Denials Workflow Manager product features: - Standalone or integrated: Can be used as standalone product, or integrated with Experian ClaimSource to align claims and denials information on the same screens. - Customizable: Work lists generated based on client specifications, such as denial category and dollar amount. - Analytics: Access standard product reports, analytics reports, and forward responses to HIS/PMS systems. - ANSI reason codes: Provides ANSI reason codes and payer proprietary codes as well as descriptions.

Experian is a global information services company that provides information, analytical tools, and marketing services to help clients manage their commercial and financial decisions. The company helps organizations manage credit risk, prevent fraud, target marketing offers, and automate decision making. It also enables individuals to check their credit report and credit score as well as protect against identity theft. The company is listed on the London Stock Exchange (EXPN) and is a constituent of the FTSE 100 index. Experian was co-founded by Michael A Barron and Bernie Brenner in January 1980 and has its corporate headquarters in Dublin, Ireland, with operational headquarters in Nottingham, United Kingdom; California, United States; and São Paulo, Brazil.

Patients placed in the wrong bed status with improper documentation results in massive revenue loss and patient dissatisfaction.

 

Physicians can’t keep up with constantly changing criteria needed to admit patients to the hospital, and hospitals spend tons of money and resources fixing bed status issues retrospectively.

AdmissionCare provides the admitting physician with automated admission criteria - such as MCG - integrated directly into the EHR workflow to help document medical necessity that increases payer reimbursements and reduce denials.

EvidenceCare is a unique type of clinical decision support system (CDSS) with its EHR-integrated and content-agnostic platform that empowers better care decisions by improving clinical workflows.

Founded in response to the professional experience of emergency physician Dr. Brian Fengler, the platform provides clinicians with evidence-based insights and measurable outcomes that improve hospital margins.

Based in Nashville, Tennessee, EvidenceCare is a 2x honoree of the INC 5000 list of fastest growing companies, a 2x Fierce Healthcare Best Product winner, and one of Nashville Business Journal’s Best Places to Work.

EHR Integrated on the front end of the clinician workflow

EHR Integrated on the front end of the clinician workflow