HealthCare

Revenue Cycle Management (RCM)

Revenue Cycle Management (RCM)   Revenue cycle management (RCM) is the financial process, utilizing medical billing software that healthcare facilities & providers use to track patient care episodes from registration and appointment scheduling to the final payment. Healthcare revenue cycle management is the financial process that facilities use to manage the administrative and clinical functions [...]

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Posted in BPO, Claims, Claims Administration, HealthCare, Healthcare Analytics & Business Intelligence, Revenue Cycle Management Services | Comments Off

Services for Govt. Sponsored Health Plans (GSHP) & Self-funded Health Plans (SFHP)

Services for Govt. Sponsored Health Plans (GSHP) & Self-funded Health Plans (SFHP)   A. PAS – Platform & Administrative Services Enrollment Services Eligibility Services Credentialing Services Premium Billing & Collection Services Claims Administration Services – Facility & Professional Medical Vision Dental Workers Comp Grievance & Appeals Encounter Data Submissions B. CMS – Care & Medical Management [...]

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Posted in BPO, Call Center Services, Claims, Claims Administration, HealthCare, Self Funded Plans, Third Party Administrator, Third Party Administrators (TPAs) in America | Comments Off

Health Plans, Self-funded Plans, RBMs, IPAs, MSOs and TPAs in America

Health Plans, Self-funded Plans, IPAs, MSOs and TPAs  in America  1199 NATIONAL BENEFIT FUND 3P ADMIN 8TH DISTRICT ELECTRIC A & I BENEFIT PLAN ADMINISTRATORS A.G.I.A INC. AAA CHICAGO AAG-AMERICAN ADMINISTRAVIE GROUP AARP – UHC OVATIONS INSURANCE SOLUTIONS ABC HEALTH PLAN ABRAZA ADVANTAGE HEALTH PLAN ACCESS MEDICARE ACCLAIM ACCLAIM REPRICING ACCOUNTABLE HEALTH PLAN – WISCONSIN ONLY [...]

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Posted in ACOs, BPO, Call Center Services, Claims, Claims Administration, Clinical Services, Document Management, Employee Benefits, Enrollment, Enrollment Services, Enrollment Services RFP, Finance and Accounting, Health Actuarial, Health Analytics, Health CO-OPs, Health Exchange, HealthCare, Healthcare Analytics & Business Intelligence, HealthCare Analytics and HealthCare Business Intelligence Companies in America, HealthTechnolgy.com, Medical Services, Medicare, PDP, Plexis, Portal, PPO Network, Premium Billing, Reports, Revenue Cycle Management Services, Self Funded Plans, Services by HealthTechnology.com, Third Party Administrator, Third Party Administrators (TPAs) in America | Comments Off

Professional HealthCare BPO & TPA Services by HealthTechnolgy.com

Professional HealthCare BPO & TPA Services by HealthTechnolgy.com Advanced Analytics Actuarial Services Audit & Compliance Cost-Containment & Bill Review Document Management Finance & Accounting Platform BPO / TPA (SaaS) Care Management Discharge Management (DM) Disease Management (DM) Formulary Management (FM) Medication Therapy Management (MTM) Prior Authorization (PA) Utilization Management (UM) Claims Management Claims Adjudication Claims [...]

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Posted in Call Center Services, Claims, Claims Administration, Clinical Services, Enrollment, Enrollment Services, Health Actuarial, Health Analytics, Health CO-OPs, Health Exchange, HealthCare, HealthTechnolgy.com, Medicare, PDP, Plexis, PPO Network, Premium Billing, Revenue Cycle Management Services | Comments Off

HealthCare Software & Services by HealthTechnolgy.com

HealthCare Software & Services by HealthTechnolgy.com HealthTechnolgy.com is a leading BPO / TPA firm HQ in New Jersey, USA with sweet spot into HealthCare – Self-funded Plans & Government sponsored Plans. HealthTechnolgy.com focus play is into Self-funded Health Plans Government Sponsored Health Plans Commercial Health Plans HealthCare Service Organizations (Specialty Carve-Out) Plans HealthTechnolgyc.om BPO & [...]

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