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Description
Whether you need assistance with grasping the intricacies of the CMS and ONC final regulations, crafting a strategy to meet compliance deadlines, or executing a practical solution, we are here to assist you. As a frontrunner in the field of interoperability, Edifecs possesses the necessary expertise to guide you in achieving adherence to the latest mandates while unlocking the potential of secure and dependable electronic health data exchange. Edifecs provides top-tier Smart Trading and Encounter Management solutions specifically designed for small to medium-sized health plans. By leveraging financial, clinical, and administrative data, organizations can advance their business strategies and facilitate automation in administrative tasks. Improve encounter management processes and enhance first-pass rates for managed Medicaid and Medicare Advantage through a hosted solution model that Edifecs offers. Additionally, Edifecs presents COTS-based modular solutions aimed at optimizing data quality and supporting payment reform initiatives. By utilizing these innovative tools, health plans can ensure a proactive approach to compliance and data management, ultimately leading to improved outcomes.
Description
Inovaare stands at the forefront of health plan solutions that facilitate digital transformation within the healthcare sector, providing automation for intricate workflows related to Medicare, Medicaid, and Commercial appeals and grievances (A&G), as well as Compliance Program Effectiveness (CPE). Their versatile cloud-based modules gather real-time data from various internal and external departments, culminating in a unified compliance management system. With adherence to HIPAA regulations, the platform incorporates the latest and most effective regulatory processes, enabling health plans to address their specific business needs, maintain audit readiness, mitigate non-compliance risks, and reduce overall operational expenses. By automating labor-intensive manual compliance tasks, Inovaare’s leading Appeals & Grievances and Regulatory Compliance solutions enhance CMS reimbursements, lower compliance audit risks, and decrease operating costs. The software is adaptable, enhancing risk identification, bolstering operational efficiency, and presenting user-friendly analytics for better decision-making. This innovative approach not only streamlines processes but also empowers healthcare organizations to navigate complex regulatory landscapes with greater confidence and agility.
API Access
Has API
API Access
Has API
Integrations
Aerial
Rackspace Cloud Files
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
Edifecs
Founded
1996
Country
United States
Website
www.edifecs.com
Vendor Details
Company Name
Inovaare
Founded
2006
Country
United States
Website
www.inovaare.com
Product Features
Hospital Management
Accounting Integration
Appointment Management
Appointment Scheduling
Bed Management
Billing & Invoicing
Claims Management
In-Patient Management
Inventory Management
Medical Billing
Out-Patient Management
Patient Records Management
Physician Management
Policy Management
Revenue Management
Revenue Cycle Management
Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing