| Āhuatanga | Intake.Dental | Pearl RCM |
|---|---|---|
| Te aronga matua | Te huringa moni whānui: whakamātau, whakaaetanga i mua, tuku, aroturuki, whakauru, pīra, ako | Te tauturutanga kerēme i mua i te toro: tūtikitanga, painga, tuhinga me ngā aromātai kounga X-ray |
| Te wāhi e noho ana | Tōna ake papa tohu, e pānui ana i te PMS, e tuhi ana ki te PMS | Kua whakapiri ki roto i te rārangi wā PMS me te kāri tūtohutanga |
| Tūtikitanga | Tūtikitanga rorohiko 48 haora i mua i ia toro, ka whakapiki ki te waea reo AI mēnā kāore i oti te whakautu rorohiko | Precheck: tūtikitanga mai i ngā whare tuku whā me ngā tomokanga kaiwhakarato 300+, e puta ana i te kāri tūtohutanga (ki tā Pearl) |
| Ngā painga ā-waehere | Whare ia-waehere-CDT: urupare %, ngā here auautanga, ngā wā tatari, ngā tohu whakaaetanga-i-mua — e tuhia ana ki te PMS | Ngā painga ā-waehere e whakaatuhia ana i te rārangi wā (ki tā Pearl) |
| Whakamātautau reo | Ka waea te āhika reo AI ki te kaiutu mēnā ka raru te tūtikitanga rorohiko | Kāore i whakamāramatia i te whārangi RCM tūmatanui a Pearl |
| Ngā whakaaetanga i mua | Rārangi mahi kua whakaraupapatia, ngā ture ā-kaiutu i akona i ngā whakahē, te kōrero kua tāraitia i te pūkete, te whakatau i mua rorohiko me te tūnga aunoa, ngā matohi pau | Kāore i tukua |
| Ngā matohi tuhinga i mua i te toro | Te mōrea mōrearea whakahē i mua i te tuku me te whakatika motuhake kua tapaina; ngā ture āpitihanga ia waehere | Claim Actions: ngā matohi i-roto-i-te-rārangi-wā mō ngā X-ray ngaro, tawhito rānei, ngā raruraru kounga, me ngā mokowā urupare i mua i te toro |
| Te kounga X-ray i te wā hopukina | Kāore i tukua | Ko Imagecheck e tohu ana i ngā nawe kounga X-ray i te wā hopukina |
| Te tukuna kerēme | Ka hanga i te kerēme i ngā mahinga kua oti ka tuku i runga i tōna hononga whare tuku motuhake, kua uru ngā āpitihanga me te kōrero | Ko te PMS e tuku ana i te kerēme |
| Te aroturuki kerēme | Ngā whakaaetanga 277CA me ngā utu 835 kua hono ki ia kerēme; ngā pātai tūnga 276/277 mō ngā kerēme tawhito | Kāore i whakamāramatia i te whārangi RCM tūmatanui a Pearl |
| Te whakauru utu | 835 kua whakauru ki te puka-nama, te tuhi-kore kirimana mai i ngā moni CAS a te kaiutu anō, ngā EOB pepa kua keria | Kāore i whakamāramatia i te whārangi RCM tūmatanui a Pearl |
| Ngā Whakakāhoretanga | Te arawhata mahi whakarōpūhia-CARC/RARC, te whakahē AI mai i te pūkete, tukuna anōtia hei kerēme whakatikatika (auautanga 7) | Arotahi-aukati: he iti ake ngā whakakāhoretanga mai i ngā tuhinga i mua i te toro |
| Te Mana Motuhake | Ia wāhanga ka taea te Kati / Tūtohu / Whakatauira / Aunoa, ia ratonga niho | Ngā matohi me ngā raraunga whakaputaina; ka mahi te kaimahi i roto i te PMS |
| Te Uhi PMS | Ngā hononga tōtika ki ngā pūnaha kapua matua me tētahi piriti whakamana e kapi ana i te 60+ atu | Open Dental, Dentrix, Eaglesoft, CareStack, Oryx, Curve, Denticon (mai i a Pearl) |
| Ngā Utu | Claims Intelligence $299.99/ia marama; Insurance Suite $399.99/ia marama; Verification anake $199.99/ia marama — kua whakaputaina katoa ki te marea | Kāore i whakaputaina ki te whārangi RCM a Pearl i tā mātau kite; whakapā atu ki a Pearl |
Ka rere te whaitikanga ā-hiko i te 48 hāora i mua i ia tūtohinga. Mēnā kei te ngaro, kāore i oti rānei te whakautu ā-hiko a te kaiutu, ka waea tētahi kaiwhakarato reo AI ki te kaiutu ka pātai i ngā pātai ka pātai he kaipūkete; ka haere te toenga ki tētahi rōpū whakatika raruraru. Ka puritia ngā painga ia waehere CDT — te ōrau kapi, ngā tepe auautanga, ngā wā tatari, ngā tohu-whakaaetanga-mua — ka tuhia hoki ki te PMS.
Ka kumea e Precheck te whaitikanga me ngā painga waehere-taumata mai i te whā wāhitau whakaū me te 300+ tomokanga kawekawe, ka whakaatuhia ki te kāri tūtohinga, e ai ki a Pearl. He painga tūturu tērā whānuitanga tomokanga mō ngā kaiutu ka whakautu pai ake mā te tomokanga i te tauwhitinga ā-hiko. Kāore te whārangi marea a Pearl e whakaahua ana i tētahi taurunga reo.
He rārangi mahi whakaaetanga-mua kua whakarārangihia e te rā noho tuaroa o te tūroro, me ngā ture ia-kaiutu kua akona mai i ngā whakakāhoretanga ake a taua kaiutu, tētahi kōrero tikanga-hauora kua hangaia mai i te pūkete, me tētahi whakataunga-mua ā-hiko ka hoki mai tōna tūnga aunoa. Ka whiwhi ia kerēme i tētahi piro mōrearea-whakakāhoretanga me te whakatika motuhake kua tapaina.
Ka ara ake ngā matohi-i-roto-i-te-mahere a Claim Actions mō ngā X-ray ngaro, tawhito rānei, ngā raruraru kounga, me ngā mōreareatanga kapi i mua i te toro, ā, ka tohu a Imagecheck i ngā kōhā kounga X-ray i te hopukanga. E ai ki a Pearl ka raru pēnei i te 80% ngā whakahekenga-utu me ngā whakakāhoretanga pānga-tuhinga — te tatau ake a Pearl. Kāore ngā whakaaetanga-mua i roto i te hua.
Ka hangaia te kerēme mai i ngā tikanga kua oti i roto i te PMS, ka tukuna ki te hononga wāhitau whakaū ake a te pūnaha me ngā āpitihanga me te kōrero. Ka whakatauhia ngā whakaaetanga 277CA me ngā whakautu 835 ki ia kerēme; ka whiwhi ngā kerēme mārie i te patapatai tūnga 276. Ka whakaūhia ngā utu ki te puka me te muku-kirimana kua tatauria mai i ngā whakatikatika CAS ake a te kaiutu, ā, ka keria ngā EOB pepa ki roto i te rere ōrite.
Ka mutu te mahi a Pearl RCM ina riro atu te kerēme mā atu i te PMS. Ka noho te tuku, te aromatawai, me te whakaū ki te PMS me te wāhitau whakaū e whakamahia tonutia ana e te ratonga.
Ka whakarōpūhia ia whakakāhoretanga e ngā waehere CARC me RARC ki tētahi arawhata mahi — kati-aunoa i ngā tuarua, tīkina te tūroro, muku atu, tukuna anōtia i te whakatika, pīra, whakaneke. Ka tuhia e te AI te whakahē mai i te pūkete, ka tukuna anōtia hei kerēme whakatikatika (auautanga 7) me te nama kerēme a te kaiutu. Kotahi ngā whakamātautau aunoa, kātahi ka īmēra atu ki te tari.
Ko te huarahi a Pearl ko te aukati: hopukia te raru tuhinga i mua i te toro kia kaua e puta te whakakāhoretanga. Kāore i whakaahuatia te mahi i ngā whakakāhoretanga ka tae mai tonu ki te whārangi RCM marea a Pearl.
Ko ia wāhanga he Kati, Tūtohu, Whakatauira, Aunoa rānei ia ratonga. Ka tīmata te tuku kerēme me ngā whakaaetanga-mua ā-hiko i te Kati kia kaua e utu-tuarua i te wā kei te tuku tonu te PMS. Ka tuhi a Whakatauira i te mea i taea e ia kia whakataurite koe ki tō tīma i mua i te huri ki te Aunoa.
Ka whakaputaina e Pearl ngā raraunga me ngā matohi i roto i te PMS; ka mahi te kaimahi i konā. Kāore ia e mahi i runga i te kerēme ake.
Kei te whakarārangi ōna utu a Intake.Dental: Claims Intelligence (te tuku, te aromatawai, te whakaū, ngā pīra, me ngā wetewete kaiutu) he $299.99/ia marama; Insurance Verification he $199.99/ia marama; ka whakakotahi te Insurance Suite i ngā mea e rua ki te $399.99/ia marama. Kāore a Pearl e whakaputa ana i ngā utu RCM ki tōna whārangi marea i tā mātau kite, nō reira kāore e taea te nama rite-ki-te-rite i konei — pātaihia a Pearl mō tētahi utu, ka whakataurite ki te Suite. Ko ngā putanga kua kīia e Pearl — tae noa ki te 80% iti ake ngā whakahekenga-utu me ngā whakakāhoretanga pānga-tuhinga, tae noa ki te 35 hāora kaimahi kua ora ia wiki — ko ngā kīanga ake a Pearl; kāore mātau e kī ōrite ōrau ana ki tēnei whārangi.
Kāore tētahi hua e whakakapi ana i te PMS, nō reira kāore he whakahekenga raraunga ki tētahi atu āhuatanga. Ko te neke mai i a Pearl RCM ki a Intake.Dental ko te hono i te PMS, waiho i ia wāhanga i roto i te Whakatauira mō te wiki kotahi hei whakataurite i tōna puka ki tā tō tīma i mea, kātahi ka huri i te tuku ka kati i te tuku PMS i te wā kotahi kia kotahi te kaituku. Ko te neke ki te atu taha ko te pupuri i tō wāhitau whakaū o nāianei me te mahinga whakakāhoretanga, me te tāpiri i ngā tirotiro i-mua-i-te-toro a Pearl ki roto i te PMS.
Kāore e ai ki tāna whakamāramatanga tūmatanui. Ka mahi a Pearl RCM ki te tono i mua i te toro mai — te tika ki ngā ratonga, ngā painga ā-waehere, ngā matohi mō te tuhinga me te kounga hiahia i roto i te PMS — ka tukuna e te PMS te tono. Ka tuku a Intake.Dental mā tāna ake hononga whare whakamahere, ka aroturuki i ngā whakaae me ngā whakahoki ki ia tono.
Kāore ngā whakaaetanga o mua i roto i te whakamāramatanga tūmatanui a Pearl RCM. Ka pupuri a Intake.Dental i tētahi rārangi mahi whakaaetanga o mua, kua rārangitia e ai ki te rā noho, ka tākiri i te kōrero whakamārama mai i te mahere, ka tuku i te whakatau o mua ā-hiko, ka tāpiri i te tau whakaaetanga ki te tono whakamutunga.
Āe, ā, he iti te whārohirohi. Ko ngā matohi a Pearl i roto i te PMS me te Imagecheck ka mahi i te toro mai; ka mahi a Intake.Dental ki te tono mai i te tukunga ki mua. Mēnā ka whakahaere koe i ngā mea e rua, waiho kia Kore te wāhanga whakaū a Intake.Dental, kia Whakatauira rānei, kia kore ai e rua ngā whakaū tika ki ngā ratonga mō te manuhiri kotahi.
E toru ngā wāhi: kei roto i te kāri tono PMS, kāore i tētahi mata tuarua; ka tirotiro i te kounga hiahia i te wā hopukanga, kāhore a Intake.Dental e pērā ana; ā, tōna whānuitanga paetukutuku kua kīia — 300+ paetukutuku kaiwhakarato — he whānui atu i tā te huarahi hiko tuatahi e taea ana mā tōna ake.
Nā Pearl ake ēnei kīanga mai i tāna whārangi tūmatanui — taea noatia te 80% te iti ake o ngā whakaiti waehere me ngā whakahē e pā ana ki te tuhinga, me te taea noatia te 35 haora kaimahi ka ora i ia wiki. Kāhore mātou i whakaū i ēnei, kāore hoki mātou e whakaputa ōrite i tētahi ōwehenga.
Kōwhiria a Pearl RCM mēnā ko tāu e hiahia ana he tono mā mai i te PMS — kua tirohia te tika ki ngā ratonga me te tuhinga i roto i te hōtaka, kua tirohia ngā hiahia i te wā hopukanga — ā, kei te pai tonu te whakahaere a tō PMS me tō whare whakamahere i te toenga. Kōwhiria a Intake.Dental mēnā e hiahia ana koe kia whakahaerea te toenga hoki: ko te whakaū reo AI ina rahua te hiko, ngā whakaaetanga o mua, te tuku me te aroturuki tono, te tuku whakahoki utu, me ngā whakahē ka whakautua hei tono whakatika, ia wāhanga ka whakahohe anake mēnā ka kī koe.
Kei roto i te pūnaha whakahaere whare haumanu a Pearl RCM ka mahi i runga i te kerēme i mua i te toro: ko te tūtikitanga me ngā painga ā-waehere i roto i te kāri tūtohutanga, ngā matohi mō ngā X-ray ngaro me ngā mokowā urupare, me ngā aromātai kounga X-ray i te wā hopukina. Ka tīmata a Intake.Dental i te wāhi kotahi, ka haere tonu — ngā whakaaetanga i mua, te tukuna kerēme i runga i tōna hononga whare tuku motuhake, te aroturuki whakaaetanga me te utu, te whakauru puka-nama, me ngā pīra e tukuna ana hei kerēme whakatikatika. Ka ōrite rāua i te mahi tuatahi, ka rere kē i ngā mahi katoa i muri mai.
Tonoa he whakaaturanga hāora-roa, ka whakaatu mātou i te āhua o te whakatairite mō ngā āhuatanga e whai tikanga ana ki tō ratonga.
Mēnā kei te whakamahi koe i Dentrix, koinei ngā mea ka tāpiri a Intake Dental me te take kāore e whakakapi i tō PMS.
