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Information Systems, Data Management, Financial, Claims/Denial Management

Definition : Data management information systems designed to facilitate the submission of claims and/or possible denials accurately and efficiently. These systems typically consist of a combination of hardware and software. The hardware typically includes dedicated network servers and computers; the software consists of a dedicated software package that facilitates the submission of claims and possible claim denials. Some systems also include software intended to process supplemental provider claims (i.e., secondary claims) and/or to prevent, analyze, and track denied claims as well as assist in the resubmission of corrected claims (i.e., denial claims). Claim/denial financial management systems support all phases of the submission process including claims processing, remittance posting, eligibility verification, and statement processing. The systems may function as stand-alone systems or may be integrated in a hospital-wide financial data management information system network.

Entry Terms : "Denial Data Management Systems" , "Claims Data Management Systems" , "Data Management Systems, Denial" , "Data Management Systems, Claims" , "Revenue Cycle Management" , "RCM"

UMDC code : 24119

   

1-30 of 39 Match(es).

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3M Health Information Systems

Best known for our market-leading coding system and ICD-10 expertise, 3M Health Information Systems delivers innovative software and consulting services designed to raise the bar for clinical documentation improvement, computer-assisted coding, mobile physician applications and quality outcomes reporting. Our robust healthcare data dictionary and terminology services also support the expansion and accuracy of your electronic health record (EHR) system.

Acrendo Medical Software

We offer comprehensive solutions to small and medium size practices for managing; electronic records, billing, document imaging, electronic claims, paperless scheduling, and voice dictation. We do it with the highest standards of excellence, integrity, and customer satisfaction.

Alpha II

The Alpha II technology solutions support coding, compliance, claims editing and revenue analysis for more than 60,000 healthcare professionals at medical practices, hospitals and health systems, clinics, billing services, outpatient facilities and other healthcare organizations, both commercial and governmental. More than 30 developer partners trust Alpha II solutions to enhance their practice management, electronic medical record (EMR) and other healthcare information systems. Alpha II is a cobranded solution suite developed jointly by Tallahassee, Fla.-based, MEGAS Corporation and Montgomery, Ala.-based Unicor Medical.

AnyDoc Software Deutschland GmbH

AnyDoc Software Deutschland GmbH

AnyDoc Software GmbH (Switzerland)

AnyDoc Software GmbH (Switzerland)

AnyDoc Software Inc

AnyDoc Software leverages 20 years of experience to provide award-winning automated document, data capture, and classification solutions. Our flagship software, OCR for AnyDoc, enables companies around the world to dramatically reduce the costs and inefficiencies of manual data entry—as well as other manual processes—by 50% or more.

AnyDoc Software Ltd

AnyDoc Software Ltd

Availity LLC

Availity is a trusted intermediary for information exchange between health plans and providers, easing the complexity of moving business and clinical information to health care stakeholders nationwide. Real-time, point-to-point connectivity provides speed and accuracy at the intersection of health care and technology.

CareCloud

CareCloud is a leading provider of cloud-based practice management, electronic health record- EHR, and medical billing software and services for medical groups. The company’s products are connecting providers to one another – and to their patients – through a fully integrated digital healthcare ecosystem that can be accessed on any browser or device.

ChartLogic, Inc.

ChartLogic has been developing and delivering healthcare technology solutions since 1994. The company offers a full ambulatory suite for physician practices, including electronic health record, practice management, revenue cycle management, e-prescribing, patient portal and more.

Chronic Care Management (CCM) Center

Welcome to the Chronic Care Management Center. Our editors develop, select and present you with the most valuable white papers, cases studies and executive briefs to help you stay informed about the ways that your your practice can leverage chronic care management (CCM) and other new billing options that aim to compensate practices for value beyond directly provided physician services so that you can make smarter decisions for your organization.

Chronic Care Management Center

Welcome to the Chronic Care Management Center. Our editors develop, select and present you with the most valuable white papers, cases studies and executive briefs to help you stay informed about the ways that your your practice can leverage chronic care management (CCM) and other new billing options that aim to compensate practices for value beyond directly provided physician services so that you can make smarter decisions for your organization.

Cirius Group Inc

Cirius Group, Inc. is a team of software developers specializing in the creation and delivery of high-performance revenue cycle management and reimbursement software for the health care field.

Concuity

The Advisory Board Company is a global research, consulting, and technology firm partnering with 125,000 leaders in 3,200 organizations across health care and higher education.

ElationHealth

ElationHealth is a Meaningful Use certified online EHR, used every day by small group private practice physicians to deliver patient-centered medicine.

EMR IQ Center

EMR IQ Center presents you with an ever changing and complex landscape of vendors, features, opportunities and challenges. Our editors hand select and present you with the most valuable white papers, cases studies and executive briefs to help you stay informed with meaningful content and make smarter decisions for your organization.

Front Office Innovation Center

The Front Office Innovation MRL program from MedData Group will provide informative, action-oriented expert content about best practices for deploying front office technology to healthcare providers, which combined with our market readiness questions and data verification, will ensure quality leads for each of our participating sponsors. Our editors develop, select and present you with the most valuable white papers, cases studies and executive briefs to help you stay informed.

GatewayEDU

Gateway EDI is one of the fastest-growing Electronic Data Interchange (EDI) clearinghouses in the country. Much has changed in claims processing and office operations. But we’re committed as ever to giving our clients the latest tools and technology they need to tackle the revenue challenges they face today — and will face tomorrow.

HLTH Corp

WebMD is the leading provider of health information services, serving consumers, physicians, other healthcare professionals, employers and health plans. The online healthcare information, decision-support applications and communications services

Ingenious Med

Ingenious Med develops useful, useable solutions to increase the quality of care, protect and bolster revenue, and most importantly of all, put physicians’ time where it is needed most: with their patients. One by Ingenious Med is the leading patient encounter platform, a cloud based, Web and mobile point-of-care application that automates the workflow of care teams in the areas of care coordination, charge capture, and advanced analytics. Where we began.

Jive Software

Jive is the leading provider of modern communication and collaboration solutions for business. Our products apply powerful technology that helps employees, partners and customers work better together.

Joint Commission Resources

Joint Commission Resources (JCR) is your total quality and safety resource. Look to us as a single touchpoint for tested solutions, staff education programs, survey readiness tools, and peer networking. From accreditation preparation to advocating infection prevention strategies to redesigning your physical facilities for optimal patient safety, JCR is here with practical, effective solutions for success.

Kreg Information Systems

Kreg Information Systems is a proven leader in healthcare decision support systems. These systems provide today's healthcare professionals with solutions to a variety of strategic and operational problems brought about by the nature of healthcare today. Kreg's enterprise-wide systems produce accurate, timely, and cost effective results, year in and year out, for hundreds of healthcare organizations across the country.

MDeverywhere

MDeverywhere offers a leading revenue cycle management (RCM) and electronic medical record (EMR) solution including credentialing services for physicians. Our unique RCM solution includes purpose-built, cloud-based practice management software, coding rules engines, contract monitoring tools and full-scope claims management and back-office services.

MedAssets

MedAssets comprehensive financial performance solutions include industry-leading solutions for healthcare supply chain management and healthcare revenue cycle management.

Medical Mastermind

Medical Mastermind, Inc. has been providing healthcare professionals with superior medical office management and billing systems since 1994. Based in Maryland, Medical Mastermind is relied upon every day to run the practices and serve the patients of thousands of physicians across the country.

MGIS

The MGIS Companies, Inc. is a leading national insurance program manager with deep experience and expertise in building, managing and servicing specialized programs for medical professionals. We partner exclusively with A+ rated insurance carriers whose financial strength can provide maximum safety and stability for our clients.

Nebo Systems Inc

Nebo Systems began offering data management software and services to healthcare facilities in Illinois and surrounding states. eCare, Nebo's innovative suite of Electronic Data Interchange (EDI) solutions, continues to enable healthcare professionals automate and integrate workflow processes generating tangible operational efficiencies and driving down administrative costs.

Payerpath

Payerpath is one of the leading revenue cycle management and clearinghouse services in the United States with over 300million claims processed annually and 600 million revenue cycle management transactions overall. As part of an organization with more than150,000 physicians, Payerpath provides the credibility, experience and results demanded by both payers and providers

Plexis Healthcare Systems Inc

Plexis provides rules-based claims adjudication software packages that improve productivity and provide unparalleled data control, allowing healthcare IT executives to manage change and make smarter‚ faster decisions. As a Microsoft Certified Partner‚ Plexis builds familiar Microsoft Windows-based healthcare information systems, leveraging flexible service-oriented architecture (SOA) to take advantage of the latest processing technologies.

1-30 of 39 Match(es).

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