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Learn how Florida’s certified Health Management System enhances clinical workflows and ensures compliance with healthcare regulations through advanced health management tools.

Introduction

In the rapidly evolving landscape of healthcare, maintaining compliance with regulatory standards is paramount. Florida’s certified Health Management System (HMS) stands as a cornerstone in optimizing clinical workflows and ensuring adherence to healthcare regulations. Leveraging certified health management tools, this system not only streamlines operations but also fortifies the integrity of healthcare delivery across the state.

Florida’s Certified Health Management System

The Florida Department of Health has implemented the Health Management System (HMS) to safeguard and enhance public health through meticulous management and integration of health data. Certified on June 26, 2019, HMS complies with the Office of the National Coordinator (ONC) Certification Criteria for Health IT, ensuring robust security and functionality.

Key Features of HMS

Electronic Health Information Export: HMS facilitates the seamless export of electronic health information (EHI) in a portable document format (PDF), making data accessible and interpretable without additional processing.
Multi-Factor Authentication (MFA): Utilizing Microsoft’s Office365 and Azure Active Directory Premium, HMS enforces strict access controls. MFA ensures that only authorized personnel can access sensitive health information, enhancing data security.
Compliance and Certification: HMS adheres to various regulatory criteria, including demographics management, family health history, implantable device lists, clinical information reconciliation, and decision support interventions. This comprehensive compliance ensures that the system meets stringent healthcare standards.

Enhancing Clinical Workflows

By integrating HMS into clinical operations, Florida’s healthcare providers can achieve greater efficiency and accuracy in managing patient information. The system’s ability to handle complex data sets and provide real-time access to critical information streamlines decision-making processes, ultimately improving patient outcomes.

Avelis Health’s Innovative AI-Powered Payment Integrity Solutions

While Florida’s HMS provides a solid foundation for health management, the integration of advanced tools like Avelis Health’s AI-powered Payment Integrity Solutions can further elevate compliance and operational efficiency.

Addressing Critical Challenges

Self-insured employers and health plans often grapple with erroneous medical claims, leading to substantial financial losses. Avelis Health leverages artificial intelligence to audit 100% of medical claims post-payment, identifying and rectifying billing errors that traditional manual processes may miss. This AI-driven approach reduces annual health spending by 3-7%, directly addressing the critical problem of unnecessary budget drains.

Seamless Integration and Support

Avelis Health’s solutions are designed to integrate effortlessly with existing claims processing systems, ensuring that there is no disruption for employees. The comprehensive support includes automated post-payment audits and management of appeals processes, alleviating the administrative burden on organizations.

Enhancing Compliance and Financial Integrity

By employing Avelis Health’s AI-powered tools, organizations can improve compliance with ERISA regulations, recover lost funds, and enhance overall plan integrity. The real-time savings dashboard provides employers with vital oversight of claim adjustments and trends, fostering a transparent and accountable financial environment.

Enhancing Florida’s HMS with Avelis Health

Integrating Avelis Health’s AI-powered Payment Integrity Solutions with Florida’s certified HMS can create a synergistic effect, amplifying the strengths of both systems. While HMS ensures robust health management and regulatory compliance, Avelis Health’s tools enhance financial integrity and operational efficiency.

Benefits of Integration

Comprehensive Compliance: Combining HMS’s regulatory adherence with Avelis Health’s ERISA compliance ensures a holistic approach to healthcare management.
Financial Efficiency: AI-driven auditing from Avelis Health reduces financial losses due to billing errors, complementing HMS’s efficient data management.
Enhanced Data Insights: The real-time dashboard from Avelis Health provides additional layers of data analysis, enriching the insights derived from HMS.

Conclusion

Florida’s certified Health Management System lays a strong foundation for effective healthcare management and compliance. By incorporating advanced tools like Avelis Health’s AI-powered Payment Integrity Solutions, organizations can achieve unparalleled efficiency and financial integrity. Embracing these certified health management tools ensures that healthcare providers not only meet regulatory standards but also deliver superior care with optimized resources.

Ready to enhance your healthcare compliance and optimize your clinical workflows? Discover Avelis Health’s innovative solutions today!