Overview

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athenahealth provides cloud-based electronic health record and practice management solutions serving over 160,000 providers across ambulatory care settings. Known for its network-enabled platform and revenue cycle management expertise, athenahealth helps practices optimize both clinical workflows and financial performance. Stream Health's athenahealth integration combines clinical data consolidation with revenue cycle intelligence for maximum practice profitability.

As a cloud-native EHR, athenahealth is designed for integration and interoperability. Stream Health leverages athenahealth's robust API infrastructure and athenaNet network to retrieve patient data, consolidate external records, identify revenue opportunities, and deliver actionable insights—all while maintaining the seamless workflows that athenahealth users expect.

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Key features:

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• Cloud-Native Integration: Fast, reliable API connectivity leveraging athenahealth's cloud infrastructure. No on-premise servers, no VPN configurations, no complex firewall rules—just secure cloud-to-cloud data exchange that's operational in days, not months.

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• Revenue Cycle Optimization: Gap-in-care identification drives incremental billing opportunities aligned with athenahealth's revenue cycle workflows. Stream Health identifies missed annual wellness visits, chronic care management eligibility, preventive services, and high-value CPT codes—complete with patient lists and billing guidance.

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• Practice Management Sync: Patient demographics, insurance information, and scheduling data automatically updated between athenahealth and Stream Health. Care gap outreach campaigns integrate with athenahealth's patient engagement tools for seamless communication.

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• athenaNet Network Leverage: Stream Health taps into athenahealth's network of connected providers, retrieving external clinical documents (CCDs) shared through athenahealth's care coordination platform. This provides broader patient record consolidation than standalone athenahealth data alone.

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How it works

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Stream Health connects to athenahealth's cloud platform via their FHIR and proprietary APIs, using secure OAuth 2.0 authentication. Our integration retrieves patient demographics, clinical encounters, diagnoses, procedures, lab results, medications, allergies, immunizations, and clinical notes from athenahealth's database.

We consolidate this athenahealth data with external patient records from other providers, health information exchanges, hospital admissions, specialist consultations, and previous care episodes from non-athenahealth systems. This creates a comprehensive longitudinal patient record that reveals the complete picture of each patient's healthcare journey.

Our AI + NP review process analyzes consolidated records against evidence-based care guidelines (HEDIS, MIPS, USPSTF recommendations), identifying missed preventive services, chronic disease management gaps, and billable opportunities. Revenue cycle teams receive detailed reports showing specific CPT codes, patient eligibility, and payer-specific billing guidance integrated with athenahealth's revenue cycle workflows.

Care gap findings and consolidated patient summaries are delivered back to athenahealth via API write-back, appearing in the patient chart, health maintenance section, and clinical decision support alerts. Care coordinators can launch patient outreach campaigns directly from athenahealth using Stream Health's prioritized patient lists.

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Benefits of integrating athenahealth with Stream Health

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• $5M+ New Revenue: Systematic care gap closure generates $5M+ in new annual revenue for a 5,000-patient practice. Our platform identifies billable opportunities including annual wellness visits ($174 per visit), chronic care management ($42-$140 per patient per month), remote patient monitoring ($50-$100 per patient per month), and preventive services that commercial payers and Medicare reimburse.

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• Zero IT Burden: Cloud-to-cloud setup requires no on-premise infrastructure, no IT staff time for server configuration, and no disruption to existing athenahealth workflows. Stream Health's implementation team handles API credentials, sandbox testing, and production deployment in 2-3 weeks with minimal practice involvement.

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• Enhanced Quality Scores: Improved HEDIS, MIPS, and ACO quality measure performance through proactive care gap management. Stream Health identifies specific quality measures where your practice is underperforming, provides patient-specific recommendations, and tracks closure rates—directly impacting value-based care bonus payments and MIPS positive payment adjustments.

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• Complete Patient Context: Clinicians see consolidated patient histories from all care settings, not just athenahealth encounters. This reduces diagnostic errors, prevents medication conflicts, eliminates duplicate testing, and improves clinical decision-making at the point of care.

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• Automated Care Coordination: Patient outreach lists integrate with athenahealth's patient portal, automated messaging, and appointment scheduling. Care coordinators work from Stream Health's prioritized lists, contacting patients with specific care gaps and scheduling appropriate follow-up appointments—all tracked within athenahealth workflows.

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• Network Effect Benefits: Practices using athenahealth gain additional value from Stream Health's consolidation of athenaNet care documents and external HIE records. This creates a more complete patient record than what athenahealth can provide alone, maximizing the value of your athenahealth investment.