Quick Facts

Challenge
  • Secure transaction of online
    form information to meet HIPAA
    requirements
  • Inefficient and duplicative
    paper-based processes
  • Errors from unreadable forms
    and inefficient redundant data
    entry  

Solution
  • Straight-thru transaction
    processing with electronic form
    submission optimization
  • Web-based e-Form
    management
  • Data integration and sharing

Result
  • Improve efficiency, reduce
    costs, and eliminate waste in
    patient admissions and
    processing
  • Enhance patient safety
  • Enable healthcare
    professionals to focus on
    patient care by reducing
    clerical work
  • Improve facility financial
    performance
  • Improve accuracy, completion,
    and timeliness of insurance
    claim forms processing
  • Increase HIPAA compliance
    efficiency and reduce
    associated costs
  • Share EHP/EMR data
  • CCHIT support
Healthcare

Driving Costs Down and Providing Better Services To Patients


    Today’s healthcare providers face intense economic and
    competitive pressures. To thrive, organizations must increase
    the quality of care and service they deliver to patients while
    lowering operational costs.

    Clinics, urgent care facilities, and nursing homes are
    overwhelmed by inefficient and duplicative processes
    resulting from paper-based forms. The critical information
    trapped on paper does not efficiently make its way to the
    applications that need it most. Patient care, insurance
    processing and payment, back office efficiency, and physician
    and nurse productivity suffers.

    By optimizing and automating form-driven business
    processes for Healthcare, your organization will run more
efficiently and cost effectively.

Formatta software helps organizations create competitive advantage through reduced costs,
streamlined operations, compliance assistance and, ultimately, increased overall patient
satisfaction. Formatta e-forms allow faster response to patient, payer and provider requests.

More than just an electronic version of a paper form, Formatta’s solution quickly captures,
verifies, approves and integrates data with the business critical systems used to run your
organization.
Formatta Optimizes
Healthcare Forms

Admitting and Consent Forms
  • Pre-Admit Form
  • Patient Health History
  • Patient Registration Form
  • Affidavit to Accompany Medical Records
  • Hospital Admissions Patient
    Information Form
  • Request for Outpatient Services
  • Anesthesia Consent Form
  • Authorization to Release Information
  • Hospital Discharge Summary

Clinical
  • Immunization Record Form
  • Outpatient Surgery Form
  • Medical Elective Surgery Procedures
    Form
  • Request for Records Release
  • Request for Surgical Procedure
  • Mammogram Clinic Patient Summary

Assessment and Diagnostics
  • Ambulance Pre-Treatment Information
  • Anesthesia Pre-Op Evaluation
  • ER Initial Trauma Assessment
  • Nutritional Screening
  • In-Home Nursing Evaluation

Human Resources
  • Application for Employment
  • Volunteer Application

Insurance and Billing
  • Beneficiary Claims Authorization
  • Lifetime Benefits Authorization
  • Anesthesia Charge Sheet
  • ER Patient Charge Form
  • Laboratory Request
  • Patient Charge Card Authorization
    Release

Patient History and Immunization
  • HIPPA Authorization Form
  • Employee Physical Exam
  • Health Physical Form
  • Mammography History Form
  • Surgical History
  • Tuberculin Skin Testing

Requisitions
  • Bed Reservation Form
  • Central Pharmacy Requisition
  • Loaner Uniform Agreement
  • X-Ray Request
  • Radiologic Consultation Request
  • Durable Medical Equipment Order
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