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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"

UMDC code : 24119

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1-30 of 32 Match(es).

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AccuReg

Company Type: Parent

ADL Data Systems Inc

Company Type: Parent

ADL was founded in 1977, To design and develop the best clinical and financial software for nursing homes and long-term healthcare. Today, as a leading provider of software to the long term care industry, our software is helping long term care facilities and nursing home chains nationwide. Our applications cover a full range of administrative, financial, and clinical modules, and are used in nursing homes, CCRC's, rehabilitation facilities, and outpatient clinics. These modules empower users—nurses, therapists, administrators, Human Resources personnel—to meet the changing demands of their positions.

Alpha II

Company Type: Parent

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.

Availity LLC

Company Type: Parent

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.

Cerner Corp

Company Type: Parent

We are transforming health care by eliminating error, variance and waste for health care providers and consumers around the world. Our solutions optimize processes for health care organizations ranging from single-doctor practices to entire countries, for the pharmaceutical and medical device industries, and for the field of health care as a whole.

Cirius Group Inc

Company Type: Parent

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.

Clinical Information Systems Inc

Company Type: Parent

Clinical Information Systems, inc. (CIS) is the industry leader in meeting the information needs of medical laboratories of all sizes. CIS offers affordable, comprehensive solutions that streamline laboratory operations while lowering costs and maximizing revenues. CIS is totally committed to customer satisfaction and service

GAIA Software LLC

Company Type: Parent

GGB Medical Management Services Inc

Company Type: Parent

Healthcare Management Systems Inc

Company Type: Parent

Healthcare Management Systems, Inc., (HMS) develops information technology solutions for community hospitals and specialty healthcare facilities. Our products and services help our customers improve care and deliver value by connecting hospitals, physicians and the community. HMS applications are specially designed for the unique challenges facing community hospitals. In fact, more than 700 facilities nationwide use our solutions to improve clinical and financial processes. We help these hospitals address their toughest challenges and deliver care seamlessly and safely.

HealthTec Software Inc

Company Type: Parent

The Company:A Rich Heritage Starting in 1986, Greg Schipper and his company ACC, Inc. of San Antonio, Texas met the important market need for complete, reasonably priced, easy to use software for medical and dental providers by creating a medical practice management system called FoxMed and a dental practice management system called FoxDent. These products were sold in the South Texas region until 1990 and then became sold nationally through a dealer network through 1997.

HealthWare Corp

Company Type: Parent

HealthWare Corporation has been providing information solutions since 1986 and our first Windows based product was released in 1992. What makes HealthWare unique is that we provide a single vendor solution to home health agencies that covers most aspects of operating an agency's business, from financial to clinical to point of care.

iDashboards

Company Type: Parent

Kreg Information Systems

Company Type: Parent

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.

LINTECH LLC

Company Type: Parent

long-term and specialty healthcare providers needed LTC software solutions that are both powerful yet eminently accessible and usable to every staff member, we created the COMET Resident/Patient Account Suite , the COMET Clinical Suite and the COMET Financial & Administrative Services Suite. Over the years, these suites became recognized as the ones that helped many long-term and specialty healthcare providers make the transition from outdated, labor-intensive and redundant systems to sophisticated software solutions that make life easier for providers and patients alike

MasterControl Inc

Company Type: Parent

MDLand International

Company Type: Parent

Founded in 1999 by a group of physicians in New York City, MDLand has grown into one of the largest private EMR companies in the country. Today the MDLand healthcare platform connects thousands of providers, clinics, medical centers, labs, pharmacies and registries across the United States.

MDsuite

Company Type: Parent

MEDHOST Inc

Company Type: Parent

MEDHOST is the market leader in providing highly visual, easy to use process management tools that are revolutionizing the healthcare industry and improving the lives of more than 6 million individuals each year. MEDHOST's easy-to-use software makes the hospital a more efficient environment by reducing medical errors, increasing patient throughput, producing higher patient satisfaction scores and maximizing revenue.

Nebo Systems Inc

Company Type: Parent

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.

OmniSYS Inc

Company Type: Parent

Founded nearly three decades ago, OmniSYS has emerged as the recognized leader in Medicare Part B claims reimbursement and compliance services for pharmacies, managed care organizations, DME benefit management, and retiree employer health plans. Our product solutions support more than 30,000 pharmacies, processing over 40 million claims annually across all 50 states.

OpenSpan Inc

Company Type: Parent

Passport Health Communications Inc

Company Type: Parent

Passport Health Communications Inc. provides software and solutions to help hospitals and health care providers improve business operations and secure payment for their services.

PDM Productive Data Management Inc

Company Type: Parent

PDM's mission is to develop, produce, and distribute quality products for the healthcare industry and to provide quick, responsive, and excellent service levels to our clients.

Plexis Healthcare Systems Inc

Company Type: Parent

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.

Quadax Inc

Company Type: Parent

Quadax has embraced innovation. The quest for new technologies, process improvements, and superior customer service has been a driving force since our founding in 1973.

RelayHealth

Company Type: Parent

We provide connectivity solutions that make it easy for consumers and healthcare organizations to securely exchange information. In keeping with this objective, all of our solutions are designed to work on an open network for simple electronic system start-up or add-on solutions in the future.

Renovo Solutions

Company Type: Parent

RiskQual Technologies Inc

Company Type: Parent

Smart Data Solutions

Company Type: Parent

1-30 of 32 Match(es).

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