Everything You Need to Run Successful Care Programs
VitalEdge combines clinical intelligence, billing automation, and patient engagement in one unified platform designed for RPM, RTM, and CCM programs.
Clinical Workflow
Streamline clinical operations with AI-powered tools that prioritize patient care
Smart Triage Queue
AI-powered prioritization ranks alerts by clinical urgency with risk scores (0-10). Resolve alerts faster with one-click actions and bulk operations.
- Risk scores from 0-10 based on clinical urgency
- One-click resolve, call, or escalate actions
- Bulk operations for efficient triage
Patient Context Panel
View complete patient history at a glance including vitals trends, medications, recent assessments, and active conditions - all in one unified view.
- 7-day vitals trends at a glance
- Active medications and conditions
- Care gaps and assessment history
Care Gap Detection
Automatically identify patients missing preventive care, overdue screenings, or at risk for poor outcomes. Proactive alerts help close gaps before they become problems.
- 8 configurable rule types (HEDIS, custom)
- Nightly automated detection runs
- Auto-close when criteria are met
Billing & Revenue
Maximize reimbursement with automated tracking and intelligent billing tools
Automated Billing Readiness
Real-time tracking of billing eligibility for RPM, RTM, and CCM. Never miss a billable patient with threshold alerts and monthly summaries.
- Real-time CPT code eligibility tracking
- RPM: 16+ days, RTM: 20+ minutes tracking
- CSV export for billing teams
Auto Time Tracking
Automatic start/stop timers capture clinical time with 90%+ accuracy. CPT code suggestions based on activity type ensure compliant billing.
- Auto-start when viewing patient records
- Activity-based CPT code suggestions
- 90%+ time capture accuracy
Patient Engagement
Connect with patients through digital assessments and comprehensive tracking
Digital Assessments
Validated clinical instruments (PROMIS, PHQ-9, GAD-7) delivered via web or mobile. Automatic scoring and trend analysis over time.
- PHQ-9, GAD-7, PROMIS instruments
- Automatic scoring and interpretation
- Trend analysis over time
Patient Portal
Empower patients with secure access to their health data, pending assessments, and care team communication through a modern self-service portal.
- Health summary dashboard with vitals and trends
- Complete assessments from any device
- View medications, history, and profile
Clinical Intelligence
Evidence-based recommendations and care pathway orchestration powered by clinical data
Clinical Decision Support
Get real-time, evidence-based recommendations from 8 clinical categorization services. AI-powered insights surface the right guidance at the right time.
- 8 clinical categorization services (BP, Diabetes, HF, COPD, etc.)
- Care pathway orchestration with step tracking
- Priority-ranked recommendations in context
More Powerful Features
Smart Documentation
Pre-built templates for encounter notes, progress summaries, and care plans. Auto-populate from patient data.
Revenue Analytics
Comprehensive dashboards showing billing trends, reimbursement rates, and revenue projections.
Observation Tracking
Capture vitals, symptoms, and patient-reported outcomes from any source - manual entry, device sync, or patient self-report.
Multi-Language Support
Reach diverse patient populations with full internationalization. Available in English, Spanish, German, and more.
Medication Management
Track prescriptions, adherence patterns, and drug interactions with integrated NDC database.
CSV Export & Reports
Export billing summaries, patient lists, and audit logs in standard formats for compliance and review.
Prior Authorization Hub
Streamline prior auth workflows with X12 EDI transactions, Availity/Change Healthcare integration, and real-time status tracking.
Patient Portal
Give patients secure access to view health summaries, complete assessments, track medications, and message their care team.
Clinical Decision Support
Evidence-based recommendations from 8 clinical categorization services with care pathway orchestration.
Security & Compliance
Enterprise-grade security built from the ground up for healthcare
HIPAA Compliant
Enterprise-grade security with end-to-end encryption, role-based access control, and comprehensive audit logging.
Audit Trail
Complete record of all system activity including who accessed what data and when.
Multi-Factor Auth
TOTP-based MFA, backup codes, and social login options for enhanced security without friction.
Role-Based Access
Granular permissions for clinicians, nurses, billing staff, and administrators.
Seamless Integrations
Connect VitalEdge with EHRs, RPM devices, and clearinghouses through our FHIR R4 API and pre-built integrations.
✓ FHIR R4 API live with full read/write operations for Patient, Observation, Condition, and Medication resources
EHR integration ready via FHIR R4 - customer configuration required for Epic/Cerner
Ready to Transform Your Care Programs?
Join healthcare organizations that have increased billing capture by 40% and reduced clinical workload with VitalEdge.