Risk Navigator Guidelines effectively engages health plans, care managers, providers and consumers by communicating where potential gaps in care and/or medical errors may exist at a time where precautions can be taken to prevent or mitigate the concern.

Benefits:

• Provides real-time compliance monitoring and reporting
• Incorporation of nationally recognized quality guidelines
• Ability to:
       o  Replace MEDai guidelines with regional-, state- or client-defined guidelines
       o  Override member’s current compliance status – marking them exempt or compliant
       o  Turn off/on guidelines at different levels, including based on client-specific information.
       o  Record reasons, effective dates and durations
       o  Filter populations based on multiple criteria, including ICD-9 diagnosis codes.
  
• Automated tool supports powerful guideline parameter creation, editing and activation

To download more information click here PDF Version

For more information on this product contact us:
Phone: 800.446.3324 -or- email: sales@medai.com