Name: Medius Health
Author: Medius Health

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Internet Performance Monitoring

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Medius Health is an enterprise-grade Artificial Intelligence (AI) platform designed to enhance the healthcare industry. According to the vendor, Medius Health caters to leading life and health insurance carriers, re-insurers, and health providers. The platform leverages advanced machine learning technologies and algorithms to aggregate and mine massive datasets, providing health risk and underwriting insights. It aims to improve health and life needs assessments, distribution, operational efficiency, and cost optimization for insurance carriers, re-insurers, and health providers.

## Key Features

**Unravel the mystery of Health Data**: According to the vendor, Medius Health's multi-cloud AI platform utilizes health data to deliver accurate health intelligence and risk predictions. It leverages advanced machine learning technologies and algorithms to analyze geographically specific datasets and build a holistic picture of the population. The platform can seamlessly integrate pre-built AI model APIs and services into existing operational workflows or build new use-cases and applications.

**Built from the ground up**: The vendor claims that Medius Health's Health AI Stack is built from the ground up using advanced machine learning technologies and algorithms. The platform employs geographically specific datasets and an evolving medical knowledge graph to create a comprehensive understanding of the population. Organizations can easily plug in pre-built AI model APIs and services into their existing workflows or develop new applications to serve customers.

**Shape the future together**: According to the vendor, Medius Health aims to empower the ecosystem by becoming an AI powerhouse for leading life and health insurance carriers, re-insurers, and health providers. The platform strives to create a fundamental shift in the industry towards more data-driven, efficient, and customer-centric philosophies. Medius Health proposes simulated executables by comprehending deep insights using an expansive healthcare data ecosystem to ensure sustainable growth and market defensibility.

**Leverage new and unconventional data sources**: Medius Health, according to the vendor, turns health data into intelligence by leveraging new and unconventional data sources. The platform opens up innovative solutions to unsolved problems and creates new use cases to continually evolve customer experience. In response to the pandemic, the vendor acknowledges the need for new and unconventional data sources to guide the way forward in the changing healthcare landscape.

**Enterprise-grade Artificial Intelligence Platform for Health Providers and Payers**: According to the vendor, Medius Health's multi-cloud AI platform aggregates and mines massive datasets to provide health risk and underwriting insights. The platform assists health providers and payers in their health and life needs assessments, distribution, operational efficiency, and cost optimization. Medius Health's platform is designed to deliver accurate and comprehensive health intelligence within seconds.

**Augmented Underwriting**: The vendor claims that Medius Health's platform offers augmented underwriting capabilities for health providers and payers. The platform utilizes AI to assess an individual's insurability risk based on health and financial variables. The augmented underwriting feature provides an insurability score as an indicator of an individual's risk level.

**Embedded Digital Onboarding**: According to the vendor, Medius Health's platform includes embedded digital onboarding capabilities. The feature enables seamless and efficient onboarding processes for health providers and payers. Digital onboarding ensures a smooth customer experience and streamlines the onboarding workflow.

**Embedded Health Intelligence**: According to the vendor, Medius Health's platform provides embedded health intelligence for health providers and payers. The feature utilizes AI to generate insights based on health data, assisting in decision-making processes. Embedded health intelligence enhances the accuracy and efficiency of health and life needs assessments.

**Pre-built AI Testing Sandbox**: The vendor states that Medius Health's platform offers a pre-built AI testing sandbox for analytics professionals. The sandbox allows stakeholders to test pre-built AI models in a controlled environment with minimum effort. Users can experiment with various data combinations to generate AI-based insights.

Version 1: Telemedicine for Doctors & Patient

Version 2: Telemedicine for Clinic along with Integrated Pharmacies

Version 3: Telemedicine for Organizations with Multiple Location along with Healthcare Device Integrations

VCDoctor

Professional

Managed Services

Kareo Engage

Medius Health

Medical Office EMR and EHR Software is designed to deal with the daily operations of a medical office.  It is available as desktop software, client-server software and internet-based software. While the terms EMR and EHR  are sometimes used interchangeably, EMR more often refers to digital records for internal use within the practice, whereas EHR refers to digital records that can be shared externally, with patients, other health care providers, insurance companies, etc.

Medical Office EMR & EHR

Billing and Claims Management

Managing the entire revenue cycle to help improve collection rates

Real-time eligibility verification

The software checks a patient’s insurance and benefits eligibility and tracks co-pay and deductible information.

Coding

The software helps users find the correct codes – whether ICD-9 or ICD-10 – for claims.

Claims management

This includes claim scrubbing, electronic claim submission, and automated claim tracking.

Claim scrubbing

Electronic Claim Submission

Electronic Claim Submission refers to the ability of the software to submit claims electronically to insurance carriers from directly within the application.

Automated Claim Tracking

Automated Claim Tracking includes features related to tracking claims throughout their lifecycle through automation.

Patient billing

The software can generate statements, send them to patients via mail or email, and process payments.

Payment Processing

Payment Processing features enable the medical office to receive payments for co-pays or out-of-pocket payments via popular payment methods directly from patients from within the application.

Electronic Bill Pay

Online Bill Pay

Online Bill Pay allows patients to remit payment for co-pay and services via an online interface

Create Patient Statements

The software can generate billing statements for patient on-demand for any time period.

Mail or Email Patient Statements

Patient statements may be delivered via postal mail or electronically via email

Automated Alerts for Overdue Claims

The software automatically generates and sends overdue payment notifications to delinquent accounts.

Superbill Generation

The software generates Superbills which encompass multiple practices, services, visits, time periods, etc.

Denial / Underpayment Management

Denial and underpayment management features

Patient Payment Histories

The system can generate historical balance and payment reports for patients.

Electronic Remittance Advice

The software automatically provides electronic notifications upon remittance of payments

Streamlined Data Entry

Streamlined Data Entry refers to the usability and seamlessness of billing and claims management function data entry.

HIPAA Compliance

Billing and claims features requirements for compliance with HIPAA

SiHCFA Compliance

Electronic processing for compliance with SiHCFA workers compensation regulations

Credit Card Processing

Credit Card Processing refers to the ability to receive payment from patients via credit card

CodeCorrect

Clearinghouse Integration

The software supports integration with medical payments clearinghouses out of the box.

Accounting Integration

Refers to the medical office software's ability to integrate out of the box with accounting applications

Reporting

Support for reporting features specifically designed to support billing and claims management.

Financial Reporting

Reports and dashboards allow users to understand the financial health of a practice.

Revenue Cycle Management

Revenue Cycle Management features enable a medical practice to easily report on and manage cash flow across payables , receivables with both insurance carriers and patients, etc.

Integration with EMR/EHR

The medical office software integrates out of the box with EMR/EHR software.

Patient Scheduling

Managing patient scheduling, appointment reminders, and patient check-in

Drag-and-drop Scheduling

The software supports a graphical calendar interface for easy scheduling of facilities, equipment, physicians, and other staff.

Facility Scheduling

Refers to the ability of medical office software to manage facilities scheduling.

Physician Scheduling

Physician scheduling features enable for dynamic and flexible scheduling of physicians

Rule-based scheduling

The software sets schedules based on a set of rules or criteria that account for various institutional and individual needs.

Automated patient check-in

The software streamlines the check-in process, with features like co-pay notification, digital ID photos, insurance card scanning, waiting time updates, and self-check-in kiosks.

Automated appointment reminders

Patients receive automated reminders via text, phone or email in advance of appointments to help decrease the number of no-shows.

Multi-location support

The software can coordinate scheduling across multiple locations, facilities or practitioners.

ZocDoc Integration

The practice software supports integration to ZocDoc for online patient scheduling out of the box

Calendar interface

The software provides a user-friendly calendar from which users can track and schedule appointments.

Medical Inventory Management

Inventory Management allows medical practices to track supply levels and manage re-ordering.

Automated Supply Tracking

Triggered Reorder Notifications

The medical practice software automatically triggers notifications for supply reorders to office staff when supplies run below set thresholds.

Electronic Medical Records

Digital charting of a patient’s medical and treatment history

Charting / document management

Practitioners can easily create a patient record, take notes, update patient information, and understand a patient’s history at a glance.

Templates

The EMR software includes pre-built and customizable templates to allow for easy, standardized organization of clinical data and notes.

E-prescribing

Practitioners can write and send prescriptions electronically, as well as approve or deny renewal requests.

Medius Health

Overview

What is Medius Health?