March, 2013

Disease & Discharge Management – Hospital Readmission & Medicare Penalty

Disease & Discharge Management – Hospital Readmission & Medicare Penalty Owing to ObamaCare (Affordable Care Act – ACA), it is now pertinent for Hospitals to not only ensure better care but also go out of the way to ensure that the patient do not come back to the Hospital for same treatment within 30 days [...]

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Qualified Health Plans (QHP) for Health Exchanges

Qualified Health Plans (QHP) for Health Exchanges A “qualified health plan” is a health plan that Agrees to charge the same premium whether the plan is sold through the Exchange or outside the Exchange Agrees to offer at least one silver plan and one gold plan Complies with other requirements of the Secretary and the [...]

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Health Benefit Exchange (HBE) – Call Center Functionality & Services

Health Benefit Exchange (HBE) – Call Center Functionality & Services For Health Exchanges, Call Center will be the heart of delivering better service. The primary goals of the HBE Call Center will be to assist individuals and small employers in obtaining health insurance coverage and be able to respond to the following: The types of Qualified [...]

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Core Functions of State Health Exchange

Core Functions of State Health Exchange Deciphering Affordable Care Act (ACA) or ObamaCare, the core function of State Health Exchanges or Federal run Health Benefit Exchanges will include but not limited to: Adjudication of appeals of eligibility determinations Administration of premium tax credits and cost-sharing reductions Applications and notices Call center operations Certification, recertification, and [...]

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Health Exchanges – Enrollment & Eligibility

Health Exchanges – Enrollment & Eligibility Our 2-in1 Software and Services combo is ready for Health Exchanges as well as Qualified Health Plans (QHPs). We can help our clients to be ready for Oct 1 dead-line via following services: Enrollment Eligibility Credentialing Premium Billing Claims Call Center Support  – Member & Provider Services + Language [...]

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