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An Approach to HIPAA 5010 conversion
In 1996, Congress passed HIPAA to establish national standards for health care transactions. The main focus is to address patient privacy rights, health

claims administration health insurance  eligibility, claim status, referrals, claims, remittances, member enrollment and maintenance, and premium payments are all impacted by the regulation. This paper discusses HIPAA drivers, compliance schedule, changes, impacts on various stakeholders, benefits of adoption, and approaches to successful completion of this conversion. Read More...
Discrete Manufacturing (ERP)
The simplified definition of enterprise resource planning (ERP) software is a set of applications that automate finance and human resources departments and help manufacturers handle jobs such as or...
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Documents related to » claims administration health insurance


What Is the Value Proposition of Support and Maintenance?
Mature systems in any enterprise require an approach different from newer implementations to software support—one that focuses on customization

claims administration health insurance  issues. For instance, IQMS claims a coveted 98 percent customer retention rate, and has hardly any issues with the value of its S&M programs. It is quite the opposite for many upper tier vendors that attempt to cover even thirty disparate industries while at the same time fiercely competing over the next generation of software platforms. These vendors use maintenance fees to fund new developments. Many customers realize that market battles over application architectures, new middleware, and SOA Read More...
Vendors Jostle and Profess Economic Stimulus Readiness - Part I
At Deltek’s Insight 2009 user conference last May, the host software vendor did a notable thing. Namely, besides merely putting on an all-too-common multi

claims administration health insurance  To back up his claims about the Obama administration’s concessions to unions, Davis outlined about a dozen current policy initiatives, some of which “sounded like Greek” to me. Some of those cited US labor-friendly initiatives in place are as follows: revisions of the Korea and Central America  Free Trade Agreements (FTAs) a Review of the  National Security Personnel System (NSPS)  pay for performance scale enforcing the OMB Circular No. A-76, which addresses the performance of commercial Read More...
PeopleSoft Building Muscles To Overcome The Rough Patch Part 1
The year 2001, which was an exceptional year of financial performance for PeopleSoft, including record total revenue, record profit, and more than $500 million

claims administration health insurance  PeopleSoft Strategic Sourcing, PeopleSoft claims to offer the only solution that manages the entire source-to-settle process for all goods and services, as companies can directly generate contracts and purchase orders from bid evaluation screens, and thereby significantly reduce processing time. In addition, with PeopleSoft Strategic Sourcing, companies should identify and measure suppliers on numerous criteria driving more profitable supplier relationships. PeopleSoft Trading Partner Management (TPM) Read More...
HIPAA-Watch for Security Speeds Up Compliance Part One: Vendor and Product Information
HIPAA-Watch for Security is a tool designed to guide organizations through the risk analysis required by the Health Insurance Portability and Accountability Act

claims administration health insurance  management or disease management claims processing compliance or legal office facilities management financial management and budget health education health services or utilization management human resources information network management information security officer information services help desk or technical support information systems management internal audit laboratory marketing and fund raising medical records department medical staff member, customer, or patient services mental health or drug Read More...
Adventist Health System Selects WorkForce Software's EmpCenter Suite
Workforce Software, provider of enterprise workforce management solutions, announced that Adventist Health System has selected its EmpCenter Suite. Adventist

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HIPAA Compliance and the eSureIT Online Backup Service
The US Health Insurance Portability and Accountability Act (HIPAA) of 1996 applies to health care providers, health plans, and clearing houses that

claims administration health insurance   Read More...
Time and Attendance for the Health Care Industry
Time and attendance software collects, tracks, and reports employee hours worked through automated time clocks or other means.

claims administration health insurance   Read More...
Document Management for the Health Care Industry
Document management (DM) for health care and hospitals manages the storage, display, faxing, and scanning of paper and electronic documents.

claims administration health insurance   Read More...
How One Vendor's Software Solutions Address the Insurance Industry's Unique Issues
Callidus Software's latest enterprise incentive management and sales performance management product suite for the insurance sector aims at helping insurance

claims administration health insurance  One Vendor's Software Solutions Address the Insurance Industry's Unique Issues In an effort to establish itself in the insurance industry as a leading provider of software solutions, Callidus Software , a San Jose, California (US)-based vendor of sales performance management (SPM) and enterprise incentive management (EIM) solutions, has launched a product suite to address the unique issues that insurance carriers must contend with regularly. For more background, please see How Can Insurance Carriers Read More...
Secure Analytics: Maximizing Data Quality and Minimizing Risk for Banking and Insurance Firms
Do you use real customer profiles and statistics to drive marketing efforts, or real employee data for salary or benefit analysis? While these activities are

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SAS for Health Care Providers
SAS solutions for the health care industry were developed with the help of skilled health care experts. SAS solutions empower users to integrate volumes of

claims administration health insurance   Read More...
Health Care Payers' Adaptability Road Map for Health Benefit Exchanges
The Patient Protection and Affordable Care Act (PPACA) is aimed at creating state-based health benefit exchanges in the US. The health benefit exchanges are

claims administration health insurance  healthcare sector,health care,Patient Protection and Affordable Care,PPACA,health benefits Read More...
SAP Support of the Health Care Supply Chain’s Ongoing Effort to Ensure Patient Safety and Drive Business Value
Electronic product code information services (EPCIS) is a standard mechanism for inter-company collaboration and data sharing, which can enable health care

claims administration health insurance  leakage associated with deduction claims based on not having received invoiced product. Recall and Expiration Management – There are many opportunities to eliminate waste and improve security through improved recall and expiration management. Companies needing to recall products will be able to precisely identify where the product has been shipped and more specifically target recall notices. They also will be able to recall less than full-batch quantities based on serial numbers. Further, they will be Read More...
Westwood Insurance Chooses MAS 500 for Integration Capabilities
For ten years, California (US)-based Westwood Insurance used an off-site bureau for all accounting, financial, and insurance data management. In 1996, the

claims administration health insurance  story,Insurance,MAS 500,customer,satisfaction,management Read More...

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