Outpatient Revenue Infrastructure

Compliant ordering.
Protected revenue.
Operational clarity.

One platform connecting providers, distributors, manufacturers, and sales teams around a single workflow. From intake through fulfillment: fewer denials, faster reimbursement.

HIPAA Compliant BAA Available HL7 FHIR R4 SMART on FHIR
Live
CareCheck Dashboard 94% clean claims
91%
Audit
Defensibility
2,847
Orders / mo
312
Errors caught / mo
$1.2M
Revenue captured
Denial Risks Caught
Incomplete Documentation4.8%
Care Treatment Gaps3.1%
Coding Misalignment2.1%
86%
Of claim denials are potentially avoidable with front-end validation
$25.7B
Spent annually by U.S. providers fighting denied claims
60%
Of denied claims are never resubmitted. Revenue permanently written off.
30%
Denial reduction possible through accurate intake and documentation alone
The Problem

Specialty care revenue does not break at one point.
It unravels across the entire chain.

A documentation gap at the order becomes a denial at billing, a return at distribution, and a patient off therapy. Every stakeholder manages their piece. Nobody owns the whole. And that cost compounds with every patient you add.

Provider

Damage is locked in at the order, 60 to 90 days before the denial confirms it. That correction window is already closed.

revenue at risk
Distributor

Products are dispensed against authorizations that look valid. When they are not, the loss lands here, not upstream.

risk transfers again
Manufacturer

Access failures stay invisible until they appear in adherence data, months after the patient was already lost.

01

The damage is done before you know there is a problem

Missing clinical criteria, a lapsed authorization, a payer rule change you were not notified of. All of it is decided at the point of order. The denial that arrives months later is the confirmation. That correction window is already closed.

02

Every patient you add increases your exposure, not just your volume

Prior auth complexity, audit risk, and documentation requirements all grow with census. Growth without the right infrastructure does not improve margins. It erodes them quietly, and at scale.

How It Works

One workflow. Every stakeholder. Zero gaps.

One auditable workflow from intake through reimbursement. Every step tracked, validated, and defensible.

1

Guided Intake

Structured templates enforce completeness before problems can form.

2

Pre-Submission Validation

Orders are checked against payer rules before they leave your team.

3

Real-Time Visibility

One shared live view of every order, exception, and next action.

4

Order & IVR Tracking

End-to-end tracking with clear status at every stage.

5

Audit-Ready Records

Every decision captured. Full documentation reconstructable on demand.

The Platform

Three portals. One source of truth.

Every role gets a purpose-built view, all powered by the same live data.

Provider & Office Portal

Guided ordering for clinical teams. Every order validated before it leaves the office.

Guided intake Payer validation Compliance scoring IVR tracking Smart notifications
📊

Admin & Operations Portal

Centralized control across your network. Full lifecycle visibility and exception management.

Order oversight Exception routing User management Network reporting
📈

Sales & Revenue Operations

Territory management and commissions tied to compliant outcomes. Full rep and leadership visibility.

Territory management Commission tracking Rep dashboards Performance reporting
Who We Serve

The Platform Your Entire Team Works On

Providers, operators, and sales teams, each with the right tools on the same workflow.

Healthcare Providers
01

Healthcare Providers

Hospitals, Clinics & Physician Groups
  • Compliance validation before every submission
  • Real-time order and IVR visibility
  • Audit-ready documentation, automatically
Distributors and Sales Teams
02

Distributors & Sales Teams

Order Management & Revenue Operations
  • Territory and account management
  • Commission tracking tied to compliant orders
  • Rep and manager dashboards in real time
Pharma and Device Manufacturers
03

Pharma & Device Manufacturers

Market Access & Channel Compliance
  • Network-wide order and compliance visibility
  • White-label deployment under your brand
  • Executive reporting across your provider network

See CarePath in action. Schedule a 30-minute walkthrough built around your workflow.

Request a Free Demo →
Specialty Verticals

Six Specialty Verticals. One Compliance Engine.

Policy packs extend coverage to each specialty automatically. No custom development, no rework.

Advanced Wound Care

Advanced Wound Care

Layered payer requirements and evolving CMS documentation standards.

Oncology

Oncology

High-value therapies with deep authorization requirements and significant denial exposure.

Theranostics

Theranostics

Rapidly evolving coverage policy for emerging molecular therapies.

Infusion Therapy

Infusion Therapy

Outpatient and home infusion with frequent documentation gaps and denial cycles.

Specialty Biologics

Specialty Biologics

Step therapy and prior treatment documentation requirements for biologic therapies.

DME

DME

Centralized compliance for distributor networks with complex documentation requirements.

Why MSC CarePath

Designed for Specialty Outpatient Revenue.

The workflows, payer rules, and audit complexity that general platforms were never designed to handle.

🎯
Denial prevention at the point of ordering
Issues surface before orders are submitted, when they're still solvable.
👥
Providers, ops, and sales on one shared workflow
No disconnected handoffs. Everyone works from the same live data, with full visibility into every order.
🛡
Audit-ready documentation, automatically
Every order builds its own defense. If a payer reviews 18 months later, the record is already there.
Scale without rebuilding
Adding a new vertical or payer is a policy configuration, not a development project.
Security & Compliance

Built for regulated environments.

Every layer of our platform, from data storage and transmission to documentation and audit preparation, is architected for compliance.

🔒
HIPAA
End-to-end data compliance
📋
BAA Ready
Enterprise BAA available
🔗
HL7 FHIR R4
Standards-based data exchange
🔌
SMART on FHIR
EHR interoperability ready
Interoperability

Connects to the EHRs You Already Use

Built on HL7 FHIR R4 and SMART on FHIR.

Epic Epic Systems
Cerner Oracle Cerner
athenahealth athenahealth
eClinicalWorks eClinicalWorks
Veradigm Veradigm / Allscripts
NextGen Healthcare NextGen Healthcare
MEDITECH MEDITECH
+ More Systems
Epic Epic Systems
Cerner Oracle Cerner
athenahealth athenahealth
eClinicalWorks eClinicalWorks
Veradigm Veradigm / Allscripts
NextGen Healthcare NextGen Healthcare
MEDITECH MEDITECH
+ More Systems
See It In Action

Stop losing revenue to problems you can prevent.

Built for specialty outpatient organizations that treat revenue integrity as non-negotiable.

Live in days No rip-and-replace HIPAA Compliant White-label available