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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

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 

Screenshots View All

Screenshots View All

Integrations

XML No 

Integrations

XML Yes 

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 

Product Features

Alternatives

Alternatives

LexID Reviews

LexID

LexisNexis