Overview

Healthica, developed by CapturePointRx, is the flagship 340B software solution designed specifically for healthcare organizations. Created by experienced healthcare professionals, Healthica leverages intelligent data mining and advanced claim capture technology to deliver a simple, secure, and scalable platform. The software helps ensure consistent revenue flow while maintaining the highest standards of compliance.

Quantum pertori

5890

Quantum pertori

Core Capabilities

Smart Claim Capture: Healthica streamlines the claim process by validating claims, facilitating straightforward submission, and reducing errors to ensure greater accuracy and efficiency.
Deep Data Mining: The software’s robust data mining features uncover hidden opportunities for claim capture that might otherwise be missed, maximizing revenue potential.
Real-Time Analytics: Healthica provides users with powerful dashboards, comprehensive metrics, and trend analyses to monitor program performance and make informed decisions.
Compliance Tooling: Built-in compliance tools offer thorough audit trails, detailed reporting, and policy checks to help maintain regulatory adherence at all times.
Security: Advanced security features include data encryption, role-based access control (RBAC), multi-factor authentication (MFA), and continuous threat monitoring to protect sensitive information.
Integrations: Healthica offers reliable connectors to integrate seamlessly with ERP, EHR, and pharmacy systems, ensuring smooth data flow across platforms.
Mobile-First User Experience: The software is designed with a mobile-first approach, delivering an intuitive and responsive experience on any device, making it accessible and easy to use whether in the office or on the go.

Benefits for Your Organization

Higher Capture Rates with Fewer Denials

Y our organization can achieve increased capture rates while experiencing fewer denials. This improvement leads to more efficient revenue cycles and helps ensure that efforts spent on capture result in positive outcomes.

Transparent Governance and Audit Readiness

The approach supports transparent governance, making it easier for your organization to demonstrate compliance and maintain readiness for audits. This transparency builds trust and confidence in your reporting processes.

Faster View of Capture Growth

75%

Of happy users

With streamlined processes, your organization gains quicker insights into capture growth. This allows for timely decision-making and the ability to respond rapidly to trends or changes.

Reduced Manual Workload and Operational Friction for Reporting

Automation and improved workflows reduce the manual workload required for reporting. This reduction in operational friction enables staff to focus on higher-value tasks and improves overall efficiency.

Scalable as Programs Grow

The solutions and processes are designed to scale alongside your organization’s program growth. As your initiatives expand, the infrastructure can accommodate increased volume without sacrificing performance.

Technical Highlights

Data Security

The system ensures the protection of sensitive information through encryption mechanisms for both data-in-motion and data-at-rest. This approach safeguards data as it is transmitted and while it is stored, reducing the risk of unauthorized access or breaches. .

Access Management

Tiered access controls are implemented to manage user permissions effectively. Additionally, single sign-on options are available, streamlining authentication while maintaining robust security standards.

Architecture and Integration

The platform is built with an API-first architecture, incorporating standardized connectors. This design supports seamless integration with other systems and services, enhancing interoperability and flexibility.

Fraud and Risk Management

Fraud and risk indicators are embedded directly into workflows. This integration allows for real-time detection and response, strengthening the overall security posture of the platform.

Who Should Consider Using Healthica?

Ideal Users of Healthica

Healthica is designed to benefit a range of healthcare organizations and teams seeking to optimize their operations and maximize program effectiveness. The following groups are particularly well-suited to leverage Healthica's capabilities:

FQHC Health Systems

Federally Qualified Health Center (FQHC) health systems aiming to enhance the performance of their 340B programs can utilize Healthica to streamline processes and improve outcomes.

Community Health Centers

Community health centers interested in increasing the profitability of their programs will find Healthica valuable for identifying opportunities and implementing strategies for financial improvement.

Pharmacy Operations

Pharmacy operations teams seeking to streamline the process from capture to reimbursement can rely on Healthica to improve efficiency and reduce administrative burdens.

Compliance and Finance Teams

Compliance and finance teams responsible for ensuring proper governance will benefit from Healthica’s tools that support oversight and adherence to regulations.

Getting Started

Technical Discovery Call

The first step involves conducting a technical discovery call. This conversation is essential to understand the technical requirements, clarify project goals, and identify any potential challenges that may arise during implementation.

Data Source Mapping and Security Review

Next, the process moves to mapping data sources and performing a security review. This step ensures that all necessary data connections are identified and that proper security measures are in place to protect sensitive information throughout the project.

Pilot Deployment with Validation and KPIs

The final part of getting started is the pilot deployment. During this phase, the solution is implemented on a small scale, validated for functionality, and key performance indicators (KPIs) are established to measure success and guide further improvements.