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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Gain a comprehensive understanding of your clients through an intuitive interface that presents encounters, core service interactions, segments, claims, and billing statuses. Care Managers can effectively monitor advancements in addressing care gaps for members. These documents can be seamlessly linked to care plans, enhancing both tracking and reporting efficiency. Claims and documentation can be sent directly to the MAPP HHTS, supported by a top-tier MAPP synchronization process and continuous customer assistance. The system allows for the efficient generation of claims and CMA statements while automatically managing Health Home billing prerequisites. In cases where HML rate codes are modified, you can easily void and resubmit claims. Built-in HML logic ensures that HMLs are completed with the required number of core services, face-to-face encounters, and other pertinent criteria. Participate in roundtable discussions with fellow users to explore our product roadmap and the evolving requirements of Health Home. Our team is committed to regularly checking in with clients to cater to their specific needs and enhance their experience. This approach not only fosters better communication but also ensures that we are aligned with our customers' goals and expectations.

Description

Insurance Discovery enhances financial outcomes by uncovering previously unrecognized billable coverage that providers may not be aware of, thereby minimizing underpayments and uncompensated care. By employing advanced search functionalities, this solution reveals instances where patients possess multiple active payers, which can significantly improve reimbursement prospects. Additionally, it helps to prevent delays in reimbursement and accelerates revenue collection by ensuring that claims are submitted to the correct payers on the first attempt, thanks to more precise coverage details. When utilized with verified demographic information, Insurance Discovery provides reliable coverage and eligibility insights. This modern approach replaces outdated manual methods of insurance discovery with a swift and thorough search that queries numerous databases in mere seconds, yielding detailed and accurate coverage information. Furthermore, it enhances the overall experience for patients and residents by facilitating accurate estimates of out-of-pocket expenses, ultimately contributing to a more favorable financial journey for them. By streamlining these processes, providers can focus more on patient care rather than administrative tasks.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

CaraSolva Yes 
Inovalon Provider Cloud No 

Integrations

CaraSolva No 
Inovalon Provider Cloud 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 No 
iPad App No 
Android App No 
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 Yes 
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

Foothold Technology

Founded

2000

Country

United States

Website

footholdtechnology.com/care-management

Vendor Details

Company Name

Inovalon

Founded

1998

Country

United States

Website

www.inovalon.com/products/provider-cloud/patient-access/insurance-coverage-discovery/

Alternatives

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