RightFax and Essette/Gainwell Care Management Fax Integration

RightFax provides inbound and outbound electronic faxing with Essette Care Management (formerly HMS, now Gainwell).

Essette is a family of web-based online healthcare service software that can be customized and configured to meet the needs of medical management. Each of these applications can be integrated with core systems such as EZ-CAP, TriZetto, GE / IDX, MHC and others. They can also be installed as "stand alone" applications. All of these applications are simple to use and inexpensive compared to others in the industry.

Private Fax Cloud®, our fully managed RightFax platform, minimizes the implementation time and long-term mainenance of a RightFax–Essette integration.

Gainwell/Essette Integration With RightFax

RightFax maintains over four times the market share of its nearest competitors. And when integrated with Essette, it helps healthcare organizations stay ahead of HIPAA requirements while significantly reducing operational costs.

RightFax automates fax processes, cutting out manual steps to minimize errors, speed up communications, and reduce compliance risks. Encrypted delivery options ensure every document remains protected at rest, with comprehensive access logging and granular permissions.

Essette Care Management Features

• Incorporation of NCQA Complex Care Management Guidelines & CMSA Standards of Best Practice
• Disease-specific assessments integrating MCG Health
• Unlimited Care Plans (configurable) including Goals, Interventions, Barriers, and Outcomes
• Patient information: demographics, authorizations, claims, diagnosis history, medication history, hospital visits, ER visits; all comes from core system
• Case notes, call logs, and referrals from multiple sources
• A web-based platform (ideal for remote workers)

Inpatient Review - helps you quickly approve, deny or adjust bed days and alert claims payment department of denials and adjustments. Discharge plans can be integrated with authorizations that directly feed your core system. Inpatient review lets you report quality issues and route cases to Medical Directors or other departments when needed.

Authorizations - provide automatic approval of rules that you establish which might not be available in your core system. Feed authorizations into your core system and link into your existing provider portal. Generate correspondence including approvals, denials, ICE letters, CMS approved letters, etc.

Correspondence Automation - provides ability to create and maintain letters based on industry standards (CMS, ICE, etc.) and establishes core system trigger needs for business. Security levels can be made for creating, reviewing and printing letters, and departmental routing for review/approval can be set up. Letters can be stored as pdf’s for future retrieval and be linked to other documents for easy access.

Appeals and Grievances - create work flow based on expedited/standard business rules and tasks with due dates to ensure compliance. Scan and store correspondence and medical records and generate correspondence to members and providers.

Contact us online or at 1-877 MY FAXING (693-2946) today to schedule a live demo and see how RightFax integration can maximize HIPAA fax compliance, automate outbound / inbound Essette faxing, and minimize overall operational costs.