pre-certifications, scheduling patients and following up with clinical documentation. They also get much better visibility on the status of the patients they have sent to the receiving facility. Spending less time on these tasks frees-up providers to focus their efforts on patient care.

Sending practices see:

• Increased revenue from a reduction in denials
• Less work managing outbound orders, obtaining pre-certifications, scheduling patients and following-up with clinical documentation
• Greater control over order transmission and scheduling

athenaCoordinator comprises three key service components:

Order transmission — This web-based platform facilitates easy order entry and status for physicians, enables our pre-certification and pre-registration services and delivers clean orders to the hospital.

Pre-certification — A dedicated team of specialists with clinical and payer knowledge verifies eligibility and benefits. They also obtain the required insurance pre-certifications to ensure claims get paid the first time.

Pre-registration — A dedicated team of specialists delivers pre-registration services to ensure order fulfillment, patient registration in the hospital system and increased up-front collection of self-pay balances.

athenaCoordinator

Order Transmission

Get the right clinical information and the required pre-certifications.

For years, physicians have known that sending out orders is a manual, disjointed and time-consuming process. athenaCoordinator leverages an intuitive cloud-based platform to facilitate easy order entry and order status for physicians. It also enables our pre-certification and pre-registration services and delivers clean orders to the hospital. The ordering process is reduced from hours to minutes and providers have transparency into the status of their orders. Orders no longer fall through the cracks.

Services

• Simple web-based platform and easy application reduces time to manage orders
• Electronic order transmission eliminates faxed orders
• Medical Necessity checks for Medicare beneficiaries
• Electronic scheduling requests
• Designed for EDI and HL7 and built to support interfaces with facility systems

Benefits

• Users gain transparency into order workflow and status
• Users know that orders will not be lost or misdirected and will arrive clean
• Patients can be scheduled knowing that the required pre-certifications have been obtained

athenaCoordinator

Pre-Certification

Gain efficiency and assurance when we pre-certify and schedule your patients.

With athenaCoordinator, our dedicated pre-certification staff takes on the burden of working with payers to streamline the care transition process. They deploy clinical and payer knowledge to efficiently and effectively reduce denials.

Services

• Ordering providers can opt to have our staff transmit scheduling requests or contact the appropriate hospital department to schedule the patient appointment
• Ordering providers can opt to have our staff transmit same-day and next-day orders
• Our teams contact the appropriate payer to verify the patient's insurance eligibility and benefits
• We contact payers to obtain the required insurance pre-certifications and we work with the ordering provider directly to ensure that all necessary information is obtained

Benefits

• Clients see increased revenue by reducing denials due to missing pre-certifications
• Clients gain confidence that appointments can be scheduled and orders can be fulfilled because athenaCoordinator will make sure the pre-certification is obtained before the appointment date

athenaCoordinator

Pre-Registration

Get paid for self-pay obligations without the work and hassle.

athenaCoordinator extends its reach into the care transition process through pre-registration services. Our dedicated staff takes on the burden of working with patients directly to ensure efficient coordination of care. They work to improve the overall patient experience and enable a smooth transition from order submission to order fulfillment.

Services

• Our teams take on the role of pre-registering patients, freeing up client time
• We ensure that patient financial obligations are collected to make sure revenue is maximized

Benefits

• Clients increase up-front collections of self-pay balances and reduce bad debt
• Clients see a reduction in pre-registration costs because athenaCoordinator takes on the work and provides the service team
• Patients are more satisfied, thanks to a consistent and patient-friendly pre-registration process