Our clients fly through audits!
We continuously review and incorporate NCQA, URAC and CMSA’s Standards of Best Practice. We also stay abreast of CMS and state requirements ensuring full support for key programs including Medicare (MA & FFS), Medicaid, SNP, Dual Eligible, PACE, etc…
Equally important, HMS Essette listens to nurses. The result is “audit ready” software that is extremely user-friendly – ensuring both user satisfaction and regulatory compliance.
HMS Essette software is built on an advanced, modular architecture using ‘bricks’ of code, making it possible to rapidly modify, configure, and integrate the components needed to meet unique business requirements.
Have you ever played with LEGO® bricks? Then it’s easy to imagine how adaptable HMS Essette’s software is: solid software templates that, when ‘snapped in place’, allow clients to create their own work flows and meet industry standards.
Technology flexible enough to allow for changing regulations and business requirements — software so agile, it can be reconfigured within days, not months; content-ready, but configurable enough to match each client’s unique business rules.
Interoperability has always been our passion and demonstrated expertise. In fact, we’ve been waiting for the industry to catch up to our belief — you can’t have true coordinated care without integrating information from across the continuum.
HMS Essette brings together information from a wide variety of sources, and makes that information available to coordinated care teams in ways that cannot be accomplished in legacy EMR, Registration, Financial or Claims systems. We are capable of leveraging vital organizational tools, including existing eligibility/claims systems, analytics, and portals—eliminating dual data entry and providing a complete 360 degree member view of all information needed to provide truly coordinated care.
HMS Essette Integration supports standard clinical and administrative industry formats:
– HL7 transactions for ADT, CCD/CDR exchange and other clinical data import
– ANSI X-12 HIPAA EDI transactions for auth, eligibility and claim detail
– Direct SQL Server and flat file imports
HMS Essette Integration also supports new and emerging formats:
– HMS Essette published and 3rd party APIs for direct application communication
– EMR and Hospital systems integration using HL7 SMART on FHIR
HMS Essette comes with a complete starter set library of pre-built care plans and clinical content allowing our customers to be up and running very quickly with minimal effort.
Incorporating a broad set of evidence-based references, HMS Essette’s clinical experts have pre-configured the application with rich set of clinical content:
– 25 assessments with branching logic
– Condition specific automated programs for Asthma, COPD, Depression, Diabetes, Heart Failure, Medication/Treatment adherence
– Over 40 pre-built reports
– Almost 40 correspondence letter templates
– One or more care plans for each of the following areas:
– Advance Directives
– Heart Failure
– Smoking cessation
– Substance Abuse
– Workers’ Comp
HMS Essette clients can also choose to license seamlessly integrated evidence-based content from our strategic partners.