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What is Care Management Suite?

The Care Management Suite serves as an all-encompassing, data-driven solution for overseeing care, equipped with a variety of tools and methodologies that aim to improve transparency across both high-risk and at-risk patient demographics. Its design promotes more effective and patient-centered workflows, ultimately striving to boost the quality of care while reducing overall healthcare expenditures. Utilizing data analytics, the suite pinpoints opportunities for enhancement within the care continuum, resulting in improved clinical, operational, and financial outcomes. Comprising three essential applications—Population Builder™: Stratification Module, Population Care Workflow, and Population Care Insights—each component plays a crucial role in the management of care. The suite delivers a unified, comprehensive workflow that integrates processes from patient enrollment and continuous care management to maintaining patient records and fostering collaboration among healthcare teams, ultimately saving valuable time and elevating care standards. Moreover, its analytics-centric Data Operating System aggregates diverse claims and electronic medical record data to provide a complete view of each patient’s health status. By harnessing these insights, healthcare professionals can make better-informed decisions that are geared towards enhancing patient outcomes, which is essential in today’s evolving healthcare landscape. In essence, this innovative suite not only streamlines care management but also empowers providers to deliver superior healthcare services effectively.

What is Assurance Reimbursement Management?

Explore a specialized analytics-driven tool crafted for healthcare providers to effectively manage claims and remittances, aiming to refine workflows, optimize resource utilization, decrease denial rates, and improve cash flow. Enhance your initial claim acceptance rates with our comprehensive editing suite that ensures compliance with the latest payer guidelines and regulations. Increase your team's productivity by leveraging intuitive workflows that focus on exceptions while automating repetitive tasks. Your staff can easily access our adaptable, cloud-based platform from any device, promoting uninterrupted operations. Simplify the handling of secondary claims with the automatic generation of secondary claims and explanations of benefits (EOB) derived from primary remittance advice. Utilize predictive artificial intelligence to prioritize claims that need urgent attention, facilitating quicker error resolution and reducing the likelihood of denials before submission. Whether you are processing primary paper claims or organizing claims and EOBs for secondary submissions, you will experience enhanced efficiency in your claims processing. By adopting these innovative features, you can substantially improve your claims management approach and take your practice to the next level. This progressive solution not only streamlines operations but also empowers your team to focus on delivering exceptional patient care.

Media

Media

Integrations Supported

Adobe Document Cloud
Amazon Web Services (AWS)
Experian Aperture Data Studio
Hyperledger Fabric
Microsoft 365

Integrations Supported

Adobe Document Cloud
Amazon Web Services (AWS)
Experian Aperture Data Studio
Hyperledger Fabric
Microsoft 365

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Health Catalyst

Date Founded

2008

Company Location

United States

Company Website

www.healthcatalyst.com/product_category/caremanagement/

Company Facts

Organization Name

Change Healthcare

Date Founded

2007

Company Location

United States

Company Website

www.changehealthcare.com/solutions/revenue-cycle-management/reimbursement-management/assurance-reimbursement-management

Categories and Features

Patient Management

Admissions Management
Bed Management
Discharge Management
Historical Reporting
Patient Flow Management
Patient Location Tracking
Patient Monitoring
Real Time Reporting
Waiting Time Tracking

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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