Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
AppealsPlus™ is an innovative cloud solution designed to automatically assess ERAs, apply specific rules for categorizing questionable payments and denials into relevant work queues, and leverage dashboards alongside key performance indicators for effective quantitative management that aids in decision-making. As the regulatory landscape evolves swiftly, it often changes course unexpectedly, which can leave healthcare providers and their patients with minimal time to adapt. Uncertainty looms over whether patients will be financially prepared or willing to settle their bills post-procedure. A critical oversight in many studies, vendor offerings, and software solutions is the subjective nature of denial definitions, which can vary significantly among physicians, billers, and healthcare institutions. To address these challenges, we offer you and your team a tailored, four-week implementation phase aimed at customizing the solution to meet your unique needs. Following the completion of this initial phase, we invite you to reach out with any queries or issues that may arise, ensuring continued support and optimization of your experience. This ongoing relationship reinforces our commitment to your satisfaction and enables you to navigate the complexities of billing and denials with confidence.
Description
Miramar: Enroll offers a comprehensive multi-channel intake and verification system, seamlessly integrating with CMS while providing real-time work queue distribution. Having deep operational alignment with health plans, we understand the essential components of an effective Medicare plan administration solution. Our custom-built enterprise platform, Miramar, features dynamic workflows, sophisticated work queue functionalities, SmartWizard tools, automated notifications, and reconciliation rates that surpass the capabilities of most traditional software providers. Effectively managing government-sponsored health plan operations involves excelling in daily management tasks. With our specialized software solutions, you can achieve the primary objective of optimizing processes for improved efficiency and guaranteed compliance. Whether it's data reconciliation, overseeing your sales team, or monitoring compliance, our solutions are designed to integrate smoothly into your existing technology infrastructure, enabling you to activate your teams swiftly and enhance your overall productivity. Additionally, by leveraging our platform, you will be well-equipped to navigate the complexities of Medicare administration while ensuring that your organization remains agile and responsive to changing needs.
API Access
Has API
No
API Access
Has API
No
Integrations
Axys
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
Yes
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
Yes
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
No
In Person
Yes
Types of Training
Training Docs
No
Webinars
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
Etactics
Country
United States
Website
etactics.com/appealsplus
Vendor Details
Company Name
Convey Health Solutions
Founded
2001
Country
United States
Website
conveyhealthsolutions.com/medicare-enrollment-software/
Product Features
Medical Billing
Claims Processing
Yes
Claims Scrubbing
No
Code & Charge Entry
No
Compliance Tracking
Yes
Customizable Dashboard
Yes
Dunning Management
Yes
Invoice History
Yes
Patient Eligibility Checks
Yes
Practice Management
No
Quotes/Estimates
Yes
Remittance Advice
No
Product Features
Medical Billing
Claims Processing
No
Claims Scrubbing
No
Code & Charge Entry
No
Compliance Tracking
No
Customizable Dashboard
No
Dunning Management
No
Invoice History
No
Patient Eligibility Checks
No
Practice Management
No
Quotes/Estimates
No
Remittance Advice
No