Newgen Appeals and Grievances Description
While resolving grievances and appeals of members, you must also adhere to regulatory guidelines. Our rule-driven engine allows you to prioritize and route service requests and optimizes resources. All decisions, notes, exceptions, and other information can be captured within the system for future reference or audits. Automate your service request processes to ensure member satisfaction, compliance, and future-proof your organization.
Newgen Appeals and Grievances Alternatives
SmartEMR
SmartEMR, a Web-based electronic medical record solution, allows physicians to quickly and easily record patient encounters and interpret test results. It is tailored to physician workflows to ensure smooth, natural interactions. Additionally, it creates reports that are compliant to the Centers for Medicare & Medicaid Services (CMS*) for coding and reimbursements. SmartEMR can also be used as a medical billing system, facilitating reimbursement through our CMS-compliant Superbill generation software. Your electronically submitted claims will receive a higher priority, which will ensure a faster turnaround time for reimbursement. SmartEMR will increase your cash flow by streamlining the reimbursement process and reducing costs.
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Inovaare
Inovaare is a market leader in health plan solutions that drive digital transformation within healthcare. It automates complex Medicare, Medicaid, and Commercial appeals and grievances (A&G), and Compliance Program Effectiveness workflows (CPE). Its cloud-based modules, which can be configured to work with any number of departments, compile real-time data from both internal and external sources. This creates a single compliance management system. HIPAA-compliant platforms integrate the most current and best-practice regulatory processes to help healthcare plans efficiently meet their business requirements, maintain audit readiness, reduce noncompliance risks, and lower overall operating expenses. Inovaare's industry-leading Appeals & Grievances and Regulatory Compliance solutions for health plans automate tedious manual compliance processes to ensure greater CMS reimbursements, lower compliance audit risks, and lower operating expenses. Software that is configurable to optimize risk identification, support operations, and display intuitive analytics.
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Spine Assets
Assign assets to employees, locations, branches and departments to enforce accountability. Integrated regulatory compliance, which establishes a centralized source of data in finance and uses history to reinforce established guidelines. Manage repair requests in order to get equipment up and running again to reduce downtime. Keep the equipment under warranty to extend its life. When the service contract expires, be prepared to renew it on time. If you keep your asset register up-to-date, you could reduce the premiums. It is also easier to claim if there is proof. Accurate financial records will help you better manage your fixed assets and meet audit regulations. The help desk ensures timely assistance and prompt resolution of issues through the definition and publication of their assured service levels. Attach photos, manuals or invoices to each equipment lead.
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CareRight
CareRight allows caregivers the ability to track and chart all ADLs, with exceptions. CareRight allows residents to create their own Service Plans and Assessments. Great documentation is essential for any type of care facility. It increases accuracy, encourages compliance and reduces risk. You can replace paper forms and improve accuracy, complete ADLs faster, increase Medicare reimbursements, and make sure you are following all regulations. No more looking through paper charts to find information. Touchscreen with tablet, laptop, or tablet, customizable Service plans and Assessments, visual data with great charts, graphs, input/output monitoring, tracks meals and fluids, holistic view of resident records and spots trends before an issue occurs. You can assign ADLs to one resident or multiple residents at a time.
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Integrations
No Integrations at this time
Company Details
Company:
Newgen Software
Year Founded:
1992
Headquarters:
United States
Website:
www.newgensoft.com
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Product Details
Platforms
SaaS
Type of Training
Documentation
Live Online
Webinars
In Person
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Customer Support
Phone Support
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