Healthcare Providers
Macedon Experience & Expertise
Recently Healthcare Provider organizations were thrust into Digital Transformation as pressing regulations and cybersecurity threats have made work more complex. Having a fully integrated, enterprise-level digital ecosystem has become an absolute necessity. Macedon supports healthcare providers like you by streamlining mundane tasks so you can concentrate on what really matters: patient outcomes.
Solutions and Accelerators
Sprint Planning Agile Resource
HTTP Request with Secure Credentials Store
Enterprise Event Engine
Macedon Application Pipeline
Industry Use Cases
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No Surprises Act - ONP, IDR, IDRE selection
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Coding
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Claims Submissions
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Claims Appeals
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Patient Journey Management / Care Coordination
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Cash Posting, Accounts Receivable
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IT Applications Management
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Inbound Document Management
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Change Control Management
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Safety, Risk, & Compliance
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Clinician Management
Use Case Spotlight:
NSA IDR
90% of the NSA IDR process should be automated.
Our Healthcare Provider customers come to us with cumbersome, manual processes - drowning in emails, spending time on "time-wasting" payors instead of "good faith" negotiations, little to no visibility into the progress of processes, and confronting processes that can't scale with their growing needs. Revenue just leaking through their fingers - revenue for services already completed.
After working with us, these same customers have experienced:
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Automated IDR increases volume for revenue uplift
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Increased IDR win rate %
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100% risk avoidance for missed IDR deadlines, eliminating revenue leakage
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Refocused existing headcount to focus on ONP process
Interested in learning more?
Simplify Life Sciences and Healthcare
Are you ready to simplify work?
Streamline Your Approval Processes
Stage & Gate
Success Stories
Appian Solutions for the Healthcare Provider Industry
Macedon Technologies has 15 years of experience in delivering industry-specific solutions, enabling us to develop a leading asset repository for the Appian Partner community. We empower Healthcare Provider companies to extend Appian’s out-of-the-box capabilities to meet their unique use cases, including regulatory compliance, scheduling, and insurance claims submissions. Our Appian solutions help these companies increase their revenue, reduce costs, and focus on customer outcomes.
By partnering with Macedon Technologies, companies in the Healthcare Providers industry can use Appian to automate processes related to:
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No Surprises Act - ONP, IDR, IDRE selection
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Claims Submissions
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Patient Journey Management / Care Coordination
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Home Health Automation
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Regulatory Compliance
Blog Post
Navigating the No Surprises Act's Challenges for Healthcare Providers
The healthcare landscape has undergone significant changes with the introduction of the No Surprises Act, enacted on January 1, 2022. While this legislation aims to protect patients from unexpected medical bills, it has also introduced administrative headaches for healthcare providers. We have worked with customers to overcome these new complexities in a scalable way, to make sure they can continue to get paid for their critical services.
Ready to Talk?
Curious how Macedon can help simplify your work and processes? Let's get started
