Incedo Behavioral Health Solution
End-to-end behavioral health software supporting quality care
Personalized, end-to-end behavioral health solution
Comprehensive solution for managed behavioral health, offering efficient end-to-end administrative and clinical workflows, including member engagement and assessment, eligibility and benefits management, prior authorizations, utilization management, network management and claims processing.
Seamless integration to effectively coordinate care
Seamlesslessly integrate care management and care coordination for managing behavioral health conditions alongside physical health and social determinants. Incedo empowers you to efficiently coordinate care across inter-disciplinary care teams, including community-based resources, ensuring the delivery of individualized, whole-person care.
Automation improves efficiency and keeps staff happy
Automated, rules-driven workflows for core administration and clinical operations streamline tedious tasks to drive ROI and quality, freeing up your clinical resources to do the work they do best—caring for members.
Quality performance tracking and regulatory alignment reduce risk
Improve quality performance via complete complaints, grievances, and appeals management, with built-in turnaround time and process tracking aligned with CMS, NCQA, and URAC guidelines.
Customizable workflows and granular data capture and reporting support continuous quality improvement and enable alignment by line of business or contract so you can proactively manage regulatory requirements and demonstrate compliance.
Solutions
Innovations in Managing Serious Mental Illness—The Hidden Key to Cutting the Cost Curve
Innovations in Managing Serious Mental Illness—The Hidden Key to Cutting the Cost Curve
Comprehensive behavioral health solution
- Efficient, end-to-end workflows for eligibility, assessment, engagement, utilization management, network management and behavioral health claims management
- Clinical decision support including MCG and InterQual improves care quality and consistency
- Integrate with other systems and solutions to support your business, including employee assistance plans (EAPs)
Improve efficiency and reduce costs
- Automate and integrate workflows to reduce administrative burden and ensure clinical resources are effectively utilized
- Adapt to evolving business and regulatory requirements with a flexible platform designed for configurability and scalability
- Automatic and batch adjudication to speed authorization and payment and reduce the need for human touch
Improve member and provider experience
- Speed processing and turnaround times to prevent frustrating delays and fragmented care
- Reduce friction to enrich experience, manage network, and grow membership
- Engage with members with complete tracking of events and contacts to create stronger partnership and drive satisfaction
Optimize quality performance
- Proactively manage performance to improve outcomes, reduce risk, and increase incentives
- Customize data capture and reporting to align by business or contract so you can manage regulatory requirements and support compliance
The Incedo Behavioral Health solution is specifically designed for managing care and improving outcomes for individuals with mental health and substance use conditions.
How does the Incedo Behavioral Health solution meet my needs?
The Incedo Behavioral Health solution seamlessly integrates all aspects of behavioral health management across the full continuum of behavioral health services, enabling you to manage risk-based contracts while improving clinical and operational efficiency.
Available as a stand-alone behavioral health solution or fully integrated solution that also manages physical health and social determinants, the Incedo Behavioral Health solution provides efficient end-to-end workflows for member enrollment and engagement to utilization management solution and care management software to network and claims management.
Our behavioral health solution:
- Improves efficiencies with automated rules-driven end-to-end workflows for core administration and clinical operations
- Improves care quality and outcomes with integrated evidence-based screenings, assessments and care guidelines
- Reduces costs with intuitive self-service configuration capabilities for content, workflows, and tasks to address emerging and changing needs
Incedo Behavioral Health Solution Features
The Incedo Behavioral Health solution is a comprehensive behavioral health administration platform for member enrollment and eligibility, demographic and screening/assessment data, benefit management, provider contracts and service matrix, treatment history, and claims/encounter processing. Additional features include:
- Unified, automated workflows that are client-configurable to meet the unique requirement of our clients
- Integrated utilization management solution including automated authorizations, interface to evidence-based clinical criteria, automated decision support and notifications, alerts and reminders supporting URAC standards for timeliness, and utilization review with tracking of prior authorization and complete authorization lifecycle
- Quality assurance including complete complaints, grievances, and appeals management with built in turnaround time and process tracking based on CMS, NCQA and URAC supported workflows, and customizable granular data capture and reporting to support continuous quality improvement
- Operational workflows that promote integrated care management of behavioral health needs and services, and care management with community-based resources to support whole person health and drive value-based care
