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
API Access
Has API
Integrations
Axys
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
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
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice
Product Features
Medical Billing
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice