Dive into the world of efficient financial management and reporting for healthcare case management. Articles cover topics like accurate billing, streamlined expense management, and the intricacies of financial reporting. Discover valuable insights essential for maintaining the financial health of healthcare organizations.

Are You Prepared For Senate Bill 1160?

This letter is to address the impact of Senate Bill 1160 (or SB1160) pertaining to self-insureds, TPA’s or third-party-administrators, employers, and utilization review organizations across California. On September 30, 2016, SB1160 was signed by Governor Jerry Brown, which is set for implementation beginning the first of January in 2018. The result of this bill [...]

2023-10-09T19:47:16+00:00August 14th, 2017|Billing & Reporting|

Track Bills with Increased Visibility

The Bill Review or BR process consists of several stages that require close monitoring to ensure repricing and payments meet the state mandated turnaround times. BR Specialists may keep track of when bills come into the system during the KFI or Key-for-Information stage, but the high volume of reviews can make it difficult for them to [...]

2023-10-09T20:00:56+00:00February 23rd, 2017|Billing & Reporting|

Top 10 Reports to Improve Your 2016 Planning

DataCare's Ahshay platform provides automation, visibility, and ultimately, cost savings for your company. However, you won’t see ROI in your investment unless you’re actively taking advantage of the visibility it provides. You now have the power to view, analyze, and take action on a huge range of data. Actively monitoring and making decisions based [...]

2023-10-09T20:01:21+00:00February 26th, 2016|Billing & Reporting|

The Link Between Efficiency and Better Claim Outcomes

Between complying with the new regulations, mounting medical inflation and the need to find creative ways to manage cases, claims administrators everywhere have their hands full. As a result of added complexities in the claims world, the importance of increased organizational efficiency has never been as clear as it is today.  When a company [...]

2023-10-09T19:54:08+00:00February 19th, 2014|Billing & Reporting|

Reed Group Featured in DataCare’s RTW ROI Whitepaper

SAN JOSE, Calif., May 14, 2013 /PRNewswire/ Reed Group® MDGuidelines are featured in DataCare's latest whitepaper "Calculating Hard-Dollar Returns on Return-to-Work Case Management".  In today's competitive business climate, a managed care company must provide empirical data that supports its ability to control costs, increase efficiency, and increase the quality of care. The key metrics [...]

2023-10-09T19:43:36+00:00January 28th, 2014|Billing & Reporting|

Workers’ Compensation Biggest Problem in Bill Review has been Solved by DataCare Four Years Ago

DataCare Customers Ahead of the Curve in Latest Survey of Workers’ Compensation Bill Review The 2012 Survey of Workers’ Compensation Bill Review by Heath Care Associates (http://www.healthstrategyassoc.com/2012BillReviewSurvey.pdf ) reports that the single biggest problem for Workers’ Compensation Bill Review is “the need to better and more completely link medical management determinations to the actual [...]

2023-10-09T19:41:53+00:00September 3rd, 2013|Billing & Reporting|

Bill Review Silos Cost Payers Over $2 Billion

SAN JOSE, Calif., March 8, 2013 /PRNewswire/ — The failure of workers’ compensation claims payers to properly audit medical bills for prior approval of treatment is costing upwards of $2 billion or more annually, in unwarranted medical payments.  This estimate is based on one firm’s analysis of medical payments over the past four years. [...]

2023-10-09T19:53:19+00:00March 8th, 2013|Billing & Reporting|

DataCare Achieves Significant Workers’ Compensation Savings

Addresses Financial Impact of Disconnect Between Utilization Review and Bill Review DataCare Corporation, a leading developer of software for the workers’ compensation market, announced the release of UR Enforcer™ . This new application augments traditional bill review services and has documented savings of up to an additional 20% of medical expenses by verifying bills [...]

2023-10-09T19:55:11+00:00March 5th, 2010|Billing & Reporting|
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