Alternatives to CodySoft
Compare CodySoft alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to CodySoft in 2024. Compare features, ratings, user reviews, pricing, and more from CodySoft competitors and alternatives in order to make an informed decision for your business.
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MedTrainer
MedTrainer
MedTrainer is a healthcare software system for learning, compliance, and credentialing. Package together your perfect solution with MedTrainer. Healthcare organizations of any size will have compliance insurance and risk mitigation in the palm of their hands. Automate healthcare learning with access to 500+ courses for OSHA, HIPAA, CMS, Infection Prevention, Clinical Skills, HR, and more. Healthcare compliance is made easy and with a few keystrokes, your staff has access to their required compliance tools--we streamline SDS Management, Safety Plans, Incident Reports, Equipment Lifecycle Management, and more. Credentialing has never been easier. You can efficiently manage the multiple tasks necessary to credential accurately including Primary Source Verifications, Payor Enrollments, Provider Attestation, Privileging, and more. -
2
Compliance Manager by Healthicity
Healthicity
Healthcare compliance simplified, including risk management and HIPAA compliance. Compliance Manager includes all of the crucial elements necessary to create and maintain an effective compliance program. Features customized workflows, corrective actions, open lines of communication, and real-time reporting. Compliance Manager simplifies compliance by hosting everything in one secure, easy-to-use, online application: Audit Management Compliance Checklist Incident Management Reporting Functionality So whether you're training employees, conducting risk assessments, or investigating incidents, you can manage your entire program in one easy-to-use application.Starting Price: $500 -
3
HIPAA Compliance Software
Compliancy Group
Mastering healthcare regulatory compliance just got simpler! Compliancy Group's Healthcare Compliance Software is a powerful solution tailored to the healthcare industry. With a user-friendly dashboard, customizable policies, and risk assessment tools, it streamlines compliance with regulations like HIPAA, OSHA, and SOC 2. It also handles employee training, document management, incident tracking, and automated reporting, simplifying the complex task of healthcare compliance management. Our user-friendly dashboard provides more than just insights; it empowers you with real-time visibility into your compliance status, allowing you to proactively address potential issues. Seamlessly align your operations with the latest standards by tailoring policies and procedures using our adaptable framework. Say goodbye to deciphering complex regulations – our software takes the guesswork out of compliance, covering not only HIPAA but also extending to encompass OSHA and SOC 2 requirements. -
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SAI360
SAI360
The most powerful, agile approach to risk management. The decisions you make today can help mitigate the risks you may encounter tomorrow. SAI360 is cloud-first software and modern ethics and compliance learning content designed to help your organization effectively navigate risk with a flexible, agile approach. Intelligent solutions, global expertise all in one award-winning platform. Solution configurability, extensible data model with configurable UI/forms, fields, relationships to extend solutions. Process modeling, easily modify or create new processes to automate and streamline risk, compliance, and audit activities. Data visualization and analysis, many out of the box and easy to configure dashboards to visualize and analyze data. Learning and best practice content – preloaded frameworks, control libraries, and regulatory content along with values-based ethics and compliance learning content. System integration – Integration framework with APIs and other protocols. -
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CAQH
CAQH
CORE brings the industry together to accelerate automation and develop business processes that streamline healthcare for patients, providers and health plans. Drawing on the industry's most trusted source of provider and member data, CAQH enables healthcare organizations to reduce costs, improve payment integrity and transform business processes. In the ever-evolving landscape of healthcare, continuous improvements in payment and claims processing systems are vital. The nation’s providers and health plans trust CAQH to collect and manage professional information, verify primary sources, and monitor for sanctions. The result, is streamlined administration, greater regulatory compliance, and better provider data management. -
6
Verisys
Verisys
For three decades, Verisys has served some of the largest and most complex healthcare organizations in the United States, credentialing more than two million events annually. Our provider credentialing services get and keep you compliant. Credentialing and re-credentialing providers is a complex process for health plans, hospitals, and health systems. Physicians are licensed in multiple states and provide telehealth services across state lines. This requires license verification with each state board and compliance with that state’s unique regulations. Identity matching is complicated due to physicians having the same name, maiden names, alias names, nicknames, or abbreviated names. To get a complete view, each physician must be screened, and credentials verified against thousands of primary sources. We can help you do anything from a simple provider credential search to implementing a full end-to-end credentialing solution. -
7
PureOHS
UL
Boost your operational efficiencies while staying OSHA compliant with PureOHS™. Companies and health care providers use PureOHS, UL’s Occupational Health Medical Record system, to support their occupational health initiatives in critical areas such as regulatory compliance and surveillance programs. With PureOHS you can track encounters and easily distribute information to appropriate people and programs. Track cases including diagnosis, cause of injury, appointment scheduling, treatment plans, and medical notes. Record, manage, and report incidents, near misses, or other conditions that could lead to injury or illness. Easily export required forms ready to upload to OSHA and identify key areas for safety improvement. Whether you work for a manufacturer, a healthcare facility, a municipality, or any other organization that is struggling to track your employees’ medical compliance for OSHA, the CDC, or internal regulations, PureOHS can help by streamlining medical recordkeeping. -
8
HealthEC
HealthEC
HealthEC’s best population health management platform, comprising our care management module CareConnect™ and our analytics module 3D Analytics™ - is designed to elevate quality of care and patient experience by overcoming the healthcare industry's toughest data challenges. Conquer system chaos with a universal data warehouse of normalized claims, clinical, and SDoH data, from any source. CMS certified for reuse. Eliminate workflow disruption with integrated, customizable care plans, decision-support tools and robust care management support. Deliver patient-centric care by seamlessly coordinating with community resources and addressing social determinants of health. Inform strategies with actionable insights at the diagnosis, provider, practice, and organizational levels, presented in clear dashboards or at the point of care. Enhanced MCO performance reviews and CMS interoperability rule compliance. -
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Medallion
Medallion
Medallion is the first solution for healthcare companies to fully offload their clinician operations—state license management, payor enrollment, credentialing, and more—in one modern management platform. By empowering digital health companies, hospitals, payers, and other organizations to credential, license, and monitor their providers with ease from one modern platform, they eliminate time-consuming and laborious tasks that ultimately increases accessibility of care to millions of patients nationwide. Since inception in 2020, Medallion has saved over 100,000 administrative hours for leading healthcare companies like Cerebral, Ginger, MedExpress, Oak Street Health, and hundreds more, and has raised $50M from leading investors like Sequoia Capital, Spark Capital, Optum Ventures, Elad Gil, and Peter Reinhardt. -
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Availity
Availity
Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS. -
11
CertifyOS
CertifyOS
CertifyOS delivers API-first credentialing, licensing, and enrollment to payors, health systems, and rapidly-scaling digital health companies. We unlock insights and power performance for clinicians, teams, and organizations. Build best-in-class provider networks with our one-click credentialing solution. Real-time, automated NCQA-compliant credentialing to scale provider networks. Automated ongoing monitoring to ensure your provider networks remain compliant. We take the guesswork (and paperwork) out of licensing–so you can scale to new markets, seamlessly. Get in the network and get reimbursed faster, so you can get back to care. Streamlined processes for cross-state licensure in all 50 states for any license category. Streamlined payor enrollment process to get providers in-network in new markets. Track enrollment progress with our individualized dashboards. Leverage our best-in-class methodology to clean, normalize, and enhance your provider data. -
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symplr Payer
symplr
Save on costs, eliminate data silos, and deliver better outcomes for your members with a unified, automated provider data solution. symplr Payer provides a single source of truth for provider data that is consistently reconciled and validated against primary sources. It improves data quality, access, and transparency. Further, it eliminates duplicate requests for information, reducing provider frustration. Using symplr Payer as the enterprise-wide hub for provider data, payers can feed timely, accurate information to other downstream systems. Our highly configurable, end-to-end provider data management solution manages all pre-contract and renewal contract negotiations. Standardize and streamline your contracting processes, while capturing contract details such as sentinel events, trigger dates, configuration efforts, process steps, fee schedule info, and more. symplr Payer’s unique design allows your organization to consolidate contracting and credentialing. -
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Inovaare
Inovaare
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. -
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HealthStream ComplyQ/SafetyQ
HealthStream
Let’s face it. Your management of training, safety, and accessibility is key for the success of your organization. Mitigating risk will allow your organization to avoid costly violations by ensuring your workforce is compliant and providing the highest level of care quality possible. Meet regulatory requirements, address health equity, and ensure patient privacy and safety amidst ever-changing healthcare compliance laws and regulations. HealthStream's ComplyQ and SafetyQ offer a smart, mobile-first safety and compliance education program that helps organizations reach competence and reduce risk. This program focuses on improving the learner's experience by leveraging the latest in educational science with adaptive micro-learning content, videos, infographics, and more. -
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HCP Compliance Manager
Lenos
Lenos Software’s HCP Compliance Manager (“HCP Compliance Manager”) provides a single integrated solution for all programs that involve Health Care Professionals, whether they are attending an Advisory Board, Conference, Congress, KOL, Tradeshow, or Training, etc. The HCP Compliance Manager was designed to provide management of all aspects of HCP spend, historical or current, and to encompass any situation an organization encounters in its day-to-day operations, including managing spend on a retroactive basis, if needed, or migrating data from any other data sources/systems. Implementation of the HCP Compliance Manager is flexible to address an organization’s specific requirements and your Standard Operating Procedures while ensuring data integrity and accuracy through automated internal controls. Traceability of data entry and management to ensure those audit requirements are also addressed. -
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MediRegs
Wolters Kluwer
Meet the demands of changing healthcare regulations. The information you need to make critical regulatory, reimbursement, coding, and compliance decisions. The MediRegs medical coding and healthcare compliance platform helps you address multiple challenges facing the industry by providing immediate access to premier, always up-to-date, content and tools. By employing a SaaS workflow solution and innovative integration options, our premier healthcare compliance and risk management software gives you anytime, anywhere access to the regulatory information you need to make the right decisions. MediRegs delivers content relevant to your specific needs through specialized product suites. Stay ahead of changing regulation with precise, authoritative information when and where you need it. Maintain control over your bottom line in the face of regulatory change: ensure accurate, timely reimbursement through accurate, efficient coding. -
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RegLantern
RegLantern
Don't waste cash cramming for your Operational Site Visits with last minute mock site surveys. RegLantern is an affordable solution to help your health center program move toward continual HRSA compliance. Save time by focusing on your health center and patients. Let RegLantern and our HRSA health center program experts keep track of your health center compliance. RegLantern is always updating to the latest HRSA compliance program requirements. When new regulations are released, we rapidly issue education and in-app updating. RegLantern's suite of web-based tools is specifically aimed at helping health centers maintain HRSA compliance. No need to spend tens of thousands of dollars on consultants. RegPathway makes meeting program requirements easy, and best of all, it's super affordable. RegLantern offers a free tool to all HRSA health centers so their FQHC Quality Improvement staff can report their UDS outcomes to health center leadership. -
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First Healthcare Compliance
First Healthcare Compliance
Looking for the best healthcare compliance management software solution on the market? We help create confidence among compliance professionals through education, resources, and support in the areas of HIPAA, OSHA, human resources compliance, and fraud waste and abuse laws. Our flexible, scalable, secure, cloud-based software allow organizations to share, track, and manage their compliance processes with ease. Have peace of mind that they are current in all federal healthcare regulatory areas. The First Healthcare Compliance software is proven to save you time, money and resources by effectively and efficiently addressing all your compliance program management needs, all in one place. Let us show you how! View compliance status in real time, across all locations. Most physicians in private practice and those in Accountable Care Organizations (ACO) face these challenges. -
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BrightInsight
BrightInsight
BrightInsight accelerates time to market for our customers’ digital health products, including apps, algorithms, medical devices, connected combination products, diagnostics, and Software as a Medical Device (SaMD) across therapeutic areas. BrightInsight replaces the need for lengthy and complicated ‘build from scratch’ implementations and instead offers a pre-built and proven digital health platform designed under a Quality Management System to support global security, privacy, and regulatory requirements. We helped Roche launch a Software as a Medical Device (SaMD) dosing calculator for hemophilia A in 6 months in Europe, and accelerated a Top 10 Biopharma companies remote patient platform from project kickoff to commercialization in less than a year. We are experts at building and maintaining biopharma and medtech regulated digital health products, with multiple commercial launches in the last year alone. -
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Cority
Cority
Proven solutions to operationalize your pandemic response plans, systematically monitor, and report on the health status of your employees and visitors, and assist your business’ return to productivity. Improve your safety culture by engaging employees, enhancing workflows, and increasing data visibility across all levels of your organization. Cority helps you break down departmental silos, improve reporting, and achieve operational excellence. Cority's unified compliance management solution is designed to help you take the guesswork out of compliance. myCority connects your frontline employees no matter where they are with the tools they need to mitigate risk and drive compliance. EHSQ experts design, implement and support the Cority solution. That’s why we are the leader in Occupational Health, Industrial Hygiene, and Employee Health solutions. Take your safety programs to the next level by proactively mitigating risks, managing compliance, and reducing incidents. -
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symplr Provider
symplr
symplr Provider credentialing software helps create a single source of provider data, shrinks turnaround times, and shortens revenue cycles, all while prioritizing patient safety. symplr Provider credentialing software makes data gathering, secure access, reporting, and ongoing compliance less burdensome for providers, credentialing staff, and internal approval committees. Our customers report a 20% reduction in credentialing timelines, including a 50% reduction in committee review meetings. Collect, verify, store, and share provider lifecycle data and documents in one automated, user-friendly hub, resulting in time savings and cost containment. With a built-in payer enrollment module, you can enroll providers with payers and easily track applications step-by-step, to get reimbursed faster. Leverage automation to gather data from hundreds of primary sources and auto-check for expired/suspended licenses, NPDB, DEA, SAM, and more. -
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TrackMy
TrackMy
TrackMy Verivax provides vaccine verification for your employee and non-employees with an easy-to-use online portal. Staff can log in, verify key demographic information and have their vaccine history verified within minutes. Organizations can then easily manage compliance and reduce administrative burden for pre-hiring and employee health. TrackMy Vaccines streamlines one on one and event style vaccinations events. Ensure your staff have an exceptional experience, organizations have an ability to offer online scheduling and the ability to electronically capture consents and signature. Most importantly ensure you’re in compliance with TrackMy bi-directional state immunization registry integrations, eliminating manual and duplicate data entry. -
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CloudApper CliniCheck
CloudApper
CloudApper CliniCheck is a robust web and mobile app to enhance the readiness of healthcare facilities that need to keep pace with challenges like the COVID-19 outbreak. According to the World Health Organization (WHO), “In an outbreak, a pandemic, or any other emergency or disaster, clinicians and hospital administrators need to ensure the initiation of relevant generic priority action.” The CliniCheck app provides a compact system to help frontline teams perform their tasks efficiently during this critical emergency period. Generating the best outcomes in the face of this pandemic requires fast response times. Using CliniCheck, users can document and easily share best practices, including short video clips. This reduces communication delays and ensures higher levels of patient safety during critical times of outbreak relief efforts. Healthcare providers are used to operating in an environment of heavy regulation where patient and employee health are top priorities.Starting Price: $10 per month -
24
Emerald Cybersecurity
Emerald Cybersecurity
An efficient and affordable HIPAA solution assisting your organization. Emerald Cybersecurity offers a HIPAA Compliance and Risk Management solution that is affordable for small practices and enables the practice to complete a thorough HIPAA Risk Assessment in a timely manner. By working with one of Emerald's experienced consultant, the process can be completed in under two hours resulting in a variety of essential detailed reports for your practice. Emerald Cybersecurity offers their cloud-based HIPAA Compliance and Risk Management system to hospitals and group practices to provide assistance with these organizational challenges. The system enables users to assess their compliance program, privacy controls, security controls, and conduct a thorough assessment of their IT environment spanning hardware, software, business associates, physical records, and facilities. Mitigation plans can be regularly updated and executive level and detailed reports can be generated instantly.Starting Price: $999 per year -
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Dash ComplyOps
Dash
Dash ComplyOps provides security teams with a solution for building security programs in the cloud and meeting regulatory and compliance standards including HIPAA and SOC 2 Type 2. Dash enables teams to develop and maintain compliance controls across their IT infrastructure and cloud environments. Dash streamlines security and compliance operations, so your organization can easily manage HIPAA compliance. Security teams can save hundreds of man-hours a month by using Dash. Dash makes it easy to create administrative policies mapped to relevant regulatory standards and security best practices. Dash empowers teams to set and enforce high security and compliance standards. Our automated compliance process enables your team to set administrative and technical controls across your cloud environment. Dash continuously scans and monitors your cloud environment and connected security services for compliance issues, allowing your team to identify and resolve issues quickly. -
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RFX
RFX
Go beyond the archaic manual processes for managing your facilities' regulatory compliance. RFX puts credentialing, compliance logs, contracts, and staff records at your fingertips. There are tens of thousands of documents critical to your regulatory compliance as a healthcare facility. Manually managing these documents is inefficient, prone to mistakes, and leaves you open to risk. Work seamlessly as a team with system wide role-based access. Utilize simple workflows with unlimited storage, limitless users and scalability. Achieve consistent survey readiness. Ensure up-to-date compliance logs, credentialing, staff records and contracts with our simple and intuitive tools. Automatic notifications allow for timely alerts and reviews of documents, logs & agreements. Providing better compliance, managed resources, & cost.Starting Price: Free -
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Health e(fx)
HealthCare Impact Associates
The ACA employer mandate is complicated and HR benefits departments bare a disproportionate burden in complying with the regulation. And, with state individual mandates adding complexity to the employer health reform, requirements will continue to evolve. Health e(fx) simplifies ACA reporting by delivering personalized service and custom solutions. Our commitment to serving our clients is at the foundation of who we are. This is a key reason our software is used by 75 Fortune 500 companies. Rooted in years of health reform expertise, Health e(fx) is the largest Affordable Care Act (ACA) technology solution, supporting over 22.5 million lives. With the pandemic and related staffing challenges, as well as a new pro-ACA White House, complying with ACA and state mandate reporting continues to become more complex for employers, as well as the benefits, payroll and tax administrators who support them. Through it all, Health e(fx) stays at the forefront of change. -
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HIPAA One
Intraprise Health
Leveraging this new suite of integrated products, practices, clinics, healthcare organizations of all sizes can now holistically address security risk management and HIPAA compliance across the continuum of their health system or network. Pairing HIPAA One’s automated Security Risk Assessment software platform with Intraprise Health’s existing cybersecurity capabilities offers our customers a complete security and compliance solution, increasing our commitment to securing our customer’s data. To learn more about our full suite of software and services, visit our new home on Intraprise Health. Make us part of your team to stay up-to-date, automate compliance and most importantly, protect your client's information. Completely healthcare-focused, we provide cybersecurity advisory services and cloud-based software solutions to meet the pressing information security needs you face now and will face in the future.Starting Price: $99.99 per month -
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CoreCompli
HOTB
Deliver patient and employee safety through seamless compliance and operational tools for the healthcare sector. As compliance with policies and procedures will play a large role in the new normal, ensure employee safety and patient trust using SCT/CoreCompli. As a full digital SaaS platform, take advantage of digital and dynamic policies and the ability to capture electronic logs through our operational tools so you can rid yourself of compliance deficiencies. Gain confidence for your business operations. Through our compliance solutions, organizations reduce risk and liability while increasing their productivity. Our applications improve business performance and outcomes by fortifying risk management, regulatory compliance, audit/accreditation governance, and background screening administration for hundreds of thousands of users in a cross spectrum of industries. HOTB software applications allow information security and governance professionals to reclaim control over their data. -
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MCN Policy Manager
MCN Healthcare
Policy Manager’s intelligent document control and workflow management software solution automates policy access, review, approval and attestation throughout your organization. Easy to implement and intuitive to manage, the policy management software’s automated tracking and reporting features ensure audit and regulatory compliance. With MCN’s Policy Management Software, your staff are able to access the most current policies and procedures with our robust search functionality. Manager-assigned competencies track your staff’s knowledge of policies and procedures. -
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HIPAA ComplyPAK
HIPAA Solutions
The cloud-based HIPAA ComplyPAK™ Compliance Management System has assisted clients in successfully responding to audits. Provides guidance for every job function that handles PHI enabling that function to act in a HIPAA compliant manner. Addresses Privacy, Security and Group Health Plan requirements. Allows auditing of ongoing compliance status. Gives Privacy Officer ability to monitor compliance activity of personnel. Provides for creation of on-demand compliance status reports. Provides easy access to job function specific policies and procedures for immediate review and action by employees. Identifies noncompliance risks. Provides risk management and mitigation tools. Provides for implementation of Healthcare Modules with “pre-implemented” policies and procedures. Enables tracking of Protected Health Information to satisfy legal requirements of HIPAA and HITECH. Provides on-demand, on-line training for staff with certifications. -
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MEG
MEG
Use MEG’s all-in-one platform to manage quality, patient safety, compliance and accreditation processes all from one place. MEG can support your vision to deliver great care for every patient every time with an intuitive, all-in-one digital quality management system connecting the key components of governance for quality, patient safety and compliance in one place. Frontline healthcare workers have access to mobile, time-saving digital tools that enable them to engage in quality-focused initiatives while prioritizing patient care. Healthcare leaders gain a real-time understanding of levels of risk, can assure and manage compliance with regulatory and accreditation standards, compare performance across multiple sites and maximize patient safety. Embrace a faster, paperless, auditing process free from duplication. Create attractive, sharable reports in just minutes. Record incidents in real-time, quickly and accurately. -
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ClearDATA
ClearDATA
The ClearDATA Healthcare Security and Compliance Platform. Healthcare is rapidly moving to the public cloud in an effort to scale - to harness the tremendous, untapped value of public health data, and to improve their constituents’ outcomes and experience. However, many organizations express a lack of confidence regarding where to begin shoring up gaps in privacy, security and healthcare compliance to best safeguard sensitive health data (PHI/PII) in the cloud. These gaps create risk, and risk creates damage to your reputation and your finances. ClearDATA can help. We secure hundreds of healthcare organizations’ PHI and PII as they build innovative apps in the public clouds - Amazon Web Services, Microsoft Azure or Google Cloud Platform. Our comprehensive next-gen platform of software and services enables you to scale your business as you improve your healthcare compliance and security posture and cost optimization. -
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Innovaccer
Innovaccer
We help providers integrate disparate patient data to deliver actionable insights at the point of care, collaborate across care teams, and achieve better health outcomes. We help drive collaboration and connectivity among payers, providers, and members to manage risk, costs, compliance, and rising member expectations. We help biopharma and medtech companies build digital solutions at their intersection with healthcare and better leverage real-world data across the value chain. Unify patient data, generate comprehensive clinical and financial insights, and innovate faster. Move beyond silos to an open, secure platform that unifies healthcare data into a single, longitudinal patient record that enables whole-person care. Rapidly develop interoperable solutions and accelerate digital strategies through our developer tool suite and open APIs. Customizable analytics and advanced insights help enhance care quality, reduce costs, and improve clinical and financial outcomes for providers. -
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Edifecs
Edifecs
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. -
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DRG Claims Management
DRG Claims Management
It’s fair to say that “not all DRG vendors are created equal.” Despite overlapping marketing efforts, there are two general categories of DRG auditing products: those that primarily serve provider hospitals and those that are designed to identify overpayments on behalf of health plans and payers. Just as an attorney typically specializes in defense or plaintiff representation, auditing vendors specialize in the unique needs, cultures and priorities of the parties they respectively serve. Even within the category of payer-based vendors, there is also a wide range of approaches to DRG auditing and overpayment identification. We extend our scope of services to our physician review team to produce clinical validation findings for situations where the identified issues are unsubstantiated clinical diagnoses documented by treating physicians and therefore exceeds the scope of coders. Our results prove that our coding compliance model will produce verified savings. -
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ComplyAssistant
ComplyAssistant
ComplyAssistant was founded in 2002 to provide strategic planning and information privacy and security solutions. We are experts in risk assessment, risk mitigation and attestation readiness. Our GRC software is scalable for any size organization and offers unlimited user and location licenses. With over 100 healthcare clients nationwide, we are steadfast advocates for a culture of compliance, where security and compliance are foundational to healthcare operations. -
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Medisolv ENCOR
Medisolv
Medisolv provides comprehensive quality management solutions for hospitals and clinicians. ENCOR, our award-winning software platform, is a complete quality solution. Medisolv is a healthcare quality data management company. Their all-in-one Quality management software provides tools that help healthcare organizations with core measure abstraction, electronic measure capture in the hospital and ambulatory settings, data aggregation from multiple sources and submission to various reporting entities including CMS, TJC, other payers, state entities and reporting organizations such as ACOs. Medisolv’s acclaimed quality management software, ENCOR, provides timely eCQM performance data to assist hospitals in improving their performance and easily submitting to regulatory programs. ENCOR, makes chart abstraction easier with daily updated data and pre-populated patient information. Our software is designed to assist hospitals in successfully meeting their reporting requirements. -
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Consensus Signal
Consensus Cloud Solutions
Consensus Signal delivers real-time health event alert notifications, connecting providers and care teams wherever patients receive care. Consensus has joined with the leading event alerting solution in the market. Our partner, Secure Exchange Solutions, provides a nationwide reach into EHRs and access to nationwide directory services to easily find the provider for each patient. This means we deliver notifications directly into the workflow of receiving providers EHRs without requiring costly interfaces. No need to upload lists of patients or even have an EHR, we can deliver readable alerts into existing email clients. The new Conditions of Participation (CoPs) require mandatory notification compliance for Medicare and Medicaid participating hospitals, including psychiatric hospitals and CAHs, to send electronic patient event notifications of patients’ admission, discharge, and/or transfer to their primary care provider. -
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Immuware
Immuware
Determine up-to-the-minute compliance status with real-time tracking of immunizations, screenings, workplace medical surveillance testing, exposures, training, injuries, illnesses and certifications. Immuware’s innovative and easy-to-understand dashboards allow you to view your organization at all levels to quickly identify the compliance gaps and achieve compliance faster. Easily track vaccinations online. Employment supervisors can save considerable administrative time and eliminate potential errors made with manual tracking by empowering employees to share accountability in compliance. Different levels of permission-ed access in the online employee portal allow employees to self-report with documentation upload, Supervisors to monitor employees and Admins to automate approval workflows, configure follow-up reminders and view multi-level reporting. -
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HIPAAtrek
HIPAAtrek
That’s the power of HIPAA compliance software that organizes, automates and generates reports on every aspect of compliance. Send employee training, gather information during exit interviews or performance reviews, and assign tasks and reminders to the team. Manage, negotiate and execute contracts and business associate agreements from the HIPAAtrek software. Automate periodic security reminders and track opens, store documentation for contingency or disaster recovery plans, and report incidents. Collaborate with staff in different locations or departments to finalize policies and track compliance through our easy-to-use dashboard. Access everything you need, from contracts to policies, training, forms, and documents, automatically storing historic versions of documents, in one easy to use platform. Send security reminders and training videos automatically, and get notified when policies and BAAs need an update.Starting Price: $299 per month -
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Impact Compliance Training
Impact Compliance Training
To ensure you’re meeting the latest state law training mandates and that the coursework is relevant to your business, we adapt our course curriculum to your state’s compliance requirements and industry. With new training requirements in California, New York, and Illinois, the complexity of meeting these mandates has never been more challenging. Proactive legal updates, automated administrative tools, electronic tracking and reporting, and state law version control are some of the ways that we help our customers provide training in a scalable and efficient way so that this isn't anyone's full-time job. With over 25 years of compliance training expertise and hundreds of organizations served, our team has created a multitude of course versions around impactful real-world scenarios that include profound insights about workplace harassment and discrimination law that most sexual harassment training providers overlook. -
43
Clearwater Compliance
Clearwater
With today’s increasing threat landscape and OCR enforcement activity, healthcare providers, payors, and their business associates can no longer effectively manage cyber risk or meet HIPAA compliance requirements with “one size fits all” spreadsheets. Hundreds of healthcare organizations have adopted IRM|Pro® software as their Enterprise Cyber Risk Management Software (ECRMS). Gain actionable insight into the most critical vulnerabilities, control deficiencies and the remediation. Get real-time updates on risk analysis progress, risks above threshold, control deficiencies, and risk mitigation status. Know where your organization's biggest exposures lie and where action can make the most meaningful impact. Benchmark your risk analysis and risk management performance against peers. Advanced dashboards with configurable views and reporting capability, providing visibility into a hospital system organization and enabling users to determine exposures. -
44
Converge
Verge Health
Turnkey credentialing, privileging and performance monitoring. Transforms compliance from administrative to actionable. Proactive safety strategy, that goes beyond events. Take proactive systems to approach to unify safety, risk, and quality data. Share risk data and gain actionable insights for proactive decision-making to achieve zero harm. Powerful analytics and business intelligence embedded within Converge providing key safety information and tools. Initiate near misses, events, complaints, or compliments from the EHR. Work with your implementation manager to identify your organization’s ideal timeline, team, and scope. Combine Mortality Review, Safety Rounds, and Patient Launch to proactively identify risk. Real-time integration with CMS work order systems to reduce redundancy and drive resolution. Implement, train, and introduce solutions in a digestible way. Stagger platform roll-outs, implementing modules as appropriate. -
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RLDatix
RLDatix
The most widely deployed patient safety platform. Comprehensive patient safety software that helps drive lasting change and performance improvement across your organization. A global community of patient safety experts. When you join RLDatix you’re connecting with a worldwide community of patient safety changemakers. Get proven best practices and inspirational ideas from RLDatix customers, industry and thought leaders. RL Suite Comprehensive patient safety solutions to support your safety and healthcare quality initiatives. Reduce and mitigate risk by turning your data into actionable intelligence for today and tomorrow. Intervene early and keep patients safe by identifying clinical risks and reducing infections. Engage patients in real-time to ensure they receive the best possible experience. Centralize policies and procedures to drive institutional learning and compliance. -
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Kyruus ProviderMatch
Kyruus
Industry-leading provider search, scheduling, and data management solutions that help health systems match patients with the right providers and optimize patient access enterprise-wide. Our provider search and scheduling solutions—built on the KyruusOne® provider data management platform—enable health systems to optimize patient-provider matching; boost patient acquisition and conversion; and deliver a consistent patient experience across key points of access. Differentiate your digital presence with a modern patient access experience that enables people to find the right care options for their needs and book easily online. Connect consumers with the right providers through your call center by empowering agents with the technology they need to match and schedule patients more precisely. Boost patient retention by giving providers and staff new visibility into the providers in your network and enabling patients to leave their appointment with the next one booked. -
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iICE Enterprise Edition
Innovit
Innovit’s range of iICE Training programs has been designed to deliver relevant knowledge and skills to your employees. Incorporating ‘best practice’ for the management of product information, you can be confident that your team will continue to develop improved systems and processes for the sustainable management of master data. Innovit is a global solution provider specializing in MDM (Master Data Management), PIM (Product Information Management), GDSN (Global Data Synchronization), UDI Compliance (Unique Device Identification) and NPI Workflow Automation software. -
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TriZetto
TriZetto
Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes. -
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Rhapsody
Rhapsody
Build the interoperability solutions you need. Adapt to any modern environment with Rhapsody, a flexible toolbox that enables your team to build connections quickly and securely. Support the highest level of service with Rhapsody by ensuring that healthcare data is flowing where, when, and how your unique environment demands. Design flexible solutions to every connection need. Streamline workflows with a solution that is infinitely configurable and purpose-built for healthcare. Create intricate integrations with a robust toolkit that has been proven across the world. The platform is represented globally with customers in 36 countries. Develop cutting-edge FHIR-based interfaces simply and easily with REST and FHIR-specific JSON support. Security is of primary concern and is built into every part of the product, with a view to safeguarding any protected health information (PHI) that passes through the engine. -
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SKYGEN’s Provider Data Management (PDM) is an on-demand solution that helps healthcare payers strengthen provider network management and provider relationships. PDM also strengthens payers’ ability to effectively build provider networks, improves provider and member satisfaction, and lowers administrative costs. It’s a smart solution that helps payers and providers meet the needs of today’s technology-savvy healthcare constituents. Lower contract acquisition costs via fast, efficient, paperless provider recruitment and supplemental network rental. Lower credentialing costs and improved provider satisfaction through online credentialing. Eliminating expensive outreach by automating provider self-verification and ensuring accurate and verified provider data for online directories. SKYGEN powers dental and vision connectivity solutions that inspire clients to move confidently into the future by employing technology that creates unparalleled efficiencies.