Patient access

Oracle Health Patient Administration

Oracle Health Patient Administration helps ambulatory practice staff coordinate care with guided workflows and task automation for scheduling and registration. Capabilities include workflows that help manage patients, appointments, encounters, resource schedules, and financial approvals.

Empower patients

Oracle Health Patient Administration provides self-service capabilities that enable patients to complete scheduling and registration tasks themselves, including registering, confirming, and checking in for upcoming appointments. These new self-service workflows give patients convenience while helping reduce phone calls and front-office workloads, freeing your staff to perform other important duties. Through an integration with Oracle Health EHR, the information captured by patients is available to all users in near real time without requiring staff intervention or complex configurations.

Optimize staff workflows

Guided processes offer personalized recommendations to optimize staff workflows and productivity, helping users know what steps to complete and when within their workflows. In addition to modernizing the user experience with guided workflows, Oracle Health Patient Administration offers additional task automation to help staff complete tasks faster and with less effort. For example, Oracle Health Patient Administration uses AI and machine learning technology to reduce manual processes, such as capturing information from driver’s licenses and insurance cards. With a fully responsive user experience—supported by desktop, mobile, and tablet devices—you can also give staff advanced flexibility in how they engage with patients to increase end user accessibility.

Advanced security and innovation

Oracle Health Patient Administration is a cloud native, SaaS-based solution powered by Oracle Cloud Infrastructure, which provides the same military-grade security used to protect the most sensitive data at some of the largest and most sophisticated businesses, national defense agencies, and governments around the world. The solution directly integrates with Oracle Health EHR, enabling the easy adoption of new enhancements—by persona and care venue. Oracle Health Patient Administration will leverage existing data models and database tables, helping limit implementation effort for existing customers.

• Explore Oracle Health Patient Administration

Patient scheduling

Oracle Health Scheduling Management workflows help patients determine the right appointment, location, and time based on their clinical need, insurance coverage, preferences, existing clinician relationship, and the available appointment options. We help you coordinate appointment booking across venues of care by helping to streamline scheduling within a call center, department, or medical practice.

Our workflows facilitate patient scheduling while taking into consideration known patient information, enabling you to

• Proactively reach out to patients using a clinical orders integration that helps book unscheduled appointments.
• Guide the scheduling workflow to determine patient scheduling needs based on symptoms, a series of rules-driven questions, information about existing orders, and known patient information.
• Assist scheduling decision-making through patient preferences (including clinician sex, preferred time of day per day of the week, and appointment reminder preferences) as well as known clinical order information.
• Show schedulers details about clinician participation in out-of-network facilities based on the patient’s insurance coverage.
• Engage with patients regarding their schedule through the Oracle Health Patient Portal.

Financial clearance

Our financial clearance workflows, within Oracle Health Registration Management, help enhance the preregistration and intake experience by evaluating whether the captured data is accurate and up to date. These workflows minimize the amount of information the patient is asked to verify again at preregistration or arrival.

Our collaboration with Experian supports financial clearance workflows and enables you to

• Verify that the patient’s address is valid and deliverable.
• Use data enrichment intelligence to complete insurance verification.
• Screen for additional coverage (including Medicaid) and financial assistance programs.
• Provide patients with a bill estimate prior to their visit.
• Create a personalized payment experience by assessing a patient’s unique financial situation.
• Facilitate prior authorization submission for approvals and denials.
• Inform payers who require notification when a patient has been placed in an observation status or admitted for or discharged from an inpatient stay.

Patient registration

Oracle Health Registration Management solution is designed to simplify the user experience based on venue, role, and operational procedures with a broad range of tools and workflows.

Our streamlined patient registration workflows enable you to

• Extend patient access to consumer self-service tools through APIs and embedded app technologies.
• Localize forms, quality edits, and workflows using customizable rules.
• Help prioritize staff workloads with interactive, exception-based work lists.
• Manage waiting rooms with venue-specific patient registration workflows that connect to clinical processes (for example, the short emergency department (ED) registration workflow adds patients to the ED tracking board for triage).
• Update the clinical level-of-care and room charges with limited manual intervention by using the patient status order integration.
• Collect co-pays or payments on outstanding balances prior to delivering care.