How to Automate Intellicure

A hyperbaric course is documented one dive at a time

A hyperbaric oxygen session is called a dive, and the word is not decorative. The patient goes into the chamber, pressure comes up on a set profile, they breathe oxygen with scheduled air breaks, and pressure comes back down. A technician sits with it and records what the chamber did and how the patient responded.

Intellicure is the wound care EHR that record lands in. It is built for advanced wound centres rather than general outpatient work, and the company sits alongside the US Wound Registry, which tells you what the software cares about: how a chart will read to an auditor. It runs as IntellicureEHR in its own right, or as an interoperable SMART app inside a hospital's Epic, Cerner or Meditech over HL7 FHIR.

The people in it are the physician, the nurse or medical assistant at the bedside, the hyperbaric technician, the clinic manager and the biller.

The authorisation decides when treatment can start

Very little about a course of hyperbaric treatment is actually decided inside the wound centre.

A payer decides whether the indication is covered and how many sessions it will authorise, on its own portal and its own timetable. Someone in the office signs in there, makes the request, then goes back every couple of days because the status still says pending. When the authorised block runs down, someone requests the next one, and if that request goes in late the patient's course develops a gap in the middle of it.

Around that sit the smaller errands. The oxygen supplier has an ordering page. The chamber has a service interval, and the record of it lives with the manufacturer. A technician's certification renews with the certifying body, not with the clinic. A referring physician's office wants an update, by fax.

All of that is administrative, and all of it decides whether treatment happens on time.

Intellicure

Blocks renewed before they run out Every patient whose authorised sessions end inside a fortnight, named with the number left, so a course does not break mid-way.

Denials ordered by the closing window Appeal deadlines read off each payer's portal and sorted by which one shuts first, not by which is largest.

Chamber downtime planned in advance Service intervals and technician certification dates surfaced months ahead of the day they would stop a dive.

Automatic coding turns the chart into a defensible claim

Inside the chart Intellicure does the hard part properly, which is why a wound centre puts up with a specialist system at all.

Hyperbaric Charting is built for the dive itself. The technician documents the chamber settings, oxygen levels, air breaks and compression and decompression rates, along with the patient's reaction to them, by selection rather than free text, so what comes out is consistent instead of a paragraph typed at the end of a shift.

As the physician charts, Automatic Documentation writes the note in the form payers and auditors expect, and Automatic E/M Levels and Automatic ICD-10 Coding produce the level of service and the codes from it, with a table the physician can open to see which components drove the level. The Quality Scorecard and Benchmarking measure the centre against its peers, OrderTrak handles DME ordering, and the Photo App puts a wound photograph into the chart.

Each of those works on documentation that already exists. The authorisation number, the denial letter, the claim that has sat at the payer for three weeks, the oxygen order and the service date are on other organisations' websites, and none of them will tell the chart when something changes.

The next block of dives can be cleared in advance

The paperwork ahead of a block of dives can be finished before the first one is booked.

Every patient whose authorised sessions run out inside a fortnight, named with the number left, so the renewal goes in while the course can still run unbroken. Requests read off each payer's portal daily, so a pending that has gone quiet gets chased on day four rather than day twenty.

Denials collected from every payer with their appeal windows attached, ordered by which window shuts first. The oxygen supplier's page checked against the dive schedule for the fortnight. The chamber's next service date read from the manufacturer's portal and set against the sessions it would cost. Technician certifications listed with their expiry dates, months ahead of the one that would idle a chamber. A missed session pulled out the same morning, with a note for the referring office already drafted.

In a room with a pressure vessel in it, there is no soft version of this boundary, and it is worth stating plainly. Gathering, comparing and flagging run unattended, and nothing clinical is decided. Anything that changes a chart, files a claim, or reaches a patient or a referrer is prepared for a qualified person to read and send.

Nothing about reading a portal needs a clinical licence

The job is a payer's site, a list of names, and an hour of matching one to the other. The sitting down is the expensive part, not the decision at the end of it.

WebRun is an agent that runs a real Chrome browser inside a private environment of your own, signed in as your staff already are. It opens the payer portal, the supplier page or the manufacturer's service site, reads the status, and turns it into a worklist ordered by which date falls first. A workflow can be restricted to an explicit list of domains, and you can watch a run and stop it partway.

Nothing is written into a chart and nothing is filed with a payer without a qualified person approving it. Each workflow below names what it opens.