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Case Study: Assefaz
Brazilian health care cooperative Assefaz wanted to change its health care plan administration system, as it didn’t offer enough options to create business

frivolous health insurance claims  Study: Assefaz Brazilian health care cooperative Assefaz wanted to change its health care plan administration system, as it didn’t offer enough options to create business rules and specific procedures. The new system it chose offers new modules, including Medical Audits. Find out how the co-op divided up the implementation, and how the new solution has streamlined numerous processes related to its administrative health care services. Read More...
Document Management System (DMS)
Document management systems (DMS) assist with the management, creation, workflow, and storage of documents within different departments. A DMS stores documents in a database and associates importan...
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Documents related to » frivolous health insurance claims


Virginia Commonwealth University Health System
This case study describes the complexity of human resource management systems (HRMS)/payroll management when merging two organizations and how Ultimate Software

frivolous health insurance claims  Commonwealth University Health System This case study describes the complexity of human resource management systems (HRMS)/payroll management when merging two organizations and how Ultimate Software’s UltiPro Workforce Management software helped solve the new challenges arisen from the merger. Read More...
Spyware Meets HIPAA
With the advent of the US Health Insurance Portability and Accountability Act (HIPAA), security is no longer optional for health care organizations. As spyware

frivolous health insurance claims  Meets HIPAA With the advent of the US Health Insurance Portability and Accountability Act (HIPAA), security is no longer optional for health care organizations. As spyware risks grow, they must ensure that data is protected from unauthorized disclosure, and that it is available when needed. Thus, implementing anti-spyware measures is both a good business practice and a move towards ensuring regulatory compliance. Read More...
Epicor Claims The Forefront Of CRM.NET-ification Part 1
By harnessing .NET possibly more zealously than its creator Microsoft’s Great Plains and Navision enterprise counterparts, and while difficult market conditions

frivolous health insurance claims  Epicor,CRM.NET-ification Part 1,CRM.NET,Epicor Software Corporation,.NET CRM architecture,Epicor's product lines,Clientele CRM.NET Suite,Clientele Customer Support 8.0,ClienteleNet,Clientele CRM product,CRM functionality,customer relationship management fucntionality,Microsoft .NET Platform,customer service et support Read More...
TEC Helps Australasian Consulting Firm Replace Health Care Provider’s Ailing Financials System
TEC's online software comparison system, TEC Advisor, is designed to help you make sense of the massive amount of information you'll gather during your

frivolous health insurance claims  Helps Australasian Consulting Firm Replace Health Care Provider’s Ailing Financials System TEC's online software comparison system, TEC Advisor, is designed to help you make sense of the massive amount of information you'll gather during your selection project. One leading enterprise software consulting firm decided to put TEC’s technology to the test, to help a client replace its legacy financials system. The result? An objectively chosen best-fit financials solution—a mere two and a half months Read More...
Leading Benefits & Claims Administration Provider Improves Workforce Performance
NASCO, a healthcare claims administrator provider for BlueCross and BlueShield companies, deployed SumTotal’s integrated talent management platform to

frivolous health insurance claims  SumTotal Systems,SumTotal Performance,performance management,human resource,workforce performance,performance management software,workforce performance management,human resource job description,application performance management,human resource education,human resources performance management,human resource services,human resource metrics,human resource performance management,performance management articles Read More...
Striking a Balance between Governance, Risk, and Compliance
Increasingly complex regulatory requirements in the health care industry have intensified pressures on health systems to assure compliance and operational

frivolous health insurance claims  a Balance between Governance, Risk, and Compliance Increasingly complex regulatory requirements in the health care industry have intensified pressures on health systems to assure compliance and operational governance while maximizing business performance. This study draws on a survey conducted by Healthcare IT News and Healthcare Finance News to share strategies that will improve governance, compliance, and business performance across today’s health care organization. Read More...
FICO Health Care Analytics
With gold-standard custom analytics, FICO delivers powerful information and a deep understanding of the health care industries to identify potential high

frivolous health insurance claims  Health Care Analytics With gold-standard custom analytics, FICO delivers powerful information and a deep understanding of the health care industries to identify potential high-value customers, design highly-targeted campaigns, create accurate and detailed audience segmentation, and identify motivating tactics and messages to yield desired outcomes. Read More...
How Health Benefit Exchanges Will Change the Business Landscape in the Health Care Space
The Patient Protection and Affordable Care Act (PPACA), which aims to create state-based health benefit exchanges in the US, calls for a shake-up of the health

frivolous health insurance claims  Health Benefit Exchanges Will Change the Business Landscape in the Health Care Space The Patient Protection and Affordable Care Act (PPACA), which aims to create state-based health benefit exchanges in the US, calls for a shake-up of the health care sector. The focus for technology companies addressing the health benefits exchange opportunity needs to be around the integration of stakeholders on a common platform, ensuring quick and easy access to medical records, patient data, insurance service Read More...
ASP: For The Health of It
5-Year ASP Contract for Internet Healthcare Software Awarded to Healthcare Systems & Solutions.

frivolous health insurance claims  For The Health of It Event Summary In March Healthcare Systems & Solutions announced that The Atlantic Benefits Company has signed a 5-year ASP agreement for its MemberWEB and ProviderWEB software products. HSS has developed a combination of ASP services and web-based software applications designed to improve communications between employers, payers, providers, and members. HSS's technology provides health plans a low-cost, high-quality service that leverages the Internet to offload support Read More...
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

frivolous health insurance claims  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 insurance portability, and the administration simplification of health care payers. Health care electronic data interchange (EDI) transactions such as eligibility, claim status, referrals, claims, remittances, member enrollment and maintenance, and premium payments are all impacted by the regulation. This paper Read More...
Whose ROI is it Anyway? Part Two: Sorting Through Claims
ROI (return on investment) has taken on new importance in examining business initiatives and programs that often involve deployment of enterprise software and

frivolous health insurance claims  enterprise software vendor,enterprise software vendors,selection process scope,software development implementation,software implementation,software implementation approach,software implementation lifecycle,software implementation methodologies,software implementation methods,software implementation model,software implementation phase,software implementation phases,software implementation plan,software implementation process,software implementation project 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.

frivolous health insurance claims  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. Read More...
Picture Archiving Communication Systems (PACS) for the Health Care Industry
PACS (Picture Archiving Communication System) manages the storage and display of digitized diagnostic images such as x-rays, CT Scans, and ultrasounds for

frivolous health insurance claims  Archiving Communication Systems (PACS) for the Health Care Industry PACS (Picture Archiving Communication System) manages the storage and display of digitized diagnostic images such as x-rays, CT Scans, and ultrasounds for use by radiologists and other clinicians. Read More...
Choosing the Right Electronic Medical Record System for Your Health Care Organization
Health care organizations have special needs to consider when deciding what type of electronic medical record (EMR) system to implement. This article examines

frivolous health insurance claims  the Right Electronic Medical Record System for Your Health Care Organization Electronic medical record (EMR) systems come in two different models: on-demand and on-premise. An on-demand EMR solution is a Web-based application that the health care provider accesses through the Internet. The solution is administered remotely by a third-party vendor that oversees data management, software upgrades, and security functions. An on-premise EMR application resides in house, whereby an internal IT Read More...

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