Klivira Streamlines Veradigm (Allscripts) Prior Authorization Automation

Klivira integrates directly with Veradigm (formerly Allscripts) EHRs to deliver advanced prior authorization automation, optimizing workflows for practices leveraging TouchWorks, Professional EHR, and Sunrise.

Revenue cycle leaders and prior authorization coordinators at organizations using Veradigm (Allscripts) face increasing pressure to accelerate PA turnaround times and reduce administrative burden. Klivira provides a robust solution, connecting seamlessly with your Veradigm environment to automate critical steps in the prior authorization process, from submission to status tracking.

Navigating the Veradigm (Allscripts) EHR Ecosystem for PA Efficiency

The Veradigm portfolio includes diverse EHR platforms such as TouchWorks EHR for larger physician groups, Professional EHR for smaller practices, and Sunrise for hospital and inpatient settings. Klivira's integration strategy accounts for these distinctions, providing tailored automation that understands the unique workflows and data structures across your Veradigm footprint, including Practice Fusion and the patient engagement platform, FollowMyHealth.

Comprehensive Integration with Veradigm's Developer Program

Leveraging the Veradigm Developer Program (veradigm-developer) for secure, programmatic access to clinical and administrative data.
Utilizing FHIR R4 APIs (us-core) for US Core resources, including Patient, Encounter, Coverage, ServiceRequest, and MedicationRequest, across modern Veradigm product lines.
Supporting SMART App Launch (smart-app-launch) for contextual workflows initiated directly from the Veradigm clinical UI, enhancing user experience and data flow.
Integrating with the Veradigm Unity API for broader data access, complementing FHIR capabilities where legacy systems or specific data needs require it.
Accommodating HL7 v2 interfaces, especially for Sunrise (hospital) deployments and certain TouchWorks/Professional EHR implementations, for ADT, ORM/ORU, and MDM messages.

Automating Prior Authorization Submission and Status Updates

Klivira automates the assembly and submission of prior authorization requests by extracting necessary clinical documentation and order details directly from your Veradigm EHR. We manage the diverse submission channels, including X12 278, payer portals, and ePA platforms. For critical status updates and documentation, Klivira supports write-back capabilities, depositing relevant PA packets into the Patient Chart or Clinical Documentation sections of your Veradigm system via DocumentReference and updating workflow tasks.

Key Benefits of Klivira for Veradigm Users

Accelerate PA turnaround times by automating data extraction and submission across Veradigm's TouchWorks, Professional EHR, and Sunrise platforms.
Reduce manual effort and administrative burden for prior authorization coordinators.
Improve data accuracy and completeness in PA submissions by pulling directly from the EHR.
Enhance visibility into PA status within your existing Veradigm workflows through task management and documentation write-back.
Mitigate denial risks by ensuring timely and compliant submissions based on payer rules.

Secure and Compliant Data Exchange

Klivira prioritizes the secure handling of PHI and ePHI, adhering to industry best practices and leveraging robust security protocols. Our integration with Veradigm's FHIR APIs and SMART App Launch (smart-app-launch) utilizes OAuth 2.0 for secure authentication and authorization, ensuring that data exchange is compliant with HIPAA and other relevant privacy regulations. We encourage organizations to discuss specific compliance considerations with their internal compliance teams.

Frequently asked questions

How does Klivira handle the different Veradigm EHR products like TouchWorks, Professional EHR, and Sunrise?

Klivira's integration is designed to accommodate the distinct characteristics of Veradigm's product lines. We leverage product-specific integration surfaces and data models, ensuring seamless operation whether your practice uses TouchWorks, Professional EHR, Sunrise, or even Practice Fusion. This includes understanding varying chart anatomies and API capabilities per product line.

What integration standards does Klivira use to connect with Veradigm?

Klivira primarily utilizes modern, standards-based APIs, including FHIR R4 (us-core) and SMART App Launch (smart-app-launch), for secure and contextual data exchange. We also integrate via the Veradigm Unity API and support traditional HL7 v2 interfaces where appropriate, particularly for inpatient settings leveraging Sunrise.

Can Klivira write prior authorization status and documents back into the Veradigm EHR?

Yes, Klivira supports write-back capabilities. We can deposit submitted prior authorization packets and approval letters into the patient's chart (e.g., Clinical Documentation section) using FHIR DocumentReference resources. We can also update workflow tasks and communication logs within the Veradigm system to reflect the current PA status, enhancing visibility for your team.

Does Klivira integrate with Veradigm's patient portal, FollowMyHealth?

While Klivira's primary focus is on automating the back-office PA process, our platform can support patient notification elements of prior authorization workflows. This includes leveraging integration points that may feed into patient engagement platforms like FollowMyHealth for status updates, where supported by the Veradigm product line and customer configuration.

How does Klivira ensure data security and privacy during integration with Veradigm?

Klivira adheres to stringent security protocols and HIPAA compliance standards. Our integrations leverage OAuth 2.0 for secure authentication and authorization with Veradigm's APIs, ensuring that only authorized users and applications can access PHI. Data is encrypted in transit and at rest, maintaining the confidentiality and integrity of patient information.