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 Content and
Payment Policy Advisory Process iHT's
Policy Configuration and Application Client Business
Decision Support Provider
Communication Support and Disclosure
Tools Integration and
Implementation |
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"Their people truly understand our business and take that knowledge to target recommendations to what we need to do from a business perspective." Vice President, Operations. Regional HMO. |
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SOLUTIONS AND SERVICESIntegrated Claims Management Services (ICMS)iHealth Technologies (iHT) Integrated Claims Management Services (ICMS) is a proprietary state-of-the-art service solution that provides healthcare organizations with a full service approach to managing payment policy. This solution includes extensive clinical coding content, expert medical and coding advice, accurate application of payment policy and tools to effect support of the clients payment policy decisions. iHT delivers Payment Policy Management solutions that enables clients to experience the following benefits:
Content and Payment Policy Advisory Process iHT's Payment Policy team has developed the industry's most comprehensive source of correct coding and Medical Policy content. This content library with thousands of policies is referenced to the source (CMS, AMA, etc.) and supports transparency in its documentation and rationale. iHealth Technologies has an experienced team of medical directors, certified coders and research analysts who guide and support each payer client through a data driven assessment and decision process. Through this process each client selects payment policies that are appropriate for their needs. iHT's Policy Configuration and Application iHT enables customers to control their payment policy selection process and tailors applications to specific markets, lines of business, provider types and other dimensions. iHT integrates with the payer's claim system and applies the policies and returns the corrected recommendations for completion. Accuracy and consistency are optimized through 100% adjudication within ICMS and in its integration with the payer's system. Client Business Decision Support iHT understands that health plans are reliant on data to understand their business. Insight into utilization, coding, and billing patterns can support business decisions in network management, cost controls and other areas. iHT provides its clients with extensive data analysis and business recommendations iHT provides a robust set of reporting and analysis to clients related to payment policy and provider utilization patterns. These reports and insights are designed to support the client's business needs and are valuable in decision making related to medical operations. Examples include:
iHT's Provider Communication Support and Disclosure Tools iHT enhances its clients' communication and disclosure of payment policy by providing web-based tools and assistance with provider communication activities. Through the following specialized services payment transparency is supported and provider satisfaction is improved.
Integration and Implementation iHT has a proven track record of highly effective implementations with many different payment systems. Our organized process facilitates the policy assessment, technological interface and organizational integration to assure an effective launch and ongoing operation of the ICMS solution. iHT utilizes a comprehensive tool kit assuring a secure enterprise level Information Technology environment. iHT follows a rigorous and disciplined installation process that includes a thorough testing methodology as well as full HIPAA compliance. Integration and Implementation support services include both initial training and on-going customer support. The priority of the integration process is to achieve the desired results produced by iHT's Payment Policy Management solution |
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iHealth Technologies, Inc. | 115 Perimeter Center Place, Suite 700 | Atlanta, GA 30346 |
770.379.2800 © iHealth Technologies. All rights reserved. |
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