Transforming Healthcare with our AI-Powered app
Confirming medical necessity for hospital ER admissions and inpatient continued stay.
Transforming Healthcare with Innovation
About ClinicalEdge.ai
At ClinicalEdge.ai, we are dedicated to revolutionizing the healthcare industry. Our innovative app empowers nurses and doctors in the ER, hospital, and healthcare plans by automating patient qualification processes, ensuring timely and efficient admissions.
About ClinicalEdge.ai
ClinicalEdge.ai app allows the healthcare professional to streamline and enhance the proving of medical necessity in healthcare, particularly when working with hospitals and healthcare plans.
ClinicalEdge.ai app properly qualifies hospital admissions and conducts daily reviews. ClinicalEdge.ai app will help ensure that applicable clinical data is submitted to the healthcare plan prior to submission ensuring medical necessity is met. Healthcare plans will receive a summary of clinical data citing clinical documentation while comparing clinical data to established criteria. Healthcare plans can analyze hospital clinical data to determine medical necessity on admission and use for continued stay.
All this in 3 easy steps: SELECT, ATTACH, ANALYZE
ALL DONE IN LESS THAN 4 MINUTES
The Problem
Case managers in the ER, hospital and healthcare plans spend excessive time on admission and qualification tasks, causing delays in patient care and increasing workload.
Insufficient clinical data submitted to the healthcare plan causing authorization modification to observation level of care.
Continued stay evaluation for medical necessity for both hospital and healthcare plan eating up valuable time that can be used for managing the patient.
Manual processes increase inpatient admission errors, leading to reimbursement issues.
Our Solution
Streamlined admission decision using a simple approach of select, attach, and analyze the clinical data against a qualification checklist such as MCG or InterQual.
Use the best of natural language processing to expedite with accuracy
Key Benefits:
✅ 75% reduction in admission workload for nurses
✅ Faster patient throughput, reducing ER bottlenecks
✅ Seamless integration with minimal IT lift
✅ ROI: Savings of time and money!