MedFlow for RCM

Get more out of your finance point solutions by getting them to work together with MedFlow.

Automate any step of the revenue process to reduce denials, increase revenue, and encourage proper documentation on the first try to get paid faster.

Explore clinical workflow templates

Fully customizable and adaptable to your care model.

Create cognitive screening orders for patients with upcoming appointment
New Appointment
If When:
New Appointment
Automatically trigger workflows whenever a new appointment is scheduled in athenaOne, to help with pre-appointment actions.

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Create Cognitive Screening
Then Automatically:
Create Screening
Automatically create cognitive screenings in BrainCheck, streamlining the process of assessing cognitive health.
Prefill encounter notes with recent screening results
Lab Result
If When:
Lab Result
Automatically trigger workflows whenever new lab results are available in athenaOne, creating the right follow-on actions.

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Update Encounter
Then Automatically:
Update Encounter
Automatically update sections of an encounter note with information relevant to services selected, diagnosis codes added, or recent test results
Automatically follow up with no-show patients
New Appointment
If When:
New Appointment
Automatically trigger workflows when a patient misses an appointment in athenaOne, ensuring timely rescheduling.

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Send Patient Message
Then Automatically:
Send Patient Message
Send messages to patients through Linear Health, improving patient engagement and communication.
Create chart and intake tasks for inbound new patients
Web Form Communication
If When:
Web Form Communication
Build a custom form for your website where submissions generate secure FHIR Communication records in MedFlow and can trigger workflows.

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Create Patient
Then Automatically:
Create Patient
Easily create patient records in athenaOne to streamline patient onboarding and care coordination.
Identify claims at high risk of payer denial
Claim Submitted
If When:
Claim Submitted
Automatically trigger workflows when a claim is submitted in athenaOne, ensuring timely follow-up actions.

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Check Encounter Note Content
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
High-Denial CPT Codes Detected
If When:
High-Denial CPT Codes Detected
Automatically trigger workflows when a claim submission with high-denial CPT codes is detected.

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Check Encounter Note Content
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
Encounter Note Formatting Error Detected
If When:
Encounter Note Formatting Error Detected
Automatically trigger workflows when a submitted claim's documentation does not match expected format.

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Create Patient Case
Then Automatically:
Create Patient Case
Easily create patient cases in athenaOne to enhance documentation and streamline case management for healthcare providers.
Check patients with an upcoming appointment for insurance eligibility
New Appointment
If When:
New Appointment
Automatically trigger workflows whenever a new appointment is scheduled in athenaOne, to help with pre-appointment actions.

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Check Eligibility
Then Automatically:
Check Eligibility
Automatically check patient's insurance information for eligibility for reimbursement and in-network status.
Reach out to patients with an eligibility gap to correct before visit
Eligibility Gap Detected
If When:
Eligibility Gap Detected
Automatically trigger workflows when a patient's insurance eligibility is flagged for review.

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Create Patient Case
Then Automatically:
Create Patient Case
Easily create patient cases in athenaOne to enhance documentation and streamline case management for healthcare providers.
Message patients with an eligibility gap to correct before visit
Eligibility Gap Detected
If When:
Eligibility Gap Detected
Automatically trigger workflows when a patient's insurance eligibility is flagged for review.

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Send Patient Message
Then Automatically:
Send Patient Message
Send messages to patients through Linear Health, improving patient engagement and communication.

Direct EHR and tool integration

No-code visual automation design

Respond to contract changes in minutes

Ready to Get Started with MedFlow?

Schedule a free workflow consultation call today.