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| Faced with increasing costs and tightened government reimbursements, the healthcare industry is becoming more competitive, business-oriented and profit-driven than ever before. Building and maintaining a loyal patient base demands professional patient-focused marketing, communication and relationship management strategies. Minimizing administrative overhead requires accurate, efficiently managed customer records across providers. Timely collection of receivables means billing and payment data must be up-to-date and easily accessible. All this must be achieved while maintaining strict patient confidentiality. |
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Excluded Parties List Screening
Further complicating the demands on the healthcare industry are an expanding array of regulatory requirements. Organizations and facilities must screen virtually all of their associates — physicians, nurses, non-medical employees, technicians, insurance program participants, pharmacists, contractors and others — against a variety of excluded parties lists, such as those published by the Office of the Inspector General of the U.S. Department of Health and Human Services (OIG) and the General Services Administration (GSA). While failure to comply with these regulations can result in substantial fines and other penalties, potentially even more damaging is the threat that your organization itself could become an excluded party, should a pattern of violations — or a single violation of significant magnitude — occur. In today’s environment, the damage of exclusion from federally funded reimbursement programs could be devastating. |
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| Innovative has been delivering the kind of high quality data integration and customer data quality management tools you need for 37 years. The accuracy and efficiency of our list screening technology have been proven since 1998 in helping organizations nationwide comply with the mandates of the U.S. Treasury Department’s Office of Foreign Assets Control (OFAC). Our solutions help enhance your: |
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Customer-Centric Databases/CRM |
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Efficiently integrate the patient, provider and payment data from disparate sources, then cleanse and maintain it on an ongoing basis to provide the critical information needed to: |
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Streamline operations |
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Enhance services |
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Manage costs |
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Guide strategic decision making |
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Create a single, consolidated profile of each patient that identifies their total relationship with your organization — including household members who are also patients — to help you: |
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Communicate with them more accurately and effectively |
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Better serve their overall healthcare needs |
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Reinforce their loyalty to your care |
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Data Quality |
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Profile the patient data submitted by various sources to identify errors, anomalies and inconsistent formats to increase accuracy, quality and usability |
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Cleanse, parse, and standardize patient records to prepare them for efficient merging |
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Link records across different providers so that they and their histories are recognized as a single individual — even though they may have used different variations of their names or nicknames with different providers — to minimize duplicate paperwork and reduce risk |
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Regulatory Compliance |
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Use your single, consolidated patient profiles to improve accuracy and efficiency of compliance with U.S. and international privacy regulations such as HIPAA |
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Comply with e list screening mandates such as those of the Office of the Inspector General of the U.S. Department of Health and Human Services (OIG) and the General Services Administration (GSA) by quickly and accurately matching your medical and non-medical associates lists against all required excluded parties lists, including suspect, sanctions and debarment lists. |
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Provide the foundation for complying with demutualization requirements |
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Postal Coding |
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Increase efficiency of mail communications by verifying and automatically correcting addresses against United States, Canada and Mexico postal service records |
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Qualify for substantial postage discounts on bulk mailings by providing bar coding and carrier route sorting |
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