Revolutionizing Workers Comp Software with DataCare Ahshay!®

DataCare is a leading provider of innovative software solutions in the Workers’ Compensation industry, improving the efficiency of patient care and recovery while lowering service costs. Ahshay! is designed to serve companies ranging from TPA and insurance to self-insured, managed care, and individual nurse case managers. The software expertly satisfies workers’ compensation workflows and easily adapts to a variety of industry-related and managed-care business workflows.

DataCare streamlines processes across Fortune 500 companies, top insurance carriers, third-party administrators, and managed care organizations.

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    Medical Case ManagementMedical Process ManagerUtilization ReviewUR++UR Enforcer

    For Adjusters and other Claims Professionals

    Medical Process Manager:

    • Track & manage all claims through each step of workflow

    • Ability to make decisions on requests w/ integrated company & medical guidelines

    • Mobile-enhanced viewing capability

    • Automate generation of bills

    • Automate email/fax of bills and reports directly within system

    For Nurses, Nurse Case Managers, or Physicians

    Medical Case Management (MCM):

    • Track & manage cases with ability to customize and generate reports

    • Personalized activity notes can be tracked from the office, home, or on the go w/ a smartphone or tablet

    • Ability to generate management queries, savings data, case duration, and treatments

    • Secure & HIPAA compliant mobile messaging

    Preauthorization & Utilization Review:

    • Provides a workflow to make justified treatment decisions based off integrated state guidelines

    • Keeps record of jurisdictional turnaround times; notifying user which requests are nearing due date

    • Provides reports to help with audits and to help ensure URAC accreditation

    Additional Tools

    Express Claim Approvals with UR++:

    • An integrated process for Triage, Authorizations, & UR

    • Allows claims professionals to quickly track and process all incoming requests with increased efficiency and compliance

    • 3 step process for claims: Intake RFA → Determination → Approve or Refer to UR

    Custom UR Alerts With Enforcer:

    • Augment traditional bill review savings by verifying bills against treatment authorizations from utilization reviews

    • Significantly reduces medical over-billing without reducing legitimate treatments

    • Eliminates reviewer error through automated bill-treatment check

    Paperless systems for a paper-minded world