Partners

Optimum Partners

RCM- Encoder for Diagnosis and Procedure Coding. GPS product is used for APR-DRG’s required by some payers. California Medicaid, New York Medicaid, etc.

Coding and Reimbursement solutions for a changing healthcare landscape – from improving efficiency of medical records coding, to outlining success in value-based care.

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RCM & Clinicals – Custom report writer and dashboards.

Cyberscience provides innovative database analysis, business intelligence, decision support, production reporting and rapid application development solutions. They break the barriers to data and liberate information to help users gain strategic advantage.

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Electronic prescribing and medication management.

Software solutions and services that provide real-time access to patient data, improve communication and collaboration at the point of care and across the patient’s circle of caregivers, and enhance the doctor’s clinical view of the patient to help drive better health outcomes.

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CQM solution browser based application for calculating, displaying and generating Quality Measures.

Dynamic Health IT specialize in eCQMs, Meaningful Use certified solutions and system interoperability via standards such as HL7, (CDA), CCDA and FHIR.

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RCM- Encoder for Diagnosis and Procedure Coding. GPS product is used for APR-DRG’s required by some payers. California Medicaid, New York Medicaid, etc.

Coding and Reimbursement solutions for a changing healthcare landscape – from improving efficiency of medical records coding, to outlining success in value-based care.

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Clinical- ED solutions for Physicians and Nurses.

Emergency Department (ED) management platform that has been designed from the ground up by a clinical development team to accommodate the unique workflow of the ED.

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RCM-LMRP and CCI files.  Integral and essential part of the medical necessity, coding and billing applications.

Patient eligibility and address verification, Patient Payment Estimator, Patient financial products including: eCashiering, eClaims, Payment Navigator, Medical Necessity, and Pre-certification.

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Drug Database Knowledge, Clinical Decision Support and Monograph Information.

FDB (First Databank) transforms drug data and drug databases into drug knowledge that is used within healthcare information systems to provide medication decision support.

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RCM-270/271 Eligibility. They receive the patient/subscriber insurance information from Optimum and send it through a clearinghouse to gather the patient’s benefits eligibility. The response is returned to Optimum and stored in the EDI database.

A leading provider of revenue cycle management and clearinghouse solutions.  SSI delivers solutions that increase the accuracy and velocity of data exchange among healthcare providers and payers, with the highest levels of security.

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NetSolutions Partners

ABILITY provides  specialized applications and analytics that work together to help with revenue cycle management, care quality management and workforce management via a powerful, integrated platform connecting payers and providers.

Eligibility checking and auto billing exchange transactions.

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Command Health is a community-based virtual healthcare network designed to automate information workflow processes between hospitals, medical clinics, imaging centers, ambulatory surgery centers and their service organizations. Designed to automate information workflow process between hospitals and facilities, the organization offers a best-in-class platform with modules for medical transcription, e-prescriptions, Virtual Radiology Network, Lab Information System, Nurse Notes, and Workflow schedules.
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eProvider Solutions provides instant real-time access to insurance eligibility and benefit information, including effective dates, benefit caps, co-payments, deductibles and other essential information for commercial and government payers.

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FrameworkLTC’s highly functional, bi-directional interfaces are built to maximize data sharing and efficiencies. Enable this communication using NCPDP, a singular, standard interface, making it easy for to build an interface and cost-effective for pharmacies looking to connect and grow their business.

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Truven Health Analytics®, part of the IBM Watson Health™ business, provides market-leading performance improvement solutions built on data integrity, advanced analytics and domain expertise. RED BOOK™ is the essential resource healthcare professionals reach for every day to find the latest information for prescription and over-the-counter products. RED BOOK reduces the need to conduct redundant searches and simplifies identification, analysis, and comparison of drug and non-drug products.

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Omnicare is a national provider of long term care pharmacy services delivering more than 70 million prescriptions a year to skilled nursing facility customers nationwide. Committed to building strong, consultative partnerships, so that together, they can successfully support each member of your community.

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As a nationally recognized provider of long-term care pharmacy services, PharMerica has been a committed partner to providers and staff of senior living communities (SLC), skilled nursing facilities (SNF), public health organizations, long-term care settings (LTC) and post-acute care facilities for more than 30 years.

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As the nation’s largest Long Term Care focused ePrescribing Network, PrescribersConnection has established a comprehensive network of electronic connections serving facilities, LTC physicians and LTC pharmacies. With one connection to the PrescribersConnection LTC Network, every partner is connected to the network.

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PrimeCare is designed for LTC or combo pharmacies serving nursing homes, mental health and assisted-living facilities. PrimeCare enables you to process orders quickly, efficiently and safely and includes features that will streamline your daily processes. With built-in flexible Workflow, Pharmacy at a Glance dashboard and Accounts Receivable, PrimeCare is customizable to fit the needs of your pharmacy and the LTC facilities you serve.

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ZirMed offers comprehensive solutions for an increasingly complex revenue cycle management (RCM) landscape, enabling providers to:

  • Confirm the details of patients’ insurance coverage at or before the time of service
  • Quickly and easily estimate patient financial obligation—up front and in real time
  • Process and track all claims—and easily manage payer payments
  • Follow up on patient balances, reduce bad debt and write-offs, and enhance patient satisfaction through consumer-friendly billing and collections processes

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Measure regulatory compliance in Resident Choice, Quality of Life, Clinical Care, Management Practices, and Facility Standards on any computer, smart phone, iPad or other wireless device.

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WoundRounds is a leading Wound Care Management Solution, providing electronic documentation and care management delivered over the internet on a subscription basis. It integrates proprietary software with handheld and web-enabled technology to deliver an affordable point-of-care wound and risk management tool.

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