WHERE ARE WASTE, DEVIATION, OVERUSE AND FRAUD?
With UpFlux map patient journeys and streamline audit process
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Identify medical bill patterns and act only where there are need
Separate the wheat from the chaff to dedicate the auditors where his view is required.
With UpFlux automatically map Patient Journeys for answering question such as:
- Are patients following the most appropriate care pathways?
- What are the critical paths for improvements?
- Where are the wastes and deviations that impact on care efficiency?
Are you looking for benefits like?
Audit Process Optimization
In more than 60% of medical bills.
Kanban and process mining methodsing
Combination that delivers efficiency for your audit processes
Agility and simplicity in rule definition
Bringing autonomy for auditors and avoiding dependence on the IT staff. Recognize consumption patterns and simplify the definition of rules and bundles.
Discover the main causes and outline plans for acting on the root cause as well as working to offer the better reference services.
Compare consumptions between network providers
Understand the flow of referrals between doctors, specialties, clinics, hospitals and laboratories.
Promote studies to identify best practices and technologies that result in better cost-effective outcomes within care lines and patient groups.