Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
DCI specializes in assisting providers and government entities within the Medicaid, Medicare, and Managed Care sectors. Our innovative software solutions enhance operational efficiency, empowering you to effectively support the direct care industry across diverse regions, from urban centers to remote locales. With our dedicated team, we can have you operational in less than 90 days. Are you seeking to optimize the authorization process for your healthcare organization? At Direct Care Innovations (DCI), we provide a Real-Time Authorization Management Module integrated into our comprehensive business management platform. This module is crafted to function as a real-time data management and reconciliation tool for authorizations related to Medicaid, Medicare, Managed Care, and various service code-based insurances. It acts as the definitive record system for agencies to access and manage their service authorizations seamlessly, ensuring efficient and accurate oversight. By implementing our solutions, you can significantly enhance the workflow and accuracy of your agency's authorization management processes.
Description
To mitigate potential risks, the Centers for Medicare and Medicaid Services (CMS) have instituted guidelines to ensure the validation of their networks. Given that Pharmacy Benefit Managers (PBMs) are significantly impacted by the risk assessment process, the demand for precise and actionable insights has reached unprecedented levels. The LexisNexis Provider Integrity Scan streamlines a variety of provider verification processes and offers continuous monitoring by cross-referencing numerous files and lists, while also delivering automatic alerts for numerous high-risk factors. This tool is proficient in screening and verifying providers both before and after enrollment, aiming to uncover and thwart criminal activities effectively. By identifying potentially fraudulent providers and businesses involved in health-related programs, the LexisNexis Provider Integrity Scan serves to lower costs for health care payers and PBMs alike. Our innovative solution empowers users to effectively conduct multiple searches and access crucial information, enhancing their operational efficiency and security. This comprehensive approach not only safeguards the integrity of health care programs but also fosters a more reliable health care environment.
API Access
Has API
No
API Access
Has API
No
Integrations
XML
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
Yes
iPad App
Yes
Android App
Yes
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
Yes
In Person
No
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
Yes
Vendor Details
Company Name
Direct Care Innovations
Country
United States
Website
www.dcisoftware.com
Vendor Details
Company Name
LexisNexis
Founded
1970
Country
United States
Website
risk.lexisnexis.com/products/provider-integrity-scan
Product Features
Workforce Management
Budgeting & Forecasting
Yes
Contractor Management
Yes
Employee Lifecycle Management
Yes
Labor Projection
No
Performance Appraisal
No
Recruiting Management
No
Scheduling
Yes
Skills Tracking
Yes
Time & Attendance
Yes
Variable Workforce
Yes