Patient Care Management by Kizen - Solutions for Healthcare
Better care, less admin
Unify patient data for real-time gap closure, coordinated outreach, and smoother workflows.
Fewer than half of eligible Medicare and Medicaid members complete an annual wellness or preventive visit each year, even though it’s fully covered.
commonwealthfund.org
On average, 30–40% of chronic conditions are not re-coded annually, meaning those diagnoses “drop off” and lower risk scores even though the conditions persist.
Optum 2023 HCC Coding Report; CMS HCC V28 Technical Notes.
About 23.5% of patients discharged to a skilled nursing facility (SNF) are readmitted within 30 days.
AHRQ HCUP Statistical Brief #304 (2023)
The Challenge
Coding errors and fragmented documentation mean bonus dollars are left on the table.
Empanelment gaps and manual scheduling slow patient engagement and reduce incentive capture.
Patient satisfaction feedback is fragmented with low response rates.
Proactive Care v. Reactive Care
Current State
- Risk Stratification
- Outreach
- Mapping
- Follow-up
- Bonus Reconciliation
Complications often go unrecognized.
Referral management is manual.
Codes frequently missed.
Follow-up is fragmented.
Difficulty in reconciling bonus payments.
With Kizen
- Risk Stratification
- Outreach
- Mapping
- Follow-up
- Bonus Reconciliation
Kizen Agent reviews medical history; flags high-risk patients.
No-shows reduced via automated alerts.
Kizen AI Agent captures and submits all codes correctly; maximizing bonus potential.
Kizen AI Agent consolidates and validates patient feedback against VBA rules to maximize bonus potential.
AI ensures complete reporting that drives bonus potential.
Streamline Path to Care
Personalize Care
AI-driven insights to guide proactive outreach.
Coordinated Action
Automated workflows to close care gaps faster.
Measure Results
Real-time tracking to maximize bonus payouts.
Improve Quality of Care and Patient Outcomes
Kizen’s Approach
Your AI healthcare buddy continuously monitors medical history + claims, flags high-risk patients early, and suggests the right interventions.
Maximize Care Coordination Efficiency
Kizen’s Approach
Acting as your care team’s advocate, AI coordinates outreach, reminders, and coding tasks so no referral or code gets lost.
Maximize Bonus with Automated Performance Tracking
Kizen’s Approach
Your healthcare buddy consolidates patient feedback, claims codes, and VBA rules into clear, audit-ready reports, keeping both providers and patients represented.
FAQs
Questions? We've got you covered.
What does Kizen do in the healthcare space?
Kizen provides AI-powered automation for healthcare organizations, helping improve care quality, reduce administrative burden, and maximize performance in value-based contracts. Our platform closes care gaps, reconciles bonuses, streamlines coding, and powers engagement across patients, providers, care teams, and payers.
How does Kizen integrate with my existing systems?
Kizen connects via APIs, HL7, and FHIR standards to integrate seamlessly with EHRs, claims systems, CRMs, and Health Information Exchanges (HIEs). This means workflows run on top of your current tech stack — no rip-and-replace required.
Which EHRs does Kizen work with?
Kizen is EHR-agnostic and integrates with all major platforms including:
- Epic
- Cerner
- Allscripts/Veradigm
- eClinicalWorks
- Athenahealth
- NextGen
Does Kizen support bidirectional data flow?
Yes. Kizen enables true bidirectional data flow:
- In: Pulls data from EHRs, claims, and HIEs.
- Out: Pushes updates back into each system of record.
This ensures:
- Clinical documentation and coding updates sync directly with the EHR.
- Quality gap closures show in real-time across dashboards.
- Outreach and scheduling status update both patient records and care team views.
- Claims corrections and payment reconciliations flow into your RCM system.
How does Kizen handle scheduling?
Kizen provides scheduling modals that can be embedded into EHRs, patient portals, or third-party apps. These allow:
- Patients to self-schedule or reschedule visits.
- Providers and care coordinators to book directly into clinic calendars.
- Health plans and MCCNs to push reminders into their member apps and portals.
Who sees the outputs from Kizen?
Kizen distributes validated data and alerts across multiple audiences, each in their preferred environment:
- Patients: In-app portals, SMS/email reminders, or phone outreach.
- Providers: Inside their EHR workflows (visit notes, coding prompts).
- Care coordinators: Dashboards showing open gaps, outreach status, task assignments.
- Facilities: Shared reporting on throughput, utilization, and documentation accuracy.
- Health plans: Secure reporting feeds into payer portals for quality performance and bonus reconciliation.
How does Kizen validate the data it pulls?
Kizen cross-checks data across EHRs, HIEs, and payer claims before updates are written back, ensuring accuracy and trust in every workflow.
How does Kizen impact value-based care contracts?
By automating scheduling, outreach, documentation, coding, and reconciliation, Kizen helps:
- Close care gaps faster
- Improve HEDIS/STAR measure performance
- Reduce readmissions and avoid penalties
- Capture every eligible incentive dollar
How quickly can Kizen be implemented?
Most clients see go-live in 6–12 weeks, depending on EHR configuration and integration scope.
Is Kizen HIPAA compliant?
Yes. Kizen complies with HIPAA, SOC2, and HITRUST standards, with strict data encryption and role-based access controls.