Is Your Case Management & Utilization Review SOC 2 Certified?

Companies in the workers' compensation industry have strict security requirements for the software their partners use, which houses HIPAA-sensitive and patient/injured worker information that needs to be protected. This will be reflected in the bidding and sales process as DataCare's SOC 2 Certification guarantees that the following can be provided with confidence: Security Details System Availability Details [...]

By |2018-10-02T17:02:37+00:00October 2nd, 2018|case management, UR software|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 [...]

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 [...]

Drug Formulary: Quick and Easy Approvals with UR++

Express authorizations can be performed faster and more easily with the use of drug formularies. The recent release of the California Drug Formulary uses a very objective language suitable for fully- or partially-automated approval of requests. For example, after entering a medication request in DataCare’s UR++ system, the system can easily determine if the request should [...]

By |2017-06-27T20:53:06+00:00June 27th, 2017|adjusters, express approval, regulatory, UR software, ur++|0 Comments

Cutting Complexity in Workers’ Compensation Utilization Review Programs

DataCare UR++SM reduces utilization review program costs by enabling claims adjusters and trained administrators to routinely approve 80% or more of all treatment requests and by significantly reducing the number of referrals to more expensive nurse or physician reviews. Quick approvals also shorten the time it takes for employees to return to work. With the UR++: [...]

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

Benefits of Integrating CM, UR and Adjuster Software Modules

Companies involved in Workers’ Compensation will typically use Utilization Review, Case Management and Claims Management software independent of one another. The Ahshay core software platform achieves higher efficiency, savings, and detailed reporting by combining these modules under one platform. Within DataCare‘s core platform Ahshay, Utilization Review, Case Management, and the claim enhancing Medical Process Manager [...]

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 on [...]

By |2017-05-26T15:03:07+00:00February 26th, 2016|reports, UR software|0 Comments

ICD10 Support

DataCare's Ahshay platform supports ICD9 and ICD10 codes for both UR and CM. We have a superb track record of smoothly managing the big health care industry changes for our clients. DataCare will work with you to: Make it clear what ICD10 is Help evaluate whether and when you should convert Deliver a seamless transition [...]

By |2017-08-31T16:37:29+00:00April 21st, 2014|case management, ICD10, ICD9, UR software|0 Comments

Busting Myths in Workers’ Comp

Here are some of the common myths of workers' compensation.   Bill review only pays for approved treatments. We see overpayment of 10-14% of medical costs after bill review reduction when UR enforcement is not automated. Are you paying for unauthorized treatments? When was the last time you did a bill review audit? UR is [...]