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claims management

Results 1 - 25 of 27Sort Results By: Published Date | Title | Company Name
Published By: GE Healthcare     Published Date: Aug 27, 2015
Healthcare organizations are facing uncertain times, which are putting enormous strains on their revenue cycle management (RCM). Automation is proven to improve RCM measures, and even small improvements can significantly impact the bottom line. This whitepaper details how providers can embrace automation to help drive financial performance.
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centricity business, financial management, revenue cycle, hospital billing, hospital finance, patient billing, rcm, episodic payment, accountable care, icd-10, healthcare reform, shared savings, capitation, payment reform, risk based contracting, hospital consolidation, [mjm] claims, denials, cost to collect, patient accounting
    
GE Healthcare
Published By: GE Healthcare     Published Date: Aug 27, 2015
Children’s Mercy is not only one of the nation’s top pediatric medical centers, they have a strategy that improves organizational profitability in the face of constant change – all while delivering world-class care for their patients. Children’s Mercy accomplished what many have tried: integrating hospital and ambulatory revenue cycle activities with complete integration of all processes on a single IT platform.
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centricity business, financial management, revenue cycle, hospital billing, hospital finance, patient billing, rcm, episodic payment, accountable care, icd-10, healthcare reform, shared savings, capitation, payment reform, risk based contracting, hospital consolidation, [mjm] claims, denials, cost to collect, patient accounting
    
GE Healthcare
Published By: GE Healthcare     Published Date: Aug 27, 2015
Sharp is leading the way in the shift to shared risk. In this journey, they manage to the right financial metrics while still delivering appropriate care to their patient population. Watch the video to learn how GE Healthcare is helping Sharp make a difference.
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centricity business, financial management, revenue cycle, hospital billing, hospital finance, patient billing, rcm, episodic payment, accountable care, icd-10, healthcare reform, shared savings, capitation, payment reform, risk based contracting, hospital consolidation, [mjm] claims, denials, cost to collect, patient accounting
    
GE Healthcare
Published By: GE Healthcare     Published Date: Aug 27, 2015
Centricity™ Business Performance Manager service helps Schumacher Group make significant workflow improvements and reduce rework costs by approximately $3.8 million per year.
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centricity business, financial management, revenue cycle, hospital billing, hospital finance, patient billing, rcm, episodic payment, accountable care, icd-10, healthcare reform, shared savings, capitation, payment reform, risk based contracting, hospital consolidation, [mjm] claims, denials, cost to collect, patient accounting
    
GE Healthcare
Published By: GE Healthcare     Published Date: Aug 27, 2015
The shift to value-based reimbursement (VBR) entails more financial risk for providers. Successful management of the transition to VBR can only be achieved when healthcare organizations are clinically and financially integrated to ensure tight care coordination and efficient resource utilization. That level of integration requires the aid of a robust IT infrastructure to support the enterprise. This whitepaper offers the opportunity to learn about new tools for healthcare providers to manage financial challenges associated with value-based reimbursement
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centricity business, financial management, revenue cycle, hospital billing, hospital finance, patient billing rcm, episodic payment, accountable care, icd-10, healthcare reform, shared savings, capitation, payment reform, risk based contracting, hospital consolidation, [mjm] claims denials, cost to collect, patient accounting, practice management
    
GE Healthcare
Published By: GE Healthcare     Published Date: Aug 27, 2015
This paper will explore some of the market dynamics driving the financial volatility in healthcare and will explore how advanced analytics, with the right IT backbone and organizational competencies, can help organizations successfully identify ways to manage revenue cycle profitability.
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centricity business, financial management, analytics, revenue cycle, hospital billing, hospital finance, patient billing, rcm, episodic payment, accountable care, icd-10, healthcare reform, shared savings, capitation, payment reform, risk based contracting, hospital consolidation, [mjm] claims, denials, cost to collect
    
GE Healthcare
Published By: The TriZetto Group     Published Date: Aug 01, 2011
Learn how to maximize efficiencies through greater system integration and automation, enable seamless interactions with providers, members and other constituents, and drive increased healthcare value with automated, value-based programs.
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trizetto, trizeto, healthcare reform for payers, payers and healthcare reform, reform and payers, compliance with reform, administrative efficiency, technology, icd-10, 5010, claims administration, mlr requirement, value-based insurance design, value-based reimbursement programs, healthcare information technology, population health management, mlr
    
The TriZetto Group
Published By: Concur ENT     Published Date: May 11, 2018
Business travel accounts for the majority of your employee expenses. Travel and expenses are intrinsically linked, so why not manage them together? When you combine travel and expense, some questions are easier to answer: • Where can I find a full picture of travel and expense spend? • Are expense claims aligned to my travel policy? • Can I reclaim some VAT? To connect travel and expense management, businesses usually look for software that can manage both processes from beginning to end. This is commonly referred to as an integrated solution. The results could be cost savings, faster delivery or improved employee adoption and satisfaction
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Concur ENT
Published By: Plex Systems     Published Date: Aug 15, 2014
There has been no shortage of high profile recalls over the past several years. Suppliers are being required to provide more robust quality management systems, provide better real-time visablity into manufacturing data, and may even be held accountable for additional charge-back and warranty claims. Take a next generation approach to quality management.
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networking
    
Plex Systems
Published By: nThrive     Published Date: Sep 22, 2017
Claim denials plague health care providers nationwide, siphoning up to 5 percent of patient net revenue per year and causing a cycle of rework on roughly 20 percent of claims. Couple that with the troubling statistic that upwards of 50 percent of denied claims are never worked by hospitals, and the scope of the issue becomes clear: denials management is vital to the financial health of your organization.
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nThrive
Published By: Splunk     Published Date: Sep 17, 2012
When the IT team determined the need for a new tool, they downloaded Splunk and saw immediate value. Read more about HealthTrans' hard and soft ROIs by integrating Splunk into their IT infrastructure.
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enterprise management associates, claims processing, roi, data management, data storage, security
    
Splunk
Published By: ZirMed     Published Date: Feb 05, 2013
This white paper examines the issues and risks surrounding compliance and reimbursement, and how a management tool can help you avoid them.
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compliance, medicare, medicare, reimbursement, claims management, claims, coding
    
ZirMed
Published By: ZirMed     Published Date: Jun 28, 2013
Advanced Medical Imaging (AMI) offers a full range of diagnostic imaging and intervention services in the metro Denver, Colorado area. In an effort to create a more proactive patient collection process they turned to ZirMed. Learn how AMI was able to increase point-of-care collections by estimating patient responsibility and collecting a portion of payment before service.
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medical imaging, radiologic services, ami, diagnostic imaging, intervention services, radiologist, claims management
    
ZirMed
Published By: GE Healthcare     Published Date: Mar 04, 2014
Why prepare now for ICD-10? While the October 1, 2014 deadline for compliance may seem to be in the distant future, an informative whitepaper by GE Healthcare describes the importance of advance planning and outlines a plan for success.
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ge healthcare, icd-10, service delivery, billing, claims processing, reimbursement, project management, emr, patient management, healthcare it
    
GE Healthcare
Published By: Riverbed     Published Date: Feb 26, 2015
Insurance organizations are constantly replacing legacy systems and practices with streamlined ones that help them compete better. In the area of billing, policy and claims management, Guidewire is broadly adopted.
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performance management, quality service, network performance, application performance, vendor profile, implementation, network performance management, application performance management, productivity
    
Riverbed
Published By: IBM Software     Published Date: Feb 03, 2012
Read this white paper from IBM to learn about applying predictive analytics to claims management, including the typical ROI achieved, how embedded analytics improves decision making, and technology components of a predictive analytics solution.
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ibm, security, predictive analytics, security policy, risk management, internet security, security solutions, access control, application security, authentication, identity management, security management, security policies, vulnerability management
    
IBM Software
Published By: IBM Software     Published Date: Oct 24, 2011
Read this white paper from IBM to learn about applying predictive analytics to claims management, including the typical ROI achieved and much more!
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data analysis, ibm data analysis, smarter planet new intelligence, rfid, sensors and actuators, epedigree, track and trace, insurance fraud, data management, data mining, knowledge management, data storage, knowledge management software
    
IBM Software
Published By: IBM     Published Date: Aug 07, 2012
As a claims management professional, you have to deal daily with formidable - and sometimes competing - challenges: provide superior customer experience; achieve operational excellence and cost containment; and effectively manage risk. Predictive analytics can help you improve each of these three outcomes, but more importantly, it helps strike the right balance among these three objectives for each new claim received. Read this white paper from IBM to learn about applying predictive analytics to claims management, including the typical ROI achieved, how embedded analytics improves decision making, and technology components of a predictive analytics solution.
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improving, claims, management, outcomes, predictive, analytics, claims, management, professional, formidable, competing, superior, customer, experience, operational, excellence, cost, containment, risk, predictive
    
IBM
Published By: Qlik     Published Date: Aug 31, 2016
Qlik apps are used by teams in head-office functions like group finance or risk. Here's a list of the top 12 solutions that are the most popular, and offer the greatest business value.
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qlik, finance solutions, risk, insurance, claims management, cvs, sales performance, risk management, information management, records management, spend management, expense management
    
Qlik
Published By: IBM ILOG.     Published Date: Oct 26, 2009
This case study will showcase the challenges of clinical trial data management, but the highlighted techniques are applicable to any business needing smart, dynamic and adaptive Web-based user interfaces.
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brms, business logic, business rules, claims management, data management, data validation, healthcare, productivity, web-based applications, application integration, database development, web service management
    
IBM ILOG.
Published By: IBM     Published Date: Nov 12, 2013
A Smarter Process vision for healthcare. We live in an era in which customers expect perfection from their service providers. With competitors only a click (or tap) away, companies have a strong incentive to deliver flawless operations. Online retailers have set a high bar - in the way they engage customers throughout the entire sales process -not just during the commercial transaction, but before, during and after the transaction. Can healthcare and life sciences meet the challenge?
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business operations, business process management, bpm, process automation, healthcare, smarter process, life sciences, health plan, payer claims management, compliance management, business analytics, business intelligence, content management system, document management, information management, search and retrieval
    
IBM
Published By: IBM     Published Date: Mar 04, 2014
A Smarter Process vision for healthcare. We live in an era in which customers expect perfection from their service providers. With competitors only a click (or tap) away, companies have a strong incentive to deliver flawless operations. Online retailers have set a high bar - in the way they engage customers throughout the entire sales process -not just during the commercial transaction, but before, during and after the transaction. Can healthcare and life sciences meet the challenge?
Tags : 
business operations, business process management, bpm, process automation, healthcare, smarter process, life sciences, health plan, payer claims management, compliance management, business analytics, business intelligence, content management system, document management, information management, search and retrieval
    
IBM
Published By: SurveyMonkey     Published Date: Aug 25, 2015
Learn how to use surveys to test marketing claims by taking the guesswork out of your big decisions.
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apple watch, key metrics, data research, marketing claims, testing surveys, framework testing, data insights, brand management, purchase intent, advertising, crm, market research, surveymonkey
    
SurveyMonkey
Published By: MedAssurant, Inc.     Published Date: Aug 31, 2010
Case Study: Beyond "Clinically Enriched Administrative Data": Using Patient- Specific Datasets to Drive Rapid Clinical & Financial Improvements
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medassurant, medical informatics, health care, healthcare, dataset, medical claims data, patient management, administrative datasets
    
MedAssurant, Inc.
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