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About

Whether it’s understanding the nuances of the CMS and ONC final rules, developing a roadmap to meet the deadlines, or implementing a solution, we’ve got you covered. As the leader in interoperability, Edifecs has the expertise to help you achieve compliance with the new mandates and unleash the power of secure, reliable electronic health data exchange. Edifecs offers best-in-class Smart Trading and Encounter Management tailored specifically for small and medium-size health plans. Harness financial, clinical, and administrative data to drive business initiatives and enable administrative automation. Streamline encounter management operations and improve first-pass rates for managed Medicaid and Medicare Advantage through a hosted solution model. Edifecs offers COTS-based modular solutions to maximize data quality and drive payment reform initiatives. Harness financial, clinical, and administrative data to drive business initiatives and enable administrative automation.

About

As an industry leader of health plan solutions that drive digital transformation in healthcare, Inovaare automates complex Medicare, Medicaid and Commercial appeals and grievances (A&G) and Compliance Program Effectiveness (CPE) workflows. Its configurable cloud-based modules compile real-time data across internal and external departments, creating one compliance management system. The HIPAA-compliant platform integrates the most current, best-practice regulatory processes to help health plans efficiently meet their unique business requirements, sustain audit readiness, reduce non-compliance risks and lower overall operating costs. Inovaare’s industry-leading Appeals & Grievances and Regulatory Compliance health plans solutions automate time-consuming manual compliance processes to ensure higher CMS reimbursements, reduced compliance audit risks, and lower operating costs. Configurable software that optimizes risk identification, supports operations and displays intuitive analytics.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Healthcare providers searching for a solution to manage and achieve compliance

Audience

Healthcare organizations interested in a health plan platform to improve reimbursements, ensure compliance, and lower costs

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

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Reviews/Ratings

Overall 1.0 / 5
ease 1.0 / 5
features 1.0 / 5
design 1.0 / 5
support 1.0 / 5

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

Edifecs
Founded: 1996
United States
www.edifecs.com

Company Information

Inovaare
Founded: 2006
United States
www.inovaare.com

Alternatives

Health e(fx)

Health e(fx)

HealthCare Impact Associates

Alternatives

CodySoft

CodySoft

Cody
EZDI

EZDI

EZDI, an AGS Health Company
HIPAA ComplyPAK

HIPAA ComplyPAK

HIPAA Solutions

Categories

Categories

Hospital Management Features

Accounting Integration
Appointment Management
Appointment Scheduling
Bed Management
Billing & Invoicing
Claims Management
In-Patient Management
Inventory Management
Medical Billing
Out-Patient Management
Patient Records Management
Physician Management
Policy Management
Revenue Management

Integrations

Aerial
Rackspace Cloud Files

Integrations

Aerial
Rackspace Cloud Files
Claim Edifecs and update features and information
Claim Edifecs and update features and information
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Claim Inovaare and update features and information