InRule for Healthcare for Providers

Making Clinical Decisions Easier

Until recently, business rule technology has been used most frequently in healthcare to optimize the accuracy and efficiency of the revenue cycle. Today, InRule is being used to power clinical applications, as healthcare organizations reap the benefits of managing complex and frequently business rules without the need for custom programming.

Some innovative uses of business rule technology to make clinical decisions easier include:

• Complex Treatment Plan Development
• Triage for Emergency Medical Personnel and Poison and Drug Control Centers
• Patient Assessment automation for Skilled Nursing Facilities (Minimum Data Set 3.0 migration)
• Emerging Issue improvement automation

Improving Business Operations Effectiveness

Health plan organizations use InRule to improve the effectiveness of business operations, creating and pricing custom plans within defined guidelines in less time and at less cost than current methods. Business rule technology can also be used to ensure consistent underwriting that is also transparent and auditable.

Increasing Interoperability of Healthcare Decisions

InRule’s catalog and rule management services allow rules to be shared and reused across multiple applications and environments, improving decision logic consistency and interoperability. Because InRule can be called in process or as a service, decision logic can be shared across applications and platforms, ensuring consistent decision-making throughout the revenue and care cycles.