claims

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By: ZirMed     Published Date: Feb 05, 2013
This white paper examines the issues and risks surrounding compliance and reimbursement, and how a management tool can help you avoid them.
Tags : compliance, medicare, medicare, reimbursement, claims management, claims, coding
     ZirMed
By: XpertHR     Published Date: Aug 02, 2018
When it comes to managing the risk of sexual harassment claims, today’s headlines and news stories make it abundantly clear that it’s not just what you’re doing today that may create risk—but what you’ve done, or haven’t done, in the past. XpertHR’s recent Sexual Harassment Survey revealed a wide range of responses from employers hoping to tackle the issue in 2018. New and vastly varying federal and state laws challenge HR professionals to remain on top of regulatory requirements related to policies, training and other compliance issues. XpertHR’s webinar, “Coming Soon: 50 States, 50 Sexual Harassment Training Laws,” will help you ensure you’re prepared, compliant and poised to act appropriately amid a growing number of regulations and continually emerging claims. Get tips from expert attorneys who will help you get up-to-date on: ? New training requirements for private sector employers in New York and varying requirements in other states ? Why high-quality harassment training i
Tags : sexual harassment, compliance training, #metoo, harassment training, harassment claim, compliance, harassment, employee management
     XpertHR
By: Concur     Published Date: Aug 15, 2017
At Concur, we receive a lot of questions about the best way to audit expense claims. Often the approaches to audit vary greatly by industry and company culture. It doesn’t have to be confusing. In this report, we hope to provide a clear perspective that can help every business identify ways to improve their audit process.
Tags : reporting, configuration, auditing, email reminders, data, communication, concur, maxus
     Concur
By: Kapost     Published Date: Feb 20, 2014
Just about everyone claims to be doing content marketing, but far fewer organizations have a thought-out plan. According to Content Marketing Institute, only 44% of B2B marketers and 39% of B2C marketers have a documented content strategy. But as organizations scale content operations, workflows, distribution, and promotion, many are seeking tools to centralize, manage, and improve the process. That’s where content marketing software comes in. This software can help organize, automate, and visualize your efforts to create original content, as well as curate the content of others.
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     Kapost
By: Canon Business Process Services, Inc.     Published Date: Aug 17, 2015
This paper will explore the potential of applying business performance management (BPM) principles to advance document performance management (DPM) in a way that enables organizations to reduce costs; better manage documents as vital strategic, ?nancial and information assets; and secure positive returns on investments from outsourcing. An example of this approach — spotlighted later in this paper — is MAX, a document performance management system that enables companies to more effectively manage their document processes and outsourcing service providers.
Tags : canon business process services, document management, document imaging, business performance management, outsourcing services, managed services, balanced scorecard framework, slas
     Canon Business Process Services, Inc.
By: ClickSoftware     Published Date: Jun 30, 2014
Driving Change of Property and Casualty – Transform Your Customer Experience INSURERS ARE UNDERSTANDABLY EAGER to differentiate customer experience by automating mobile workforce management—especially when they can also cut operational costs, reduce carbon footprint, and streamline catastrophe response in the process. But this profound transformation in the daily lives of field claims and other mobile workers must be managed carefully to maximize benefits while minimizing disruption for all stakeholders.
Tags : clicksoftware, mobile, mobile workforce, property & casualty, workforce management
     ClickSoftware
By: CrowdStrike     Published Date: Oct 23, 2017
As damaging breaches continue to occur, more organizations are considering endpoint detection and response (EDR) solutions to address the incidents that aren't being handled adequately by their existing defenses. However, EDR solutions come in a wide variety of implementations and can vary significantly in scope and efficacy — choosing the best solution can be challenging. This white paper, “Endpoint Detection and Response: Automatic Protection Against Advanced Threats,” explains the importance of EDR, and describes how various approaches to EDR differ, providing guidance that can help you choose the product that's right for your organization. Read this white paper to learn: What makes EDR such a valuable addition to an organization's security arsenal and why finding the right approach is critical How the “EDR maturity model” can help you accurately evaluate vendor claims and choose the solution that best fits your organization’s needs How the CrowdStrike® EDR solution empowers organ
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     CrowdStrike
By: CrowdStrike     Published Date: Nov 28, 2018
As damaging breaches continue to occur, more organizations are considering endpoint detection and response (EDR) solutions to address the incidents that aren't being handled adequately by their existing defenses. However, EDR solutions come in a wide variety of implementations and can vary significantly in scope and efficacy — choosing the best solution can be challenging. This white paper, “Endpoint Detection and Response: Automatic Protection Against Advanced Threats,” explains the importance of EDR, and describes how various approaches to EDR differ, providing guidance that can help you choose the product that's right for your organization. Read this white paper to learn: • What makes EDR such a valuable addition to an organization's security arsenal and why finding the right approach is critical • How the “EDR maturity model” can help you accurately evaluate vendor claims and choose the solution that best fits your organization’s needs • How the CrowdStrike® EDR solution empowers
Tags : 
     CrowdStrike
By: GE Healthcare     Published Date: Aug 27, 2015
Centricity™ Business helps Virginia Commonwealth University achieve new heights in financial performance while delivering award-winning care.
Tags : centricity business, financial management, revenue cycle, hospital billing, hospital finance, patient billing, rcm, episodic payment
     GE Healthcare
By: Ephesoft     Published Date: Jan 18, 2018
Insurance companies are intensely data and document driven. Learn how intelligent document capture solutions can help all types of insurance offerings improve customer service, process claims faster and create streamlined, efficient and profitable business practices.
Tags : insurance, solutions, ephesoft, data, customer service, claims, business, optimization
     Ephesoft
By: Epicor     Published Date: May 21, 2019
In their report, “Magic Quadrant for Cloud ERP for Product-Centric Midsize Enterprises,” ¹ Gartner recognized Epicor as a Visionary in the cloud ERP marketplace. Additionally, Epicor scored highest in the ERP Functionality use case in Gartner's critical capabilities report. ² We believe Gartner’s positioning of Epicor ERP reflects our focus on providing solutions that fit manufacturing businesses to drive growth with greater ease. Read the report from Gartner to learn more. Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose. GART
Tags : cloud, erp, magic quadrant, visionary, epicor
     Epicor
By: nThrive     Published Date: Sep 22, 2017
Claim denials plague health care providers nationwide, siphoning up to 5 percent of patient net revenue per year and causing a cycle of rework on roughly 20 percent of claims. Couple that with the troubling statistic that upwards of 50 percent of denied claims are never worked by hospitals, and the scope of the issue becomes clear: denials management is vital to the financial health of your organization.
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     nThrive
By: Skytap     Published Date: Aug 23, 2017
Cloud migration has exploded in popularity since General Electric’s (GE’s) flashy keynote at Amazon Web Service’s (AWS’s) re:Invent in September 2015. GE claims to be migrating all workloads not containing secret information. Enterprises are revisiting public cloud and exploring whether existing or systems-of-record applications have a place in that world. Infrastructure and operations (I&O) professionals on this path should avoid a one-size-fits-all approach to outsourcing and migration plans, opting instead for an app-by-app assessment.
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     Skytap
By: The TriZetto Group     Published Date: Aug 01, 2011
Learn how to maximize efficiencies through greater system integration and automation, enable seamless interactions with providers, members and other constituents, and drive increased healthcare value with automated, value-based programs.
Tags : trizetto, trizeto, healthcare reform for payers, payers and healthcare reform, reform and payers, compliance with reform, administrative efficiency, technology
     The TriZetto Group
By: The TriZetto Group     Published Date: Aug 01, 2011
This paper, the second in a series addressing four key challenges of healthcare reform, focuses on actions you can take now to streamline core administrative processes to drive efficiency and reduce costs.
Tags : trizetto, trizeto, integrated healthcare, integrated healthcare management, healthcare, health care, healthcare technology, healthcare software
     The TriZetto Group
By: UL EduNeering     Published Date: Jul 05, 2012
Good Manufacturing Practices (GMP) violations have become the new healthcare fraud as the Department of Justice (DOJ) tests out new legal theories under the False Claims Act (FCA). The Food and Drug Administration (FDA) has dusted off its regulatory authority to prosecute GMP violations.
Tags : fda, gmp, gcp, gxp, cms, osha, qsr, 21 cfr part 11
     UL EduNeering
By: VMware SD-WAN by VeloCloud     Published Date: Aug 01, 2019
VMware named a Leader, positioned furthest for its Completeness of Vision. Read this complimentary copy of the 2018 Gartner Magic Quadrant for WAN Edge Infrastructure to find out more. *Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including and warranties of merchantability or fitness for a particular purpose.
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     VMware SD-WAN by VeloCloud
By: GE Healthcare     Published Date: Aug 27, 2015
Centricity™ Business Performance Manager service helps Schumacher Group make significant workflow improvements and reduce rework costs by approximately $3.8 million per year.
Tags : centricity business, financial management, revenue cycle, hospital billing, hospital finance, patient billing, rcm, episodic payment
     GE Healthcare
By: Excellus BlueCross BlueShield     Published Date: Jul 25, 2019
Each year it seems pharmacy costs are taking a larger bite out of businesses like yours. We’re here to relieve some of the burden and help you reach your business goals by putting the sound advice you need right at your fingertips.
Tags : pharmacy costs, health care costs, chronic health conditions, prescription costs, pharmacy benefits, medical and pharmacy integration, pharmacy benefits managers, pharmacy claims
     Excellus BlueCross BlueShield
By: Riverbed     Published Date: Feb 26, 2015
Insurance organizations are constantly replacing legacy systems and practices with streamlined ones that help them compete better. In the area of billing, policy and claims management, Guidewire is broadly adopted.
Tags : performance management, quality service, network performance, application performance, vendor profile, implementation
     Riverbed
By: IBM     Published Date: May 27, 2014
Big data and analytics help insurance companies identify the next best action for customers. With the right solutions, companies can extract, integrate and analyze a large volume and variety of data, from call-center notes and voice recordings to web chats, telematics and social media
Tags : ibm, big data, analytics, insurance, insurance industry, big data solutions, integration, risk assessment
     IBM
By: IBM     Published Date: Feb 24, 2015
Big data and analytics help insurance companies identify the next best action for customers. With the right solutions, companies can extract, integrate and analyze a large volume and variety of data, from call-center notes and voice recordings to web chats, telematics and social media.
Tags : big data, ibm, claims operations, customer service
     IBM
By: Splunk     Published Date: Sep 17, 2012
When the IT team determined the need for a new tool, they downloaded Splunk and saw immediate value. Read more about HealthTrans' hard and soft ROIs by integrating Splunk into their IT infrastructure.
Tags : enterprise management associates, claims processing, roi, data management, data storage, security
     Splunk
By: Datarobot     Published Date: May 14, 2018
Founded in 2000, Trupanion is a Seattle-based company that provides allinclusive medical insurance policies for pet owners. A challenge for insurance companies is the need to quickly process claims to determine whether a claim should be paid automatically. In the comparatively small world of medical insurance for cats and dogs, however, only about 1% of pet owners hold insurance policies. Most veterinarians expect pet owners to cover the full bill for their pets’ treatment, making the insurance claims process a manual and time-consuming effort.
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     Datarobot
By: WNS     Published Date: Apr 06, 2017
In the recent past, a New York City court convicted 13 people including six medical professionals who had, over several years, milked auto insurance companies of millions in fraudulent claims.
Tags : insurance, auto insurance, wns, benefits of wns
     WNS
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