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Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Cactus
Cactus

Categories

Solutions

Description

Product Description:
The Cactus Provider Management Platform is a robust and comprehensive software solution. It acts as a single source-of-truth for your provider data, providing automated credentialing, privileging, payor enrollment, OPPE/FPPE reporting, quality improvement, and risk management functionality. Its cloudbased access speeds credentialing and privileging processes, tightens security, improves workflows, and reduces the paper burden. Offered as a flexible single- or multi-entity enterprise configuration, Cactus provides an intuitive user experience—from gathering and maintaining provider data to quickly validating provider credentials and qualifications, decreasing turnaround time and increasing provider satisfaction along the way.
About symplr:

Access compliance and credentialing and provider data management SaaS (Software as a Service) solutions that help healthcare organizations mitigate risk and ensure compliance. symplr has a single mission: to make healthcare compliance, credentialing, and data management simpler for all constituents of the healthcare community.

Product Description:

Improve the patient financial experience and simplify administrative and clinical complexities with the Inovalon Provider Cloud – all while saying goodbye to siloed workflows.

Our SaaS solutions help you strengthen financial and clinical outcomes across the patient journey, from creating front- and back-end revenue cycle processes for better reimbursement to ensuring appropriate staffing levels for optimal care. This is all managed in one comprehensive portal to take your organization to new heights improving revenue, staff equity, and care quality.

Enhance your organization’s efficiency, productivity, and overall effectiveness. Discover what the Provider Cloud can do.

Gain End-to-End Revenue Cycle Visibility

Understand where your revenue processes are missing the mark and adjust accordingly with detailed performance data. Monitor financial performance trends, identify and correct operational risks, and streamline commercial and government claims management processes.

Achieve Staff Equity

Strengthen engagement and retention by setting staff up for success with adequate staffing across departments, shifts, and credential requirements.

One Enterprise-Wide Solution

Bring your organization together in one comprehensive portal to better align initiatives, identify areas of improvement, and boost your bottom line.

About Inovalon:

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

Patient Claims & Billing

All-Payer Revenue Cycle Management

Keep revenue flowing with a powerful tool that helps staff focus on real-time eligibility checks, claims status tracking and simple payment posting for both government and commercial claims.

Medicare Revenue Cycle Management

Automate your Medicare billing management with specialized software that corrects complex and multi-step claims, flags receivables at risk and allows you to perform easy eligibility look-ups.

Patient Payment

Patient Payment Management is a comprehensive patient payment software that enables you to capture more revenue and improve patient satisfaction.

Revenue Cycle Management Analytics

Improve first-pass yield on all claims. Inovalon All-Payer RCM Intelligence delivers analytic dashboards to identify performance trends, enabling decision makers to easily discover, predict, visualize, model, and manage data all in one application.

All-Payer Claims Management

Our easy-to-use electronic claims management application allows users to submit, edit and receive claims for Medicare, Medicaid and thousands of commercial insurance companies – all in one place.

Patient Statements

Inovalon Patient Statement Management software provides your patients easy-to-read breakdowns of outstanding balances, with statements white labeled to your organization.

Medicare ADR Submission

Simplify your process of secure submission, tracking, and reporting for Medicare claim review programs. This specialized software features connectivity to multiple Medicare esMD programs including ADR, RAC Audits, first- and second-level appeals, PERM, CERT, and more.

Medicare Claims Management

Medicare File Submission is a secure claims submission and remittance advice solution, giving you fast, automated processing and payment of Medicare claims.

Patient Access

Patient Registration

Reduce downstream denials and reimbursement delays through accurate patient data collection at intake. Empower staff to validate patient identity, verify eligibility, and identify all available insurance coverage, all within a few steps powered by a single patient registration software application.

Healthcare Insurance Coverage Discovery

Insurance Discovery reduces uncompensated care and underpayments by identifying active billable coverage previously unknown to the provider. Using sophisticated search capabilities, this solution identifies if patients have multiple active payers to help boost reimbursement opportunities.

All-Payer Health Insurance Eligibility Verification

Eligibility Workflow streamlines patient access and billing workflows by enabling staff to assign and prioritize patients, payers, and tasks during eligibility verification. This technology goes beyond basic eligibility needs, providing a dashboard to confirm, manage, and store every inquiry.

Healthcare Propensity to Pay

Realize the power of patient identity verification combined with custom propensity to pay scoring in one easy-to-use, cloud-based healthcare application. Lower the risk of uncompensated care and collect more revenue with more patient data readily available to make better-informed billing decisions.

Medicare Eligibility Verification

Get fast, detailed eligibility status and medical benefit information, without the hassle of juggling multiple login IDs and passwords. Eligibility Verification Medicare software enables you to submit inquiries 24/7 and receive real-time responses.

Medicare DDE/FISS Connectivity

Direct Data Exchange Verification delivers secure, online connections for Part A and Part B providers. If you need connectivity to DDE through the Professional Provider Telecommunication Network (PPTN), Regional Home Health and Hospice Intermediary (RHHI), or Claim Status Inquiry (CSI), we have you covered.

Patient Engagement

Telehealth

Inovalon’s Virtual Care software is user-friendly, reliable, and built by a team of healthcare experts with the full patient journey in mind. The solution easily integrates with eligibility, claims, and patient payment tools powered by the Inovalon ONE Platform, so you can bring key care delivery functions into one place.

Pediatric use cases:

None provided

Users:
  • Chocta Nation Health Care Center (OK)
  • Guardian Angels Senior Services
  • Marshall Medical Center (CA) 
  • Phelps Memorial Health Center
  • Quality Care ER (TX) 

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic

Hardware Compatibility:

Desktop

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Keywords

Images

No images provided

No images provided

Videos

No videos provided

No videos provided

Downloads

No content provided

No content provided

Alternatives

Company Details

Founded in 2006

Founded in 2000

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