Alternatives to DRG Claims Management

Incredable is an all-in-one configurable credentialing solution that bridges the gap between healthcare facilities, providers, and administrators. The platform streamlines the entire credentialing process, from document management and compliance tracking to credential verification. Incredable ensures that healthcare professionals remain fully compliant and prepared at all times. Trusted across the healthcare industry, Incredable reduces administrative burdens, enhances operational efficiency, and fosters seamless collaboration among all stakeholders, allowing healthcare teams to focus on delivering quality care.

Document Control is MediaLab’s document management system. Our online solution empowers lab directors and supervisors to manage their policies, procedures, forms, job aids, and worksheets using configurable review settings, custom approval workflows, automated employee sign-offs, and more! Reduce time spent chasing approval and review signatures while benefiting from email notifications and personalized to-do lists for employees. MediaLab's Document Control supports: • Digital records and version control of all documents, • Standardization across all documents from all sites, • Electronic signatures that meet 21 CFR Part 11 standards, • Customized approval workflows and processes, • Robust searching to easily locate specific documents, and more!

NextGen Healthcare is a leader in healthcare software and services that enables the transformation of ambulatory health care. NextGen Office (1-10 doctors) and NextGen Enterprise (10+ doctors) are smart electronic health record solutions that help ambulatory practices reduce the burden of documentation, improve clinical outcomes, connect to other health systems, increase provider and patient satisfaction, streamline revenue cycles, and foster healthier communities.

Mask, generate, subset, virtualize, and automate your test data with the DATPROF Test Data Management Suite. Our solution helps managing Personally Identifiable Information and/or too large databases. Long waiting times for test data refreshes are a thing of the past.

Whether you're training employees, conducting risk assessments, or investigating incidents, you can manage your entire program in one easy-to-use application. Healthicity's Compliance Manager includes all of the crucial elements necessary to create and maintain an effective compliance program. Our solution includes risk management and HIPAA compliance. Features customized workflows, corrective actions, open lines of communication, and real-time reporting. Compliance Manager simplifies compliance by hosting everything in one platform. With Compliance Manager, all 7 elements of compliance are taken care of! • Audit Management • Compliance Checklist • Incident Management • Reporting

Select Data is pioneering the use of artificial intelligence to revolutionize coding and documentation within home health care, aiming to enhance both clinical quality and financial results through its innovative platform, SmartCareTM. By integrating cutting-edge natural language processing and AI, along with a dedication to excellence in Clinical Documentation Improvement (CDI), Select Data offers home health agencies precise coding, reliable reimbursement, and valuable insights. With a focus on ensuring precise reimbursements while minimizing audit risks, their team of professional coders operates from onshore locations. The SmartCare™ platform, driven by sophisticated technology, allows coders to provide high-quality coding efficiently. Utilizing SmartCare’s clinical algorithms, the experts pinpoint necessary corrections and identify potential documentation gaps. This results in improved accuracy in OASIS assessments and coding processes, ultimately enhancing patient care and ensuring success with the Patient-Driven Groupings Model (PDGM). Additionally, Select Data's commitment to continuous improvement ensures that home health agencies can adapt to the evolving landscape of healthcare regulations.

Risk management is best done in a fluid and powerful way. Your decisions today can help you mitigate the risks that you might face tomorrow. SAI360 is a cloud-first software that combines modern ethics and compliance content to help organizations navigate risk in a flexible and agile way. All the best in intelligent solutions and global expertise in one platform. Configurability of solution, extensible data model with configurable interface/forms, fields and relationships to extend solutions. Process modeling: Modify or create new processes to automate, streamline, and reduce risk, compliance, audit, and other activities. Data visualization and analysis. Many pre-configured dashboards that are easy to set up allow you to visualize and analyze data. Learning and best practices content - Preloaded frameworks, control library and regulatory content, along with values-based ethics, compliance learning content. Integration framework with APIs, and other protocols.

Value-driven care relies heavily on timely, precise, and trustworthy information. Utilize the Minerva Healthcare Data Platform to consolidate both clinical and claims information from various systems into a centralized FHIR® repository. With its foundational design based on FHIR® and a commitment to being vendor-neutral, Minerva compiles data from your care delivery network, facilitating data exchange, enhancing analytical capabilities, and ensuring compliance with Cures Act requirements. The platform offers a suite of ready-to-use data connectors that enable swift data ingestion from diverse clinical and claims sources. Take advantage of established healthcare standards and tailor-made data formats to incorporate information in real-time or through batch processing. By integrating data from your clinical network alongside that from your payers, you can create a comprehensive view of your patients' information, ultimately leading to improved care outcomes. This holistic approach not only streamlines operations but also fosters a deeper understanding of patient needs.

Introducing Swiftaudit! Specifically designed for your needs, we have developed an all-encompassing online platform aimed at accelerating both your internal and external chart reviews while enhancing your compliance and clinical documentation standards. Our user-friendly interface allows for quick and thorough analysis of patient interactions, enabling you to pinpoint coding mistakes effectively. Additionally, Swiftaudit serves as an excellent resource for ICD-10 lookup, aiding you in finding the precise code you require, and providing instant access to all relevant Guidelines with just a click. Harness the capabilities of Swiftaudit within your practice, and gain the assurance that your coding and billing processes will yield the payments you rightfully expect. Are you part of a bustling practice, or perhaps you manage a burgeoning auditing firm with numerous clients and auditors? We have the perfect solution for you! We’re excited to unveil our integrated Team features, which are conveniently available through your Swiftaudit subscription, making collaboration effortless and efficient. With Swiftaudit, you can elevate the way your team works together, ensuring everyone stays on the same page while optimizing productivity.

For thirty years, Verisys has been a trusted partner to some of the most intricate healthcare entities in the United States, managing the credentialing of over two million events each year. Our provider credentialing solutions ensure that you maintain compliance effectively. The credentialing and re-credentialing of healthcare providers is a challenging task for hospitals, health plans, and health systems alike. With physicians holding licenses in multiple states and offering telehealth services across state lines, it becomes necessary to verify licenses with each respective state board and adhere to the distinct regulations set forth by those states. Additionally, identity verification can be intricate, as many physicians share similar names, including maiden names, aliases, nicknames, or shortened versions of their names. To obtain a comprehensive understanding, it is essential to screen each physician thoroughly and validate credentials against a myriad of primary sources. Our expertise spans from conducting straightforward provider credential searches to deploying comprehensive end-to-end credentialing systems that streamline the entire process. By relying on us, you can simplify the complexities of credentialing and focus on providing quality care.

The Innovaccer Health Cloud will accelerate your transformation. You can unify patient data, create comprehensive financial and clinical insights, and innovate faster. We help providers integrate disparate patient information to provide actionable insights at point of care, collaborate across care teams and achieve better outcomes. We facilitate connectivity and collaboration among payers, providers, members, and members to manage risk and compliance as well as rising member expectations. We assist medtech and biopharma companies to build digital solutions at the intersection of healthcare and better use real-world data throughout the value chain. Transform from silos to an open platform that unifies healthcare data into one longitudinal patient record that allows for whole-person care.

WinMed™ EHR stands out as an ONC 2015 Certified electronic health record system that equips healthcare professionals with essential tools for precise documentation and regulatory compliance, all while ensuring high-quality patient care. With the Analytics Dashboard, users can seamlessly connect across their entire practice, enabling the collection of data that delivers invaluable insights for both healthcare providers and administrative teams. By utilizing automated system suggestions, clinicians can enhance compliance and elevate the standard of care, streamlining the documentation process. Our Family Practice module focuses on delivering thorough healthcare services for individuals of all ages, optimizing both acute and chronic care management. Meanwhile, our Internal Medicine module prioritizes preventive care, featuring Clinical Decision Support and Population Management tools that play a crucial role in enhancing patient outcomes. Additionally, the Patient Check-In feature provides a straightforward way for users to track patient arrivals at the clinic, ensuring efficient workflow management. This comprehensive suite of features positions WinMed™ EHR as a vital asset for modern medical practices striving for excellence in patient care.

EZDI is Acquired by AGS Health Company. Our revenue cycle management platform allows businesses of all sizes, large and small, to access our APIs and revenue cycle management platform to gain insights from their healthcare data. A platform that integrates medical coding and clinical documentation. Fully integrated platform that allows you to increase documentation and coding specialist productivity by upto 45%. It also increases revenue through improved case mix and risk scoring. Modern clinical APIs that seamlessly integrate into your infrastructure. To provide cutting-edge accuracy, we have been trained on more than 7,000,000 real clinical documents. We use millions of knowledge graph records, deep-learning, and machine learning to provide clear code suggestions and query suggestions. We are ready to lead the next wave in AI in healthcare. Built for coders, documentation specialists to work smarter, faster and more efficiently from the beginning. Our Deep Learning NLP models help the most brilliant minds in healthcare navigate a seaof data with confidence.

Are you looking for the best healthcare compliance software solution? Through education, resources, support, and education in the areas HIPAA, OSHA and human resources compliance, we help to build confidence among compliance professionals. Our cloud-based software is flexible, scalable and secure. It allows organizations to easily share, track, manage, and monitor their compliance processes. You can rest assured that they are up-to-date in all federal healthcare regulatory areas. First Healthcare Compliance software has been proven to reduce time, money, and resources by efficiently and effectively managing all compliance program management requirements. Let us show you! You can view compliance status across all locations in real-time. These are the challenges faced by both physicians in private practice and doctors in Accountable Care Organisations (ACO).

To mitigate potential risks, the Centers for Medicare and Medicaid Services (CMS) have instituted guidelines to ensure the validation of their networks. Given that Pharmacy Benefit Managers (PBMs) are significantly impacted by the risk assessment process, the demand for precise and actionable insights has reached unprecedented levels. The LexisNexis Provider Integrity Scan streamlines a variety of provider verification processes and offers continuous monitoring by cross-referencing numerous files and lists, while also delivering automatic alerts for numerous high-risk factors. This tool is proficient in screening and verifying providers both before and after enrollment, aiming to uncover and thwart criminal activities effectively. By identifying potentially fraudulent providers and businesses involved in health-related programs, the LexisNexis Provider Integrity Scan serves to lower costs for health care payers and PBMs alike. Our innovative solution empowers users to effectively conduct multiple searches and access crucial information, enhancing their operational efficiency and security. This comprehensive approach not only safeguards the integrity of health care programs but also fosters a more reliable health care environment.

The cloud-based Compliance Management System, HIPAA ComplyPAK™, has proven effective for clients in navigating audits successfully. It offers comprehensive guidance tailored to each role that deals with Protected Health Information (PHI), ensuring that all functions operate in accordance with HIPAA regulations. The system addresses essential requirements related to Privacy, Security, and Group Health Plans, while also facilitating the continuous monitoring of compliance status through auditing. Furthermore, it empowers Privacy Officers to oversee the compliance activities of staff members actively. Users can generate compliance status reports as needed and have straightforward access to specific policies and procedures pertinent to their roles for quick reference and action. Additionally, it helps identify potential risks of noncompliance and provides tools for effective risk management and mitigation. The implementation of Healthcare Modules, which come with pre-established policies and procedures, is also supported by the system. HIPAA ComplyPAK™ enables the tracking of Protected Health Information to meet the legal obligations set forth by HIPAA and HITECH. The platform also offers convenient, on-demand online training for staff, complete with certification options to ensure that employees are well-versed in compliance practices. This holistic approach not only streamlines compliance efforts but also reinforces a culture of accountability and knowledge among staff members.

Turnkey solutions for credentialing, privileging, and performance oversight revolutionize compliance, shifting it from a mere administrative burden to actionable insights. This proactive approach to safety extends beyond merely responding to incidents, striving for a comprehensive strategy that integrates safety, risk, and quality data. By sharing risk-related information, organizations can derive actionable insights that facilitate proactive decision-making aimed at achieving zero harm. Converge embeds robust analytics and business intelligence, delivering critical safety data and tools right at your fingertips. Users can easily report near misses, incidents, feedback, or commendations directly through the EHR system. Collaborating with your implementation manager is essential to determine the optimal timeline, team composition, and project scope tailored to your organization's needs. This framework integrates Mortality Review, Safety Rounds, and Patient Launch to identify potential risks before they escalate. Furthermore, the system ensures real-time connectivity with CMS work order systems, minimizing redundancy and enhancing resolution efficiency. Solutions are introduced in a manner that is easily digestible, ensuring all team members are equipped for success. Gradual implementation of platform modules allows for seamless integration, enabling organizations to adapt progressively to new systems as needed. This thoughtful approach not only enhances safety but also fosters a culture of continuous improvement and accountability.

Lenos Software's HCP Compliance Manager serves as a comprehensive platform for managing all activities associated with Health Care Professionals, whether they are participating in Advisory Boards, Conferences, Congresses, or other events like KOLs and Tradeshows. This tool is specifically crafted to oversee every facet of HCP expenditures, whether from past or present, and to accommodate any scenario that may arise in an organization's routine operations, including the ability to manage expenses retroactively or to integrate data from various existing systems. The implementation process of the HCP Compliance Manager is adaptable, allowing it to meet the unique needs of each organization while aligning with their Standard Operating Procedures, all the while maintaining the integrity and precision of data through automated internal controls. Furthermore, the system ensures that data entry and management are traceable, effectively addressing all necessary audit requirements. By utilizing this solution, organizations can streamline their compliance processes while enhancing accountability and transparency in their financial dealings.

NavigateHCR delivers cost-effective solutions designed to enhance operational efficiency by removing the necessity for internal resources to handle communication tasks. They offer two tailored products, EmployER Express and EmployEE Express, which facilitate the mass distribution of essential notices. Additionally, NavigateHCR oversees the deductions for employees' contributions to company-sponsored insurance premiums through their Premium Only Plan (POP). They also create a Section 125 plan, enabling employees to select which benefits they wish to have deducted from their payroll on a pre-tax basis. Furthermore, NavigateHCR equips employers with tools that foster proactive decision-making concerning employee tracking and reporting. Their service includes monthly monitoring of variable hour employee data, complemented by user-friendly dashboards and ACA Alerts based on hours worked. Lastly, NavigateHCR simplifies compliance by efficiently gathering data for responding to government inquiries and managing annual filings, including the 1094 and 1095 forms. This comprehensive approach not only streamlines communication but also ensures that employers remain compliant with regulations.

The significance of quality and cost cannot be overstated. As value-based care models become more prevalent, it is essential for hospitals, physicians, employers, and insurance plans to have access to precise and insightful analytics. With Quantros’ exceptional insights, both providers and recipients of care can make informed, data-driven choices. The analytics software from Quantros equips healthcare providers to comprehend, forecast, and enhance their performance effectively. Additionally, it offers healthcare purchasers a transparent view of the reliability with which hospitals and physicians are achieving optimal outcomes and delivering suitable care throughout the healthcare continuum. This level of transparency not only fosters trust but also drives improvements in healthcare delivery.

The leading patient safety platform utilized across various healthcare settings. This all-encompassing software aims to foster sustainable improvements and enhance performance throughout your organization. By becoming part of RLDatix, you tap into a global network of patient safety advocates and experts. This connection allows you to access proven strategies and innovative insights from RLDatix users, as well as industry and thought leaders. The RL Suite offers a wide array of patient safety solutions designed to bolster your safety and healthcare quality initiatives. By transforming your data into actionable intelligence, you can effectively minimize and manage risks both now and in the future. Proactively identifying clinical risks and lowering infection rates ensures early intervention to maintain patient safety. Moreover, engaging patients in real time guarantees they have the best possible experience during their care. Centralizing your policies and procedures not only fosters institutional learning but also enhances compliance across the board. By integrating these practices, your organization can truly elevate the standard of patient care.

BRIGHT AUDITS is an innovative SaaS platform that empowers users to conduct on-demand, customized healthcare audits effortlessly from any mobile device. The process of generating audits, whether for EOC, HAI, safety, or infection control, is streamlined to just five simple steps: create, preview, assign to users, review, and publish, allowing you to move past complex input requirements. With just a few taps and swipes, you take charge of your auditing tasks. This versatile tool enables healthcare networks to swiftly create and adjust audits as hospital protocols, safety issues, or evolving patient needs change. Moreover, it offers comprehensive views at the system, hospital, facility, and unit levels for real-time escalations, ensuring effective management of healthcare compliance. BRIGHT AUDITS transforms how audits are conducted, making them more accessible and responsive to the demands of modern healthcare environments.

Credentially assists healthcare providers in reducing the organizational inefficiencies associated with credentialing and onboarding by automating. Employers and physicians can now spend more time caring for patients and improving patient safety. It takes Credentially customers 5 days to sign up, validate, and onboard clinicians. This compares to the industry average of 60 days.

Medisolv offers a wide range of quality management solutions tailored for healthcare providers, including hospitals and clinicians. Our flagship platform, ENCOR, stands out as an award-winning, all-encompassing quality solution designed to streamline operations. As a dedicated healthcare quality data management firm, Medisolv equips organizations with a comprehensive Quality management software that simplifies core measure abstraction and facilitates electronic measure capture across both hospital and outpatient settings. This software enables effective data aggregation from diverse sources and ensures seamless submission to various reporting entities, such as CMS, TJC, state agencies, payers, and organizations like ACOs. With ENCOR, healthcare facilities gain access to up-to-date eCQM performance data, empowering them to enhance their outcomes while simplifying compliance with regulatory programs. Additionally, ENCOR enhances the chart abstraction process by providing daily updated data and automatically pre-filling patient information, making it easier for hospitals to fulfill their reporting obligations efficiently. Ultimately, our software is crafted to support healthcare institutions in navigating the complexities of quality reporting and achieving their performance goals more effectively.

Metabridge is an innovative platform that transforms the auditing of 340B programs through a rule-based engine that streamlines and automates the entire auditing process. By ensuring that 100% of 340B claims are audited, Metabridge effectively eliminates the potential for audit discrepancies, enabling you to complete audits of 340B prescriptions in mere minutes. Why Opt for Metabridge? We provide agile and forward-thinking solutions that demystify the complexities associated with managing the 340B program while maximizing federal pricing advantages. Highlights of the 340B Compliance Manager: Dashboard This feature serves as a unified source of truth for all involved parties, offering real-time data that facilitates informed decision-making. Claims Repository Efficiently handle and archive all claims within a single, secure platform, with flexible options for either on-premise or cloud-based data storage. Auditor Module Revamp your auditing process by cutting down the time spent on sample size audits from hours to just minutes, while also optimizing savings through our Manufacturer Exclusion module. Furthermore, this module enhances overall operational efficiency, allowing healthcare providers to focus more on patient care.

Practice Manager is a comprehensive solution tailored for general practices, addressing both HR/Employment and Health & Safety needs. It offers extensive guidance, procedures, and documentation, ensuring 24/7 access to legal advice, insurance coverage for legal expenses, and support for employment tribunal representation. By integrating the popular Employment Manager and Health & Safety Manager products, Practice Manager delivers significant cost savings while helping practices uphold their legal and administrative obligations with ease. The service includes a thorough HR and Employment Law step-by-step guide, along with templates for letters, forms, appraisals, and disciplinary actions. Additionally, it provides a detailed Health & Safety Policies manual along with various risk assessment templates, report forms, and safety induction training materials to help monitor and improve workplace safety protocols effectively. This all-in-one approach empowers practices to maintain compliance confidently and efficiently.

AlphaMed Solutions includes electronic healthcare records, customized solutions, and modern healthcare and business applications that collect and analyze real time critical patient data. These HIPAA-compliant solutions use cutting-edge medical protocols and combine the expertise and experience of award-winning Alpha Software engineers with practicing physicians. The apps can access and collect medical data at high speeds, work with or without a cell signal and integrate with almost any healthcare system. For example, the AlphaMED Workplace Wellness app guides employees to the end of a COVID-19 quarantine period or illness period by collecting daily temperature readings and current symptoms. The app uses established criteria, test results, and the illness cycle to determine when key milestones have been met and alerts employees when they are safe to return to work.

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.

To effectively determine eligibility, it is essential to dedicate resources toward understanding the fundamentals of the ACA, as this involves measuring various time periods. Utilizing a multi-source data approach on the industry's leading ACA platform ensures that your 1094-C and 1095-C forms are precise and reliable. This system prevents the issuance of incorrect forms to employees by swiftly analyzing code combinations. Accord has developed and continuously enhances a top-tier platform that assists employers and licensees in navigating the complexities associated with ACA reporting. Your dashboard provides a comprehensive view of ongoing eligibility and affordability data linked to multiple measurements, stability, and waiting periods. With our user-friendly interface, you can generate all required ACA reports and filings without the need for additional software, as all upgrades are implemented seamlessly online. To be well-prepared for any inquiries from the IRS, it is crucial to maintain rigorous internal audit management practices. Additionally, with easy access to your historical data and support from the Accord team, audits can be conducted efficiently when necessary, ensuring compliance and peace of mind. This streamlined process simplifies ACA compliance and allows for better focus on your organization's core operations.

Policy Manager's intelligent document management and workflow management software solution automates policy review, approval, and attestation across your organization. The policy management software's automated tracking features and reporting feature ensure compliance with regulatory and audit requirements. It is easy to use and simple to manage. MCN's Policy Management Software allows your staff to easily access the most recent policies and procedures through our powerful search functionality. Manager-assigned competencies track the knowledge of your staff about policies and procedures.

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.

CLIA requires that personnel performing waived and nonwaived testing must be assessed by your laboratory. It is a good laboratory practice to regularly assess the competency of all testers, even those who have been waived. Compass allows your lab coordinators to deliver custom competency assessments for hundreds or thousands of workers, track their completion, corrective action, as well as provide powerful reports for internal audits and accreditation audits. MediaLab's Compass allows your laboratory to eliminate the need for paper and ensure that employees comply with your competency program. Dashboards make it easy to track and see who is due when at any given time.

Active, ongoing monitoring is essential to managing the risks inherent in today's healthcare. Workforce Validate is an expert solution that can help you with this task. Reduce the time spent manually checking sites for exclusions and sanctions during the hiring process or auditing. -Receive automatic alerts about compliance issues before they affect patients. -Keep your site checks, flags for the workforce and notes in a single digital profile

Ensure the safety of patients and employees by utilizing efficient compliance and operational tools tailored for the healthcare industry. In an era where adherence to policies and procedures is critical, leverage SCT/CoreCompli to foster employee protection and cultivate patient trust. This comprehensive digital SaaS platform offers the benefits of agile and adaptive policies, along with the capability to maintain electronic logs through our innovative operational tools, effectively eliminating compliance shortcomings. Embrace a new level of confidence in your business operations. Our compliance solutions empower organizations to mitigate risk and liability while enhancing productivity. By utilizing our applications, businesses can elevate their performance and achieve better results, strengthening risk management, regulatory adherence, audit and accreditation processes, as well as background screening for countless users across diverse sectors. The HOTB software suite enables information security and governance experts to regain authority over their data, ensuring that compliance and safety are prioritized in every operation. Ultimately, this approach not only safeguards individuals but also drives organizational excellence.

The health care sector faces significant challenges due to the complexities of CMS and state regulations, which often lead to increased time and costs. Daily struggles with outdated practices and the constant fear of failing to comply with regulations impact the communications and compliance teams of health plans. It is essential to streamline and gain oversight of your organization's compliance initiatives along with the entire material development workflow. CodySoft® offers an innovative suite of web-based software solutions tailored specifically for the intricate landscape of health plans. This platform enables more efficient and cost-effective management of marketing materials aimed at both members and providers. It helps minimize compliance risks while enhancing accuracy and simplifies the handling of investigation issues. Users can access their dashboards through a secure online portal without the need for IT integration. The software also allows for the straightforward generation of reports needed for regulatory audits and performance metrics, with updates visible in real-time, enhancing overall operational transparency. In a world where effective communication is vital, such tools can make a significant difference in ensuring organizational success.

Utilize MEG’s comprehensive platform to oversee quality assurance, patient safety, compliance, and accreditation processes seamlessly in one location. This innovative digital quality management system is designed to align with your goal of providing exceptional care for every patient, every time, by integrating essential governance elements for quality, patient safety, and compliance. Frontline healthcare professionals benefit from mobile, efficient digital tools that facilitate their involvement in quality-driven initiatives while ensuring patient care remains the top priority. Meanwhile, healthcare administrators can obtain immediate insights into risk levels, maintain adherence to regulatory and accreditation requirements, evaluate performance across various locations, and enhance patient safety measures. Transition to a more efficient, paperless auditing process that eliminates redundancy, allowing you to generate appealing, shareable reports within minutes. Moreover, incidents can be logged in real-time, ensuring accuracy and speed in documentation. This streamlined approach not only enhances operational efficiency but also fosters a culture of continuous improvement within healthcare settings.

Automated provisioning and configuration of AWS to meet compliance targets. This includes your account, environments and cloud resources. Integration with CI/CD best practice is seamless. Connect your code repository and code pipelines to start deploying. Annual audits are simplified by automated remediation, security policy guidelines, and evidence collection. Reduced expertise, time, and expense associated with security and compliance attestation/certification. Platform or API allows you to provision, scale, and deploy compliant service without having to consider hundreds of compliance configurations and rules. Easy code service management and deployment pipelines allow you to push your code to container images. The intuitive UI for application management makes it easy for teams to keep track of how code interacts with cloud services.

Imprivata stands as the premier digital identity firm in the healthcare sector. Our expertise in navigating the intricate and diverse workflows of healthcare and IT systems has positioned us as the leading authority in reliable digital identity management for health delivery entities. We provide a range of solutions, including enterprise access, multifactor authentication, identity governance, and patient identification, which have all been created in collaboration with clinicians to prioritize both security and operational efficiency. Underpinning our offerings is the Imprivata digital identity framework, a cohesive strategy designed to enhance security and streamline identity management throughout healthcare organizations. By focusing on these critical elements, we ensure that our clients can operate with confidence in their identity management systems.

Carepatron is a community-driven scheduling platform for healthcare providers and their clients. They believe that healthcare teams play an important role in our communities, but they often don't have the scheduling tools they need for better mental health outcomes. They rely on legacy software, low-quality scheduling tools, and manual processes to make ends meet. Carepatron believes that bringing together clients and practitioners in one platform for collaborative therapy is the best way to improve your health. Carepatron offers a basic plan for free, while the professional plan is $12/month. A business account is also available. Key features Online scheduling Calendar sync Recurring appointments Reminders via SMS and email Integration of Facebook and website calendars Telehealth tool that integrates fully Documentation, medical notes, and health records Payment processing HIPAA certified

By utilizing this innovative collection of integrated products, healthcare practices, clinics, and organizations of any scale can comprehensively tackle security risk management and HIPAA compliance throughout their entire health system or network. The combination of HIPAA One’s automated Security Risk Assessment software with Intraprise Health’s robust cybersecurity features provides clients with a thorough security and compliance solution, reinforcing our dedication to safeguarding client data. For more information about our extensive range of software and services, please explore our new platform at Intraprise Health. By integrating us into your team, you can remain informed, streamline compliance processes, and, crucially, ensure the protection of your clients' sensitive information. Our services are entirely focused on the healthcare sector, offering cybersecurity advisory support and cloud-based software solutions to address both current and future information security challenges faced by the industry. We are committed to being your partner in navigating the complexities of healthcare information security.

The IVFID system serves as a cutting-edge security measure tailored for IVF clinics, ensuring accurate matching and verification of sperm, oocyte, and embryo samples throughout the entire IVF treatment journey. By utilizing Radio Frequency Identification (RFID) technology, it meticulously monitors and authenticates samples at each critical phase, including sperm and oocyte collection, tracking, Intracytoplasmic Sperm Injection (ICSI), embryo transfer, and cryopreservation processes. At the start of their treatment, patients are provided with wristbands embedded with RFID chips, while all consumables, such as test tubes and cryotopes, are equipped with disposable RFID tags that feature the names and patient numbers of both the patient and their partner. The system operates wirelessly to confirm all actions performed in laboratory and surgical environments, capturing comprehensive operational data, including the names of procedures, involved personnel, time and date, and exact location of the processes. In order to safeguard against sample discrepancies, the system automatically engages a locking mechanism to prevent any unauthorized access or errors. This innovative approach not only enhances security but also instills greater confidence in patients undergoing IVF treatments.

To guarantee that your organization complies with the most recent state law training requirements and that the educational content is tailored to your specific industry, we customize our curriculum to align with your state's regulations. As states like California, New York, and Illinois introduce new training mandates, navigating these complexities has become increasingly difficult. We support our customers in delivering training efficiently and at scale through proactive legal updates, automated administrative solutions, electronic tracking and reporting, and maintaining state law version control, ensuring that compliance does not become a full-time responsibility for anyone. With more than 25 years of experience in compliance training and having assisted numerous organizations, our team has developed a wide range of course options based on impactful real-world situations, including critical insights into workplace harassment and discrimination laws that are often neglected by many sexual harassment training providers. Our commitment to excellence ensures that organizations are not only compliant but also equipped with the knowledge to foster a safe and respectful workplace environment.

Boost your practice's revenue while enhancing the experience for your patients. Our aim is to foster exceptional long-term collaborations with the healthcare practices we support. Prioritizing the ability of providers to focus on delivering quality patient care is our top concern. We handle administrative responsibilities, allowing healthcare providers to dedicate their efforts entirely to their patients. The foundation of ECFS is centered around our commitment to support both healthcare providers and patients effectively. We are dedicated to creating a customized solution that caters to the specific needs of your practice and your patients. By partnering with us, your practice can enhance its operational efficiency, enabling you and your team to prioritize what truly matters—patient care. Our goal is to deliver an improved billing and electronic health records experience that benefits everyone involved. Discover how teaming up with ECFS Billing can elevate your practice to new heights. Our all-inclusive billing services are designed to boost your practice's revenue significantly, with most claims processed and ready for payment within just 48 hours. Additionally, monitor claims and payments effortlessly through our advanced clearinghouse system, ensuring transparency and efficiency for your practice. This partnership not only stands to improve financial outcomes but also enriches the overall quality of care provided to patients.

The employer mandate of the ACA is intricate, placing an unequal strain on HR benefits teams tasked with adhering to the regulations. Additionally, the presence of state-level individual mandates adds further complexity to the landscape of employer health reform, which is subject to continuous change. Health e(fx) streamlines ACA reporting by providing tailored services and unique solutions designed to meet diverse needs. Our dedication to client support is a core aspect of our identity. This commitment is a significant factor in why our software is trusted by 75 companies listed in the Fortune 500. Built on extensive experience in health reform, Health e(fx) has established itself as the leading technology solution for the Affordable Care Act (ACA), currently aiding over 22.5 million individuals. As the pandemic and accompanying staffing difficulties persist, coupled with a new pro-ACA administration, navigating ACA and state mandate reporting is increasingly challenging for employers, as well as the benefits, payroll, and tax professionals who assist them. Throughout these changes, Health e(fx) remains proactive and adaptable, ensuring that we meet the evolving needs of our clients effectively.

MediSpend is an international technology firm that delivers top-notch solutions designed to enable life sciences organizations to expand their operations while adhering to regulations through high-quality software and customer support. Acting as the compliance record system for some of the largest pharmaceutical, medical device, dental, and emerging biotech firms globally, MediSpend features the global compliance suite, which is the industry's pioneering SaaS solution specifically crafted to oversee the complete process of HCP/O engagement coupled with transparency reporting. This comprehensive suite encompasses the engagement manager, which allows companies to strategize, interact with, and compensate HCP/Os for activities that align with their goals by utilizing built-in regulations; the transparency solution, which efficiently consolidates, verifies, and reports value transfers to ensure compliance with all international laws and ethical standards; and the funding management solution, which monitors organizations' grants and funding applications from the initial submission stage to the post-event conclusion, thereby enhancing operational efficiency. By integrating these elements, MediSpend plays a crucial role in fostering compliance and transparency within the life sciences sector.

Address the evolving requirements of healthcare regulations with the essential information needed for crucial decisions regarding compliance, coding, reimbursement, and regulatory matters. The MediRegs platform for medical coding and healthcare compliance equips you to tackle various industry challenges by offering instant access to high-quality, continuously updated content and tools. Utilizing a Software as a Service (SaaS) workflow solution along with cutting-edge integration options, our top-tier compliance and risk management software provides you with convenient access to the regulatory insights necessary for informed decision-making, regardless of your location. MediRegs tailors its content to suit your unique needs through specialized product offerings. Stay proactive in adapting to regulatory changes by obtaining precise and authoritative information exactly when and where it's needed. Furthermore, maintain a firm grip on your financial outcomes amid regulatory shifts by ensuring that reimbursements are accurate and timely through effective coding practices. Embracing these tools will empower you to navigate the complexities of the healthcare landscape with confidence.

The healthcare sector requires strict compliance with specialized regulations, making it essential for your contract management partner to fully comprehend these distinct needs. Contract Guardian has successfully collaborated with healthcare clients in 44 states, as well as in Canada, Mexico, and various regions of Latin America. To effectively recommend best practices, it's important to engage in discussions about your unique use cases and arrange a tailored demonstration of Contract Guardian, highlighting how we can address those specific requirements. For healthcare organizations facing challenges such as document organization, renewal management, departmental silos, and compliance tracking, Contract Guardian serves as an all-encompassing solution for managing healthcare contracts. With a blend of healthcare administrative knowledge and three decades of expertise in infrastructure, data security, and agile software development best practices, Contract Guardian stands out as an industry leader. By choosing Contract Guardian, you are ensuring that your organization is equipped to navigate the complexities of healthcare contract management efficiently and effectively.

Monitor the current compliance status through real-time tracking of immunizations, screenings, workplace medical surveillance testing, exposures, training, injuries, illnesses, and certifications. Immuware's user-friendly and innovative dashboards provide a comprehensive overview of your organization, enabling quick identification of compliance gaps and expediting the compliance process. Tracking vaccinations online has never been easier. By allowing employees to take responsibility for compliance, supervisors can significantly reduce administrative tasks and minimize the risk of errors associated with manual tracking. The online employee portal features varying levels of permissioned access, allowing employees to self-report and upload documentation, while supervisors can oversee employee compliance. Additionally, administrators can automate approval workflows, set up follow-up reminders, and access multi-level reporting, ensuring a streamlined compliance process across the board. This collaborative approach fosters a culture of accountability and ensures that all team members are actively engaged in maintaining compliance.

Dash ComplyOps offers security teams a comprehensive solution for developing cloud security programs while ensuring adherence to regulatory and compliance requirements, such as HIPAA and SOC 2 Type 2. With Dash, organizations can effectively establish and uphold compliance controls throughout their IT infrastructure and cloud settings. This platform simplifies the complexities of security and compliance operations, facilitating easier management of HIPAA compliance for your organization. By utilizing Dash, security teams can significantly reduce the number of man-hours spent each month, enhancing efficiency. The solution provides a straightforward way to formulate administrative policies that align with relevant regulatory requirements and security best practices. Furthermore, Dash empowers teams to implement and uphold rigorous security and compliance standards. Its automated compliance processes allow your team to establish both administrative and technical controls seamlessly across your cloud infrastructure. Additionally, Dash performs continuous scanning and monitoring of your cloud environment and associated security services for potential compliance issues, enabling your team to quickly identify and address any concerns. By adopting Dash, organizations can not only streamline their compliance efforts but also foster a stronger security posture overall.

Enhance your operational efficiency while ensuring compliance with OSHA through PureOHS™. This Occupational Health Medical Record system, developed by UL, is utilized by organizations and healthcare providers to bolster their occupational health efforts in essential areas like regulatory adherence and monitoring programs. With PureOHS, you can efficiently track medical encounters and easily disseminate information to the relevant personnel and programs. It allows you to manage cases, including diagnoses, reasons for injuries, appointment scheduling, treatment protocols, and medical documentation. You can also record, oversee, and report incidents, near misses, or other situations that might result in injury or illness. The system makes it simple to export necessary forms for OSHA submission and highlights critical areas for enhancing safety. For manufacturers, healthcare facilities, municipalities, and any organization facing challenges in maintaining medical compliance with OSHA, CDC, or internal standards, PureOHS serves as a valuable tool for streamlining the process of medical recordkeeping and improving overall workplace safety culture. By integrating PureOHS into your operations, you can foster a safer and more compliant work environment.