Whether you are an employer, a health care provider, or a payor, we have a solution for you. Digitally follow an employee through the Workers’ Comp system lifecycle, making the right workplace health, safety, post-injury care recommendations at the right time. All stakeholders can have a full view of activity that impacts their decision-making, before and after an injury. Xybion’s Workplace Health & Safety Platform delivers a total end-to-end solution for the Occupational Health & Safety Ecosystem. Emidence XD’s rapid configuration capability ensures that your personalized solution will meet your immediate needs, and scale rapidly as needed to support future functionality requirements without disrupting current business operations. Validation rules, robust access controls, and integration of all data & activities into a single database. Audit trails promote data integrity, reduces staff training time and system support costs, and streamlines reporting activities thereby lowering the total cost of ownership.
The unified solution offers modules for the three main groups of workplace health: Employers, Payors, and Providers.
“Northwell Health has established its leadership position in workforce safety through its well-established processes and systems. However, the rapid business expansion and emerging needs for digitized and mobile operations across various sites needed more modern, agile, and advanced technology solutions. Xybion’s Emidence XD platform satisfies our current and evolving future needs with the unique adoption technique of “Your Process – Your Way.”
– Joseph F. Molloy, Vice President, Workforce Safety, Northwell Health
Emidence XD provides all the functionality needed to manage workplace health and safety. The platform’s rapid configuration capability is easily tailored to your company’s needs and provides the ability to scale rapidly. With the integration of all data into a single database, reporting on employee events is simple and easy.
Automate, manage, and control workplace health & safety workflows via our rapidly deployable, easily configurable Employee Health and Safety Management application. Manage workplace health and safety across multiple sites (locally, regionally, nationally, globally) within your organization from one digital cloud.
Our employee risk and safety management module are specifically designed for occupational health and seamlessly integrates with internal and external systems.
Total Incident & Workplace Safety
Automated OSHA Management Process
Rapidly configurable for your business
Evidence-based Care, Claims & Compliance e-Platform.
Managed health services for ease of access and seamless process
Managing workers’ compensation claims is complex with regulations that vary from state to state. Emidence XD helps you gain efficiencies by integrating data and documents from multiple constituents into a single electronic case folder.
Data from the employer, medical examinations from the providers, workers’ compensation board determinations, prescriptions, treatments, re-evaluations, and appeals are collected as part of a typical workers’ compensation case. Having a system that is the single source of truth supported by robust workflow and data analytics is crucial in the ever-changing workers’ compensation landscape.
Our software for payors, TPAs and managed care providers are configured to support all workers’ compensation claims – including work-related injury, occupational disease, and workplace incurred fatalities – as well as specific agency, regulatory, and business requirements.
Emidence XD can help you:
The primary and the most common cause for delayed or reduced cash flow for providers is inaccurate medical billing. Emidence XD prevents discrepancies and provides a hassle-free and accurate medical bill. This improves cash flows and gets payment to you on time.
The Emidence XD EHR platform streamlines utilization review processes to reduce denials because of administrative reasons. Our evidence based EHR solution is optimized for the workers’ compensation marketplace, including a focus on musculoskeletal injuries, and can manage a variety of practice areas from start to finish.
Our bill review platform seamlessly integrates with our EHR platform. Bills can be directly sent from EHR to bill review without incurring any additional costs. The system optimizes and integrates workflow processes with claims management software and is:
The ICD-10 engine is built natively into Emidence XD. The platform creates medical bills that incorporate ICD-10 codes right from the exam room, allowing you to:
Emidence XD gives you certainty so you know exactly how much you will be reimbursed so you can improve your practice’s revenue forecast.
Complete, evidence based EHR that works the way you work
Medical Billing and Revenue Cycle Management for All Providers
Real-Time On-Boarding, Verify, Approve, and Manage Delineation of Privileges (DOPs) across multiple sites.
SCENE 1: Lifecycle of an Injury Through the Digital Platform
Let us visualize the platform we introduced through the following scene.
Here is Freddy. Freddy is late for his next meeting at the other end of the building. Freddy is running through the hallway, which is a safety violation, to begin with. Someone dropped a pen and did not realize it. Freddy slips on the pen and falls backward onto his back.
SCENE 2: Incident Report, Investigation and OSHA Reporting
Utilizing the Health and Safety Module, Freddy can log this incident directly into Emidence XD through a self-service portal authorized by the employer. Freddy’s risk manager pulls Freddy’s employee demographic information from the human resource system and is guided through a series of questions to gather pertinent information to send to the employer’s carrier or third-party administrator. The third-party administrator will load the injury detail into the claims management system to establish a claim or report the only incident.
If it is determined that this is an OSHA reportable event and that medical care is needed, the injured employee will be referred to a care clinic. The required OSHA form, 300, 301, 300A, will be auto populated by the system with the information gathered. The OSHA team can review and auto-upload the reports into the OSHA portal.
Freddy’s supervisor can initiate an investigation using Emidence XD’s inspection and CAPA modules, close the inspection, put corrective actions and new training in place by using Emidence XD’s ECM module.
SCENE 3: Case Management, Return to Work and Industrial Hygiene
Emidence XD Case management module automatically creates a case and is immediately available to the case managers.
SCENE 4: Patient Portal & Physician Office Visit and the Encounter
The injured employee will visit the patient portal of the physician’s practice management system to pre-fill basic health information. Details about the injury are automatically pulled into the physician’s system through our integrated model.
The physician will sign into the practice management module and be guided through a series of evidence-based, injury-specific guidelines. When the physician completes the assessment, the physician will lock the record and automatically send the medical bill and medical notes through the billing platform electronically to the carrier or third-party administrator.
SCENE 5 & 6: Bill Received by Payor and Sent to Medical Bill Review
The carrier will log back into the claims platform and see that a bill has been received.
The integrated system enables the carrier to see the stage the employee is in throughout the lifecycle of the claim.
The carrier will release payment to the provider and attach to the claim file within the claims management system the documentation supporting payment.
What does all of this mean for you? No matter what role you play within the workers’ comp system, we have created a way that you can have a holistic view of the employee through the WC system, pre, and post injury.
Head of Quality Assurance
Heidi leads Xybion’s Quality Assurance practice. She has over 20 years’ experience in designing and implementing quality assurance policies. Since joining Xybion in 2000, Heidi worked with several clients to design quality policies and ensure compliance. She is responsible to hosting Xybion customer audits. Heidi has a BA degree in Biology from The King’s College.