Managing Editor
@ShahidNShah
@ShahidNShah
Overpayments cost health plans and payers billions of dollars each year. To recover and prevent the overpayments, health plans must often manage audit programs without specifically designed tools or …
Published Jan 1, 2022 Payer Claims & Administration Platforms Claims Management
Last Updated Jul 6, 2022
Risk adjustment scores and quality measures are critical factors in optimizing revenue for health plans and providers. SCIO® harnesses the data that drives CMS risk-adjusted methodologies and provides …
Published Jan 1, 2022 Risk Management Quality Management
Last Updated Jul 6, 2022
Actionable Analytics for better patient care. The push towards value-based delivery models has resulted in an increasing interest in population health management. The proliferation of digitized data …
Published Jan 1, 2022 #healthanalytics Patient Care Population Health Management (PHM)
Last Updated Jul 6, 2022
The push towards value-based delivery models has resulted in an increasing interest in population health management. The proliferation of digitized data resulting from the adoption of electronic …
Published Jan 1, 2022 Population Health Management (PHM) Patient Care
Last Updated Jul 6, 2022
It is designed to reduce the burden of breast cancer on women and their families. Accelerated Partial Breast Irradiation (APBI) with brachytherapy offers significant advantages: lower …
Published Jan 1, 2022 General care management
Last Updated Jul 6, 2022
SAFHIR leverages NewWaves work on the CMS Blue Button 2.0 API to provide payers and patients a standards-based care delivery. SAFHIR is uniquely positioned to bridge interoperability gaps across the …
Published Jan 1, 2022 Payer Claims & Administration Platforms
Last Updated Jul 6, 2022
The SafeDose® application suite of next generation reference tools standardizes and simplifies the complex process of drug administration. The web-based and mobile-enabled clinical support application …
Published Jan 1, 2022 Medication Management
Last Updated Jul 6, 2022
Keeping physician roster data updated can be a constant struggle for both physician practices and health plans. RosterSource is designed to make updates easy for everyone - at no cost to physician …
Published Jan 1, 2022 Software as a Service (SaaS)
Last Updated Jul 6, 2022
Rosch Immunotherapy has the ability to interface with any Practice Management (PM) System and/or Electronic Health Record (EHR) that supports HL7 interfacing.
In order to transfer …
Published Jan 1, 2022 Patient Identification Practice Management EHR / Clinical Workflow
Last Updated Jul 6, 2022
Streamline the risk adjustment process. Use the insights generated by your health plan to identify and schedule high-risk patients. During the visit, instantly review and accept or reject HCC codes at …
Published Jan 1, 2022 Risk Management
Last Updated Jul 6, 2022
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