MedFlow for Correcting Missing Claims Documentation

Workflow templates with deep AthenaHealth integration save your teams time and unlock new revenue.

Create review tasks for providers when encounter note incompleteness is detected, reducing time to revenue and denied claims.

Explore clinical workflow templates

Fully customizable and adaptable to your care model.

Identify claims at high risk of payer denial

If When:

Claim Submitted

Automatically trigger workflows when a claim is submitted in athenaOne, ensuring timely follow-up actions.

Then Automatically:

Check Encounter Note Content

Automatically review a submitted claim to flag keywords, CPT codes, or content.

Check claims documentation for denial-causing omissions or errors

If When:

High-Denial CPT Codes Detected

Automatically trigger workflows when a claim submission with high-denial CPT codes is detected.

Then Automatically:

Check Encounter Note Content

Automatically review a submitted claim to flag keywords, CPT codes, or content.

Create review tasks for providers to correct missing encounter documentation

If When:

Encounter Note Formatting Error Detected

Automatically trigger workflows when a submitted claim's documentation does not match expected format.

Then Automatically:

Create Patient Case

Easily create patient cases in athenaOne to enhance documentation and streamline case management for healthcare providers.

Schedule a free workflow consultation call today.