| Fakaʻilonga | Intake.Dental | Pearl RCM |
|---|---|---|
| Tokanga fakavahaʻa | Takai tukuange paʻanga kotoa: fakamoʻoni, fakaʻapisiʻi muʻa, fakahu, taukei, fakatotongi, tali kole, ako | Teuteuʻanga tonu ʻo e kole totongi muʻa ʻi he ʻahoʻaho: vakai faingataʻa, ngaahi lelei, fakamatalaʻanga mo e ngaahi vakai lelei ʻo e imiisi X-ray |
| Feituʻu ʻoku nofo ai | Paʻanga fakatokatokaʻi moʻuiʻanga, lau mei he PMS pea tohi foki atu ki ai | Fakaʻāi ʻi loto ʻi he sētule PMS mo e kaati ʻahoʻaho |
| Faingataʻa | Faingataʻa fakaeletōniko ʻi he houa ʻe 48 kimuʻa ʻi he ʻahoʻaho kotoa, toʻo hake ki ha telefoni leʻo AI ʻoka taʻeaonga ʻa e tali fakaeletōniko | Vakai muʻa: faingataʻa mei he founga fakavahavahaʻi ʻe 4 mo e ngaahi paasi kautaha ʻe 300+, fakahā ʻi he kaati ʻahoʻaho (ʻo fakatatau ki he Pearl) |
| Ngaahi lelei ʻi he lēvela fouʻi kouti | Falekoloa ki he fouʻi kouti-CDT taʻetoʻetaha: fakaʻaongaʻi %, ngaahi tapuʻi fakahoko, ngaahi kuonga tatali, ngaahi fakaʻilonga fakaʻapisiʻi muʻa — tohi foki ki he PMS | Ngaahi lelei ʻi he lēvela fouʻi kouti ʻoku fakahā ʻi he sētule (ʻo fakatatau ki he Pearl) |
| Fakamoʻoni leʻo | ʻOku telefoni ʻe he ʻēsēnite leʻo AI ki he tokototongi ʻoka hinga ʻa e faingataʻa fakaeletōniko | ʻIkai fakamatala ʻi he peesi RCM fakapipilikí ʻa e Pearl |
| Ngaahi fakaʻapisiʻi muʻa | Lisi ngāue fakamaauʻi, ngaahi taʻetaʻengataʻi ki he tokototongi taʻetoʻetaha naʻe ako mei he ngaahi taʻofi, fakamatala naʻe tohi mei he saati, fakafaingataʻaʻi muʻa fakaeletōniko mo e tuʻunga fakaʻotomētiki, ngaahi fakamatala ʻo e ngataʻanga taimi | ʻIkai ʻi ʻoatu |
| Ngaahi fakamatala ki he tohi fakamatala ki muʻa ʻo e ʻahiʻahi | Ko e fika makehe ʻo e ngāue ʻo e fakatefito ʻi muʻa ʻo e fakaʻu mei he poto fakakehekehe naʻe lava ʻo fakahā; ngaahi lao fakahoko ʻi he founga kotoa ko e kouti | Claim Actions: ngaahi fakamatala ʻi loto ʻi he sitetiule ki he ngaahi meʻa nge ʻoku masiva pe tuai ʻo e X-rays, ngaahi faingataʻa lelei, mo e ngaahi mavahe ʻo e ʻufiʻufi ki muʻa ʻo e ʻahiʻahi |
| Lelei ʻo e X-ray ʻi he taimi ʻo e puke | ʻIkai ʻi ʻoatu | Imagecheck ʻoku ne fakaʻilonga ʻa e ngaahi meʻa kovi ʻo e lelei ʻo e X-ray ʻi he taimi ʻo e puke |
| Fakaʻu ʻo e kuleimi | ʻOku langa ʻa e kuleimi mei he ngaahi meʻa fakatokanga kuo fakaʻosi pea fakaʻu ia ʻi heʻene fetuʻutaki fakatau pe ʻaʻana, kau ai mo e ngaahi fakamaʻu mo e talanoa fakaikiiki | Ko e PMS ʻoku ne fakaʻu ʻa e kuleimi |
| Muimui ki he kuleimi | 277CA ngaahi fakapapauʻi mo e 835 ngaahi totongi kuo feʻunga ki he kuleimi kotoa; 276/277 ngaahi fehuʻi ki he founga ʻo e ngaahi kuleimi motuʻa | ʻIkai ʻi fakahā ʻi he peesi RCM fakamatalaʻākau ʻa e Pearl |
| Fakaʻu ʻo e totongi | 835 kuo fakaʻu ki he lesa, tohi fakaʻatoʻi ʻo e fuakava mei he ngaahi CAS ʻa e tokotaha totongi moʻoni, EOB pepa kuo keli | ʻIkai ʻi fakahā ʻi he peesi RCM fakamatalaʻākau ʻa e Pearl |
| Ngaahi fakatefito | CARC/RARC fakavahe ʻo e hala ngāue, AI tali mei he saati, toe fekau hange ko ha kuleimi kuo fakatonutonu (founga 7) | Fakamahuʻinga ʻi he taukaveinga: siʻi ange ʻa e ngaahi fakatefito mei he tohi fakamatala ki muʻa ʻo e ʻahiʻahi |
| Pule faʻiteliha | Lakanga kotoa Tapoʻi / Faleʻi / Fakafuofua / ʻOtomate, ʻi he ngāueʻanga taki taha | Ngaahi fakamatala mo e ngaahi fakamatalaʻi kuo fakahā; kau ngāue ʻoku nau fai ʻi he PMS |
| ʻUfiʻufi ʻo e PMS | Ngaahi feʻunga hāhangai mo e ngaahi pule lahi ʻo e ʻao mo ha kaveinga kuo fakamoʻoni ʻoku ne ʻufiʻufi ʻa e niʻihi ʻe 60+ | Open Dental, Dentrix, Eaglesoft, CareStack, Oryx, Curve, Denticon (ʻo hangē ko e Pearl) |
| Ngaahi tukunga | Claims Intelligence $299.99/mo; Insurance Suite $399.99/mo; Vakai pe $199.99/mo — kuo lisi kotoa fakamatalaʻākau | ʻIkai ʻi fokotuʻu fakamatalaʻākau ʻi he peesi RCM ʻa e Pearl ʻo hangē ko ia naʻa mau ʻiloʻi; fetuʻutaki mo e Pearl |
Ko e ngofua fakaelekitōneki ʻoku ne fai ʻi he houa ʻe 48 ki muʻa ʻo e hokohoko kotoa. Kapau ʻoku masiva pe taʻe kātoa ʻa e tali fakaelekitōneki ʻa e tokotaha totongi, ko ha kau ngāue leʻo AI ʻoku ne telefoni ki he tokotaha totongi ʻo fehuʻi ʻa e ngaahi fehuʻi ʻe fehuʻi ʻe ha taha totongi pili; ko hono toe ʻoku ʻalu ki ha lisi faingataʻa fakafoʻou. Ko e ngaahi lelei ʻoku tuku ʻi he founga kotoa ʻo e CDT — pasēniti ʻufiʻufi, ngaahi pāseti founga, kuonga tatali, ngaahi fika fakamoʻoni ki muʻa — pea tohi foki ki he PMS.
ʻOku ʻave ʻe he Precheck ʻa e faʻahinga mālohi mo e ngaahi lelei ʻoe fika fakakouti mei he ngaahi fale fakamaʻu ʻe fā mo e ngaahi matapā ʻoe kau tuku totongi ʻe 300 pē ʻo lahi ange ʻo fakahā ia ʻi he pepa toʻo hokotaga, ʻo fakatatau ki he Pearl. Ko e laulahi ʻoe matapā ko ʻeni ko ha lelei moʻoni ia ki he kau totongi ʻoku nau tali lelei ange ʻi he matapā ʻio ʻi he founga fakaeletōniko. ʻOku ʻikai fakamatalaʻi ʻe he peesi fakaʻatā ʻa Pearl ha founga tali fakalea.
Ko ha lisi ngāue fakakuohili kuo fakahokohoko ʻi he ʻaho setea ʻanamuli ʻa e pasienite, mo e ngaahi tuʻutuʻuni fakakautaha ʻakonga mei heʻenau laveʻi, ko ha talamuʻa fiemaʻu faitoʻo kuo fakatupu mei he pepa fakamatala, pea mo ha fakatokangaʻi muʻa fakaeletōniko ʻoku foki mai ʻotomētika hono tuʻunga. ʻOku maʻu ʻe he taki taha tukuhau ha fika fakataumu laveʻi mo e hono fakaikiiki ʻoe totonu.
ʻOku hiki ʻe he Claim Actions ʻa e ngaahi fakatokangaʻi ʻi loto sētiule ki he ngaahi X-ray mole pe motuʻa, ngaahi faingataʻa lelei, mo e ngaahi ava ʻoe fakamalumalu ʻi muʻa ʻi he ʻaʻahi, pea ʻoku fakaʻilongaʻi ʻe he Imagecheck ʻa e ngaahi ngāue taʻetatau ʻi he taimi toʻo. ʻOku pehē ʻe Pearl ʻoku fakatupu ʻeni ha ngaahi fakasiʻisiʻi mo e ngaahi laveʻi fehokotakiʻi mo e tohi fakamatala ʻo aʻu ki he 80% — ko e fika ʻa Pearl pē ia. ʻOku ʻikai kau ʻa e ngaahi fakatokangaʻi muʻa ʻi he meʻa fakatupu.
ʻOku langa ʻa e tukuhau mei he ngaahi founga kuo fakahoko ʻi he PMS pea tukuange ʻi he fehokotakiʻanga fale fakamaʻu ʻa e pulatifōma pē mo e ngaahi fakapipiʻi mo e talamuʻa. ʻOku fakatatauʻi ʻa e ngaahi fakaʻilongaʻi 277CA mo e ngaahi totongi 835 ki he taki taha tukuhau; ʻoku maʻu ʻe he ngaahi tukuhau longomate ha fehuʻi tuʻunga 276. ʻOku hokohoko ʻa e ngaahi totongi ki he lēsā mo e fakaʻauhaʻi kontilākitoale kuo lau mei heʻenau fakatōnuhia CAS, pea ʻoku maina ʻa e ngaahi EOB tohi ki he afe tatau pē.
ʻOku ʻosi ʻa e ngāue ʻa Pearl RCM ʻoka hāʻele ha tukuhau maʻa mei he PMS. ʻOku kei nofo ʻa e tukuange, muimui, mo e hokohoko mo e PMS mo e fale fakamaʻu ʻoku ʻaonga ai ʻa e ngāue.
ʻOku fakavaheʻi ʻa e taki taha laveʻi ʻi he ngaahi kouti CARC mo RARC ki ha hakaʻi ngāue — tapunia ʻotomētika ʻa e ngaahi fakatātatau, totongi ʻe he pasienite, tohi ki tuʻa, toe tukuange fakalelei, tohi kē, fakatupu hake. ʻOku tohi ʻe he AI ʻa e tohi kē mei he pepa fakamatala pea toe ʻavē ia ko ha tukuhau fakalelei (fakaholo 7) mo e fika tukuhau ʻa e kau totongi. Ko ha feinga ʻotomētika ʻe taha, pea ʻoku ʻīmeilí ʻa e ʻofisi.
Ko e founga ʻa Pearl ko e tauhi: puke ʻa e faingataʻa tohi fakamatala ʻi muʻa ʻi he ʻaʻahi ke ʻoua naʻa hoko ʻa e laveʻi. ʻOku ʻikai fakamatalaʻi ʻa e ngāue mo e ngaahi laveʻi ʻoku kei hāʻele mai ʻi he peesi RCM fakaʻatā ʻa Pearl.
ʻOku ʻi ai ʻa e taki lakanga ko e Tapu, Fakatokangaʻi, Simūleti, pe ʻOtomētika takitaha ngāue. ʻOku kamata Tapu ʻa e tukuange tukuhau mo e ngaahi fakatokangaʻi muʻa fakaeletōniko ke ʻoua naʻa tufa ua ʻi he taimi ʻoku kei tukuange ai ʻe he PMS. ʻOku fakaʻuhingaʻi ʻe he Simūleti pe ko e hā naʻá ne fakakakato ke ke fehāmahaki ia mo hoʻo timi ʻi muʻa ʻi hoʻo fetongi ki he ʻOtomētika.
ʻOku fakahā ʻe Pearl ʻa e ngaahi fakamatala mo e ngaahi fakatokangaʻi ʻi loto PMS; ʻoku fai ki ai ʻe he kau ngāue ʻi ai. ʻOku ʻikai fai ha ngaahi ngāue ki he tukuhau pē ia.
ʻOku lisi ʻe Intake.Dental ʻa hono ngaahi vaʻe totongi: Claims Intelligence (tukuange, muimui, hokohoko, tohi kē, mo e ngaahi ʻanalaisi kau totongi) ko e $299.99/māhina; Insurance Verification ko e $199.99/māhina; ʻoku fakataha ʻe he Insurance Suite ʻa e ua ʻi he $399.99/māhina. ʻOku ʻikai fakamālengaʻi ʻe Pearl ʻa e ngaahi vaʻe totongi RCM ʻi heʻene peesi fakaʻatā ʻo hangē ko ʻetau ʻiloʻi, ko ia ʻoku ʻikai ke lava ha fika fakatatau — kole meia Pearl ha kuōti pea fehāmahaki ia mo e Suite. Ko e ngaahi ola kuo fakamatalaʻi ʻe Pearl — ʻo aʻu ki he 80% siʻi ange ʻa e ngaahi fakasiʻisiʻi mo e ngaahi laveʻi fekauʻaki mo e tohi fakamatala, ʻo aʻu ki he houa ngāue kau ngāue 35 fakamoʻui ʻi he uike taki taha — ko e ngaahi taukei ʻa Pearl pē ia; ʻoku tau ʻikai fai ha taukei pāsenite tatau ʻi he peesi ko ʻeni.
ʻOku ʻikai fakakehe ʻe ha meʻa fakatupu ʻa e PMS, ko ia ʻoku ʻikai ha hiki fakamatala ʻi ha hala. ʻOku ʻuhinga ʻa e hiki mei Pearl RCM ki Intake.Dental ko e fehokotaki ʻa e PMS, tuku ʻa e lakanga kotoa ʻi he Simūleti ki ha uike ʻe taha ke fehāmahaki hono fakamatala mo e meʻa naʻa fai ʻe hoʻo timi, pea fetongi ʻa e tukuange pea tapu ʻa e tukuange PMS ʻi he taimi tatau ke ʻi ai ha taha tukuange pē. ʻOku ʻuhinga ʻa e hiki ki he hala kehe ko e maʻu pē hoʻo fale fakamaʻu lolotonga mo e founga laveʻi pea fakaʻū ʻa e ngaahi sivi ʻi muʻa ʻi he ʻaʻahi ʻa Pearl ʻi loto PMS.
ʻIkai ʻo fakatatau ki heʻene fakamatala fakaʻatā. ʻOku ngāue ʻa Pearl RCM ki he tukuhau ʻi muʻa ʻi he ʻaʻahi — faʻahinga mālohi, ngaahi lelei fakakouti, ngaahi fakatokangaʻi lelei tohi fakamatala mo e X-ray ʻi loto PMS — pea ʻoku tukuange ʻe he PMS ʻa e tukuhau. ʻOku tukuange ʻe Intake.Dental ʻi heʻene fehokotakiʻanga fale fakamaʻu pē pea muimui ʻa e ngaahi fakaʻilongaʻi mo e ngaahi totongi ki he taki taha tukuhau.
ʻOku ʻikai kau ʻa e ngaahi fakatokangaʻi muʻa ʻi he fakamatala fakaʻatā ʻa Pearl RCM. ʻOku maʻu ʻe Intake.Dental ha lisi ngāue fakatokangaʻi muʻa kuo fakahokohoko ʻi he ʻaho setea, tatalanga ʻa e talamuʻa mei he pepa fakamatala, ʻave ʻa e fakatokangaʻi muʻa fakaeletōniko, pea fakapipiʻi ʻa e fika fakaʻaonga ki he tukuhau ʻanamuli.
ʻIo, pea ko e fehokotakiʻanga ko e siʻi. ʻOku ngāue ʻa e ngaahi fakatokangaʻi ʻi loto PMS ʻa Pearl mo e Imagecheck ki he ʻaʻahi; ʻoku ngāue ʻa Intake.Dental ki he tukuhau mei he tukuange ʻo ʻalu atu. Kapau te ke fai ʻa e meʻa ʻe ua, tuku ʻa e lakanga vakai ʻo Intake.Dental ke Tapu pe ʻi he Simūleti ke taʻofi ha sivi faʻahinga mālohi ʻe ua ki he pasienite tatau.
ʻE tolu ʻa e ngaahi potu: ʻoku nofo ia ʻi loto pepa toʻo hokotaga PMS kae ʻikai ko ha sikini ʻe ua; ʻoku sivi ʻa e lelei X-ray ʻi he taimi toʻo, ʻaia ʻoku ʻikai fai ʻe Intake.Dental; pea ko hono laulahi matapā kuo fakamatalaʻi — matapā kau tuku totongi 300+ — ʻoku lahi ange ʻi ha founga muʻa-fakaeletōniko pē ʻi hono maʻu.
Ko e ngaahi taukei ʻa Pearl pē ia mei heʻene peesi fakaʻatā — ʻo aʻu ki he 80% siʻi ange ʻa e ngaahi fakasiʻisiʻi mo e ngaahi laveʻi fekauʻaki mo e tohi fakamatala, pea ʻo aʻu ki he houa ngāue kau ngāue 35 fakamoʻui ʻi he uike taki taha. Kuo mau ʻikai fakamoʻoni ia pea ʻikai fakamālengaʻi ha pāsenite fakataumu.
Fili ʻa Pearl RCM kapau ko e meʻa ʻoku ke fiemaʻu ko ha tukuhau maʻa ange ʻoku hāʻele mei he PMS — kuo sivi ʻa e faʻahinga mālohi mo e tohi fakamatala ʻi loto sētiule, kuo sivi ʻa e ngaahi X-ray ʻi he taimi toʻo — pea ʻoku tokoni lelei pē ʻe hoʻo PMS mo e fale fakamaʻu ʻa e toe. Fili ʻa Intake.Dental kapau ʻoku ke fie maʻu ʻa e toe tokoni foki: vakai lea AI ʻoka hala ʻa e fakaeletōniko, ngaahi fakatokangaʻi muʻa, tukuange tukuhau mo e muimui, hokohoko totongi, pea tali ʻa e ngaahi laveʻi ko e ngaahi tukuhau fakalelei, ʻo fetongi ʻa e lakanga taki taha ʻi hoʻo loto pē.
ʻOku nofo ʻa e Pearl RCM ʻi loto ʻi he founga puleʻanga fakalautohi pea ngāue ʻi he kole totongi kimuʻa ʻi he ʻahoʻaho: faingataʻa mo e ngaahi lelei ʻi he lēvela fouʻi kouti ʻi he kaati ʻahoʻaho, ngaahi fakamatala ki he ngaahi imiisi X-ray mole mo e ngaahi ava fakaʻaongaʻi, pea mo e ngaahi vakai lelei ʻo e imiisi X-ray ʻi he taimi ʻo e puke. ʻOku kamata ʻa e Intake.Dental ʻi he feituʻu tatau pea ʻai atu — ngaahi fakaʻapisiʻi muʻa, fakahu atu ʻo e kole totongi ʻi hono fehokotaki fakavahavahaʻi moʻuiʻanga ʻoʻona, taukei ʻo e fakatomoʻakiʻi mo e totongi fakafoki, fakatotongi lēsā, pea mo e ngaahi tali kole fekau atu ko ha ngaahi kole totongi fakaleleiʻi. ʻOku nau fehokotaki ʻi he lakaanga ʻuluaki pea mavahe ʻi he meʻa kotoa ʻoku hoko hili ia.
Tohi ha fakamatala miniti-30 pea te mau fakaʻilo kiate koe fēfē te mau fakatātaa ʻi he ngaahi fakaʻilonga ʻoku mahuʻinga ki ho ngāue.
Kapau ʻoku ke faka-ʻaonga ʻa e Dentrix ʻi he taimi ni, ko e meʻa eni ʻoku fakapōngia ʻe he Intake Dental mo e hā ʻoku ʻikai tukufakaholo ai hoʻo PMS.