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What is Miramar?

Miramar: Enroll provides a robust intake and verification system that operates across multiple channels, smoothly connecting with CMS and allowing for real-time distribution of work queues. With a strong operational synergy with health plans, we recognize the critical elements necessary for a successful Medicare plan administration solution. Our bespoke enterprise platform, Miramar, is equipped with dynamic workflows, advanced work queue features, SmartWizard tools, automated alerts, and reconciliation metrics that outshine the offerings of many conventional software providers. Successfully running government-sponsored health plan operations requires excelling in everyday management responsibilities. Through our tailored software solutions, you can focus on the key aim of refining processes to boost efficiency and ensure compliance. From managing data reconciliations to overseeing your sales workforce and tracking compliance, our solutions are crafted to seamlessly integrate with your current technological setup, allowing for swift activation of your teams and a notable enhancement of overall productivity. Moreover, utilizing our platform will empower you to adeptly handle the intricacies of Medicare administration, ensuring your organization remains flexible and responsive to evolving demands while staying ahead in a competitive landscape. In doing so, you will not only improve operational workflows but also foster a culture of continuous improvement within your organization.

What is Careficient?

Careficient is a scalable, cloud-based EMR platform built to help home health, hospice, home care, and palliative care agencies streamline clinical, administrative, billing, and compliance operations. The software is designed around the needs of care agencies that want to reduce manual work, improve productivity, and run multiple workflows from one connected system. Careficient supports intake, referral management, admissions, client health records, caregiver management, integrated scheduling, point-of-care documentation, data analysis, reporting, billing, payroll, and interoperability. Agencies can use the platform to automate routine tasks, reduce costs, improve staff efficiency, and support faster reimbursement. The system is built to scale from a single agency to large organizations managing many agencies or multiple lines of business. Careficient also helps agencies manage regulatory compliance by supporting accurate documentation, secure records, EVV workflows, and connected clinical and back-office processes. Its module suite extends the core EMR with CareClaims for real-time claims, eligibility, and payer management, as well as CareClaims Pro for additional Medicare claims automation and analytics. CareAnalytics provides revenue cycle intelligence to help agencies understand cash flow and profitability, while CareEVV improves visit verification, documentation accuracy, and caregiver experience. CareDocuments streamlines inbound and outbound document management, and CareConnect enables interoperability between Careficient and important care partners. CarePortal gives authorized family members, providers, and patients secure access to electronic medical records, while CareDDE automates connectivity to a Medicare fiscal intermediary. With its combination of EMR, scheduling, payroll, billing, analytics, compliance, and interoperability tools, Careficient helps care agencies operate more efficiently while keeping patient care at the center of the business.

Media

Media

Integrations Supported

Inovalon Provider Cloud
QuickBooks Accountants
SHP for Skilled Nursing
Waystar

Integrations Supported

Inovalon Provider Cloud
QuickBooks Accountants
SHP for Skilled Nursing
Waystar

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided
Free Version
Free Trial Offered?

Pricing Information

Pricing not provided
Free Version
Free Trial Offered?

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

Convey Health Solutions

Date Founded

2001

Company Location

United States

Company Website

conveyhealthsolutions.com/medicare-enrollment-software/

Company Facts

Organization Name

Careficient

Date Founded

2016

Company Location

United States

Company Website

www.careficient.com

Categories and Features

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Categories and Features

Home Health Care

Billing & Invoicing
Charting
Electronic Signature
Employee Tracking
Medication Database
Patient Intake
Scheduling
Time / Task Reporting

Hospice

Assessment Management
Bereavement Management
Care Planning
Claims Management
EMR / EHR
Medication Tracking
Patient Intake
Physician Portal
Scheduling
Volunteer Management

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