Compliance with healthcare regulations and standards is critical. DecisionRules enables organizations to incorporate regulatory requirements, privacy rules, and industry guidelines into the system. By automating compliance checks, the BRMS helps ensure adherence to regulations, reduces the risk of errors, and supports audit readiness.
By incorporating predefined rules into the system, healthcare organizations can streamline operations, reduce errors, and enhance overall efficiency. The business rules management system enables gradual automation and provides valuable insights for data-driven decision-making, leading to improved patient care and financial performance.
DecisionRules automates decision-making processes and reduces the reliance on manual, time-consuming tasks. This allows healthcare providers to reduce manual effort and errors and focus more on patient care rather than administration.
Automate appointment scheduling based on predefined rules and availability. Send automated reminders to patients, reducing no-show rates and optimizing appointment utilization.
Optimize resource allocation and bed management by considering factors such as patient acuity, bed availability, staff schedules, and specialized requirements. Reduce waiting and improve patient flow.
Automate the processing of claims by applying predefined business rules. Verify the accuracy of submitted claims, check for compliance with insurance policies and regulations and determine reimbursement amounts.
Automate eligibility verification and enrollment processes for patients and providers. Check if a patient meets the criteria for certain services or if a healthcare provider is qualified to participate in specific programs.
Manage treatment plans and clinical protocols. It will help you adhere to evidence-based guidelines, incorporate patient-specific factors, and ensure consistent and optimal care delivery. This promotes standardized care practices and enhances patient outcomes.
Even if you have multiple teams and omnichannel applications, you will keep all your rules in one place. You will see all your changes and will be able to easily switch to previous versions of the rules.
Our user interface is easy to understand. Rule changes can be done with a couple of clicks. You are not dependent on IT, just update a rule and that's it.
Designing rules will not take you longer than putting together an Excel sheet and testing is instant. When you are ready, you can deploy your rule to production in a single click.
