Centralized Platform to Accelerate Your Healthcare BI / Analytics Strategy

Transforming business models and evolving quality and regulatory requirements (MACRA, HEDIS, CMS STAR, ACO,HCC, PCMH, etc.) have driven the need for organizations to enhance their BI / analytics strategy. However, organizations often use disparate solutions to meet BI / analytics and reporting needs. With massive volumes of diverse healthcare data being generated each day, these disparate solutions often lead to significant long-term challenges around data management, clinical quality and performance management. Healthcare organizations need an integrated, sustainable and scalable approach towards BI / analytics and reporting, to effectively meet current and future needs.

BI-Clinical, CitiusTech’s healthcare BI and analytics platform, offers an integrated approach to address the healthcare organization’s most critical healthcare reporting and decision support needs. It offers an extensive range of configurable apps that cover over 900 KPIs for clinical, financial, operational and regulatory requirements – the largest measure library in the industry. BI-Clinical’s high-performance rules engine enables organizations to configure and deploy custom quality measures based on their business requirements and is scalable to process up to 100 million patient records per day.


BI-Clinical: Advantage

  • Largest regulatory coverage HEDIS®, STAR, ACO, HCC, VBP, MIPS, PCMH etc.
  • Centralized analytics for clinical, financial and operational metrics
  • Certified data submission vendor for payer and provider measures
  • Real-time alerts for point-of-care decision support
  • BIC-RMM to create, edit, and manage complex healthcare rules without any scripting / dependency on IT
  • BIC-Audit for comprehensive, real-time audit and traceability of clinical measures, cohorts and rules


BI-Clinical is the most widely used 3rd party healthcare BI and analytics platform across the U.S., with a coverage of 4,800+ deployments, 550,000+ providers, 30M+ lives and 140M+ patient visits.

*As per regulation § 170.523(k)(1)(iii) of the ONC 2014 Edition Final Rule, the Cost and Limitations and Product Information Statement for BI-Clinical can be found here: BI-Clinical 13.1 (CHP-023054), BI-Clinical 13.1 (CHP-023055), BI-Clinical 15.7 NZ (CHP-028421), BI-Clinical 15.7 NZ (CHP-029157). As per regulation § 170.523(k)(1)(iii) of the ONC 2015 Edition Final Rule, the Cost and Limitations and Product Information Statement for BI-Clinical can be found here: BI-Clinical 16.09 ( 16.09 NZ (, BI-Clinical 17.05. BI-Clinical NZ 17.07, BI-Clinical 18.4

*HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA)

Success Story

BI-Clinical Helps Centra Health Overcome Critical Data Management Challenges


Consumers Like It Fast: BI-Clinical Delivers on Performance

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Configurable Engine, Scalable Architecture, Regulatory Reporting, Mobile Analytics, CitiusTech

Rules Engine

ONC and NCQA certified Rules Engine to compute complex quality measures
  • Highly customizable engine that caters to a wide range of clinical, financial and operational analytics needs
  • Supports near real-time reporting, daily compliance runs, multiple reporting periods, reduced turnaround time and accelerated gap closure
  • Platform scalability for large organizations (run up to 100M members)
  • QCDR Certified Submission Vendor for 2018 performance period of MIPS
  • Used at 4,800+ provider locations across the US

BIC-RMM (Rules Management)

BIC-RMM -  the first solution in the healthcare industry to enable business users create, edit, and manage complex healthcare rules without any scripting / dependency on IT.
  • Largest KPI library with 900+ clinical, financial, operational and data quality rules
  • 40% faster go-live due to time saved in measure deployment and testing
  • 60% improvement in process efficiency for quality measure management
  • Complete auditability with all change history and timestamps for measures and associated users
  • Reusable rules with ready templates and easy copy / edit functionality for fast changes

Learn more about BIC-RMM >

BIC-Audit (Real-time Audit and Traceability)

BIC-Audit -  a comprehensive audit solution to address healthcare organizations’ critical audit needs.
  • Complete support for CMS / NCQA program audits (including links to federal register to review a specific audit regulation)
  • Real-time measure traceability & compliance reports for specific data sets
  • Real-time audit of patients
  • Pre-built comprehensive library of reports with traceability by provider, measure and even regulation
  • Support for certificates and reports required during audits
  • Documentation management for attestations done over a period of time
  • 10-year guarantee – support for all clinical quality measures developed in BI-Clinical!

Learn more about BIC-Audit >

Closing Gaps

A unique workflow-based approach to close gaps-in-care by enabling care teams to track and close clinical and coding gaps at the point of care, schedule patient visit for follow-up actions

  • Proactive year-round strategy using data analytics to address gaps
  • Accelerated gap closure - provider need to spend less than 30 secs to address (view and take action) gaps
  • Ability to use standard as well as custom/contractual rules
  • Ability to provide all stakeholders with a timely and actionable worklist
  • Ability to suggest appropriate codes for coders to select from
  • Customizable workflow between stakeholders

Clinical Decision Support

Allows organizations to leverage real-time information, avoid errors and adverse events and enhance clinical decisions
  • Lower cost and factual accuracy – one system for all rules including CQMs and CDS
  • Author and manage your own intellectual property to maintain business advantage over competition
  • Increased data accuracy and prevention of adverse events resulting in proactive care delivery
  • One data model to meet all regulatory and CDS requirements with a single rules engine for easy implementation of rules
  • Easy integration with existing processes and workflows

Analytics and Reporting

Suite of analytics tools, dashboards and rich visualizations to accelerate decision making and gap closure
  • Out-of-the-box starter reports (e.g. Quality, HCC, STAR, Provider 360, etc.) to make the solution usable from the first day
  • Additional flexibility to add custom reports or modify existing UI
  • Centralized configuration and role-based access for all reports and visualizations
  • Powerful, intuitive easy-to-use tools for report creation and customization

Data Quality

  • Data quality identification and scorecards
  • Data quality rule patterns and parameters
  • Quality check across all quality measures on various parameters - accuracy, completeness, consistency, etc.
  • Right analytics with the right kind of data

BI-Clinical: Healthcare BI / Analytics Platform

BI-Clinical is the most widely used healthcare BI and analytics platform, certified for both provider and payer measures. It offers an extensive range of configurable apps that cover over 750 KPIs - the largest measure library in the industry and leveraged at 4,800+ provider locations.