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Industry Vertical Expertise >> Health Care
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Overview

 

Today, IT synthesizes every segment of healthcare - right from clinical care to new drug development. It offers powerful tools to get critical business insights that help the organizations to create an integrated healthcare environment and deliver better clinical outcomes.

<company name> is at the forefront of healthcare and pharmaceutical industry, offering specialized solutions that are innovative, HIPAA compliant, cost-effective, and highly flexible. <Company name> has a wide experience in Health Care sector with expertise in the area of Pharmacy Retails Management, Online Dynamic Web Presence solution, Online Appointment Scheduler, Primary Care Management Solution, Health Care Job Portal etc.

Features of Healthcare Management Software:

  • Our customized healthcare management software establishes industry specific standards and guidelines for coding, pricing, billing, reviewing, auditing and managing medical episodes.
  • We leverage our proprietary database and expertise to provide health care industry comparative pricing tools, claims editing systems, utilization protocols and specialty specific clinical, coding, pricing and reimbursement guidelines.
  • Our databases maintain comprehensive health care industry payment information, including usual and customary reimbursement schedules for health care products with comparative reimbursement pricing guidelines for procedures by zip code area.
  • Artificial intelligence enables our Rules Based Engine to apply sophisticated, clinical and financial based edits to analyze coding relationships by insurance company, employer sponsored benefit plan provision-exclusions-limitations, coverage issues, utilization guidelines and line item information contained in the insurance claim or remittance statement.


 

   
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