Emidence XD

Integrated Workforce Safety, Medical Care, Case,
Absence, Medical Billing & Bill Review, Claims and
Compliance Cloud Total Solution Platform

Workers Comp Cloud

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Workers’ Comp CloudTM

Complete Worker’s Compensation Software Platform

The workers’ compensation marketplace needs an end to end, fully digital solution capturing entire patient, provider, payer, legal and regulatory stakeholder processes. Xybion Health, a division of Xybion Corporation, has developed the industry’s first digital workers compensation platform capable of integrating and managing the entire WC process from first incident report through claims management and supports all of the main constituents in the WC process including employee, employer, provider and payor on a single platform. A different approach to Workers’ Compensation technology
The workers’ compensation process is an extremely complex, fluid and difficult process to manage. Multiple stakeholders from Providers to Employers to Payors are involved and are under constant scrutiny from State and Federal guidelines. Each stakeholder has a unique set of needs and requirements. Xybion Health has built a complete workers’ compensation software platform that meets the needs of all key stakeholders in the workers’ comp process.

Xybion Health addresses the challenges of this complex market by offering a first of its kind solution that offers a holistic or modular approach to the technology that drives the complex processes.

  • Leverages embedded decision-tree algorithms based on ACOEM’s Occupational Medicine Practice
  • Guidelines and other Evidence-Based Guidelines.
  • Facilitates provision of the right care at the right time to the right patient by utilizing Bio-Psycho-Social factors driven medical practices and risk management.
  • Establishes initial medical necessity and substantiates medical treatment efficacy leading to optimized demonstrable outcomes.
  • Makes reporting & legal compliance easier.
  • Helps organizations comply with OSHA 29CFR regulations and supports the OSHA 18001 framework.
  • Reduces cycle time and cost of claim processing. Reduced unnecessary denial.

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Lorem Ipsum is not simply random text. It has roots in a piece of classical Latin literature from 45 BC, making it over 2000 years old. Richard McClintock, a Latin professor at Hampden-Sydney College in Virginia, looked up one of the more obscure Latin words, consectetur, from a Lorem Ipsum passage, and going through the cites

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Modules

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Process Flows

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Our Process - At A Glance
Digital Workers’ Comp Process – Incident Reporting

Capturing the right information at the right time
When you’re notified of an injury by a worker, lawyer or union representative, it’s imperative that you follow the proper procedures and timelines by State and capture all of the information necessary to being the claims process. Xybion Health facilitates this process from the first step in the workers’ comp process. Our platform features are:

  • Integration with employee/HR database
  • Captures location of injury/incident
  • Captures witness detail
  • Captures cause and environmental factors
  • Enables first-action post incident
  • Reporting process to Payor and State (EDI)
From the first report of incident, Xybion Health’s case management proactively captures all of the critical information that case managers would ask long after the initial incident. Our system is based on capturing BIO-Psycho-Social information up front to minimize case manager workloads later on and allow real-time decision making with full risk assessment built in. Key features include

  • Integrated database with real-time access
  • Automated rules engine for case assignment and routing
  • Reduce medical costs via evidence-based care path
  • Real-time access to prior authorizations (RFA)
  • Electronic case notes
  • Provider assignment
  • Improve return to work outcomes
  • 100% web based, SaaS platform, mobile friendly
Xybion Health’s Patient registration streamlines the process of registering a new patient and optimizes the in-clinic interactions by capturing all pertinent billing and bio-psycho-social information prior to the consultation. Used by the clinical/administrative staff or the injured worker, the web-based platform can dramatically reduce waiting room time and errors by providing a guided path to entering critical information.

Key features include:

  • May be accessed by both injured worker and/or clinical staff
  • Captures key information for workers’ compensation cases including union and attorney information
  • Captures Payor information
  • Bio-Psycho-Social profle
Provide an interactive human body part selection and diagnosis tool to be used in-clinic or by the injured worker via a patient portal which ensures accurate, evidence-based information for the provider(s). Capturing the right, evidence-based clinical information, leading to a proper treatment plan ensures lower claim rejection, UR’s and lowers the total cost of claims process. Key features include

  • Interactive point and click body part selection (24 body parts)
  • Integrated pain scale
  • Detailed questionnaire with corresponding symptom guide
  • Accessible via the patient and the provider
  • 100% web based, SaaS solution
Xybion Health provides a 100% digital process for prior authorization between provider and payor. The system generates compliant requests for prior authorization (RFA) in line with State guidelines. Xybion captures evidence based (ACOEM, MTUS and other State Guidelines) information.

Key features include:

  • Compliant with State forms
  • Auto-fill patient/provider diagnosis information
  • Attach digital evidence
  • Manage RFA response

Provider First Injury Report

More than a fee schedule. The configuration of the bill review system is a consultative process. Our experience is that many clients have a broad range of claims philosophies and that while state legislatures and state regulators make rules, occasionally the state courts differ when litigation occurs. Many aspects of medical bill adjudication are option driven with almost infinite possibilities for custom configuration.

Key Features include:

  • Powered by Xybion Software
  • Full service bureau MBR provider
  • WC, auto, federal, liability experience
  • National scope
  • Best in Class network solutions
  • Embedded rules identify and prevent diagnostic code discrepancies with CPT codes
  • Click to learn more about our Bill Review Solution

Optimize your medical exam workflow

Xybion Health provides for over 400 detailed medical exams in the platform, available online and in digital format. The platform provides for an evidence-based approach when gathering key medical information such as ROM, Clinical/Ortho, Palpation, Circumferential, Sensory, Functionality, Reflexes, Trigger points, Grip and Pinch, Motor/Nerve Roots/Muscular Strength…etc.

Xybion Health follows medical professionals’ work practices using the SOAP algorithm. All data are captured and reports generated in real-time for each SOAP category. Information is displayed in a user-friendly summary tile view. Xybion Health works the way providers are trained to work which streamlines the exam and ensures better outcomes.

  • All clinical information in its place and a place for all clinical information
  • View information by visit
  • Summary reports by visit
  • Quickly access previous charts
  • System auto-generates SOAP notes saving time and reducing errors
  • 10,000+ treatments based on multiple medical guidelines
  • Integrated with ODG
  • Integration with Labs, Pharmacy, Online Prescriptions and Referrals
  • Integrated with ICD-10
  • Automated evidence based risk calculation

Action & Referrals

Xybion Health’s platform digitally manages all inbound and outbound referrals for a variety of services such X-Ray, MRI, CT, Ultrasound, Lab orders/results and surgical procedures. Referrals are created in accordance with ACOEM and include a comprehensive library of relevant referrals.

The primary and the most common cause for the delayed and reduced cash flows in the hospitals is improper medical billing. Our cloud based platform can prevent such discrepancies and provide with a hassle free and an accurate medical bill. This can improve your work flows and cash flows and gets your payment to you on time.

Bill Review Integration

Our bill review platform seamlessly integrates with the EHR platform. Bills can be directly sent from EHR to Bill review without requiring any additional costs.

The system optimizes and integrates the work flow processes with the core functions of the Claims Management Software.

Instantly available to a bill reviewer
No additional costs for mailing or clearing houses
Accurate, compliant,scalable and efficient.
ICD-10 support
Fee Schedule integration
Digital Billing and ICD-10 Integration
ICD-10 engine is built natively into the Xybion Health platform. The solution creates medical bills for review that incorporate ICD-10 codes right from the exam room.

Get Paid Faster
The platform reduces claim errors because of the built in ICD-10, National Fee Schedules and evidence-based treatment plans.

Test Run a complete bill review
Before submitting the claim, providers can run a mock bill review to look for errors that may trigger a claim error or denial, resulting in slower payment. The platform will give you certainty behind your claims so you know exactly how much will be reimbursed, improving your practice’s revenue forecast.

Fee Schedule

Xybion Health’s bill review platform is directly integrated with each State’s individual fee schedule.

Key features include:

  • Automatic Updates
  • Available to providers for pre-screens
  • For more information about Federal Fee Schedules, visit the Department of Labor

You can also visit our comprehensive list of State Fee Schedule links in our resource center.

State Reporting

Every claim, case and bill payment requires State level reporting. Xybion Health’s platform contains a direct EDI connection for each state that facilitates and streamlines the reporting process.

Section For Business Case

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Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum. Lorem Ipsum is simply dummy text of the printing and typesetting industry

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum. Lorem Ipsum is simply dummy text of the printing and typesetting industry

Workers Comp Cloud Brochures

Workers’ Comp Cloud

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Bill Review

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Compliance and OSHA

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Soft Tissue Injury

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Lorem Ipsum

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