Taking On Case Management, One Patient At A Time

Taking On Case Management, One Patient At A Time “We want to expedite the process behind helping the injured worker return to work. This will influence a win-win situation for both the worker and the company”, stated Eddie Braun, Vice President and CFO of IW Care Connection (IWCC). With a goal of minimizing injured workers’ [...]

By |2018-10-26T21:59:12+00:00October 26th, 2018|case management, case study, press release|0 Comments

Unity Solutions Selects DataCare’s Ahshay Software Platform

Utilization Review takes on a strong outlook as Unity Solutions enters the market with a new approach, “Proactive Cost-Savings: Placing greater emphasis on reducing treatment costs, while improving patient outcomes”. While the cost of UR continues to increase, the requested treatment is often delayed, and cannot be delivered until authorized by UR. Meanwhile, the patient continues [...]

Statewide Investigation Due to Critical Error by Insurance Giant

Ensure your company is protected with the right software! // Aetna, the nation’s third-largest insurance provider with 23.1 million customers, is under fire from an investigation led by the California Insurance Commissioner, Dave Jones. While Group Health is already a stringent practice that requires adherence to several laws and regulations, one of Aetna’s reviewing physicians [...]

By |2018-02-23T23:11:24+00:00February 23rd, 2018|adjusters, case study, insurance, press release, regulatory|0 Comments

DataCare Addresses Key Compliance Items

As a software provider who has been in the workers' compensation industry well over a decade, DataCare has been able to address several elements that tie into the compliance of performing business as a TPA, managed care company, or a self-insured corporation.  Many of our clients requested information about the security and reliability of the Ahshay [...]

By |2018-01-11T20:37:52+00:00January 10th, 2018|press release, regulatory, reports, Uncategorized|0 Comments

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 will [...]

Does Your Utilization Review Team Have the Tools It Needs?

Utilization review (UR) organizations need to coordinate the efforts of highly skilled professionals on a tight timetable. This makes modern technology a requirement for a top-performing team. According to Dr. Doug Benner, who led Kaiserʼs occupational health services for 30 years and now serves as medical business product development officer at EK Health, the California-based, [...]

By |2017-05-26T15:03:06+00:00April 28th, 2017|case study, press release, UR software, ur++|0 Comments

UR++ 1.4 for Adjusters and Claims Professionals

DataCare is proud to present its latest release for Adjusters and Claims Professionals: UR++ 1.4 WHAT'S NEW Adjusters/ Claims Professionals come across several Request for Authorizations (RFAs) each day, and some cases may require additional attention. For this reason, the latest version of UR++ enables clients to incorporate a best practices ruleset to make approvals [...]

By |2017-05-26T15:03:06+00:00March 24th, 2017|adjusters, insurance, press release, ur++|0 Comments

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 monitor [...]

By |2017-05-26T15:03:06+00:00February 23rd, 2017|bill review, press release|0 Comments

Ascential Care’s software needs met by Datacare’s Ashay Platform

DataCare takes pride in being able to support many companies including Ascential Care in achieving an optimal day-to-day workflow for Case Management and Utilization Review. Ascential’s need for software first arose when they began operating in the managed care industry and manual data entry was an unnecessary evil they initially faced. The lack of a [...]

By |2017-05-26T15:03:06+00:00January 9th, 2017|case management, press release|0 Comments