Best Utilization Management Software - Page 2
Utilization management software provides hospitals and health care practices a process with which to evaluate health care services and procedures provided to patients to determine their medical necessity. Health care administrators depend on utilization management processes to ensure that their physicians are maintaining a high quality of care and administering effective treatments while minimizing costs. Utilization management review and determination can occur before (prospective utilization review), during (concurrent utilization review), or after (retrospective utilization review) patient treatment has been scheduled and provided; software supports action during any of those three stages. Additionally, utilization management software has the potential to better the working relationship between providers and payers. By leveraging patient data found in EHRs, health care providers can apply real-time data to the review process, adhere to regulations, and optimize revenue cycle management. Registered nurses equipped with utilization management certification, case managers, and physicians are the main players during the review process.
To qualify for inclusion in the Utilization Management category, a product must:
Best Utilization Management Software At A Glance
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Pharmacy 4.0 is an approach that improves quality, flexibility, speed, and productivity of the pharmacy production process.
- 100% Small-Business
289 Twitter followers
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- User Satisfaction
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Quantros Quality Management Solutions Suite to optimize quality data collection, processing, analysis, and submission for both chart-abstracted and electronic clinical quality measures, helping to foc
- 50% Enterprise
- 50% Mid-Market
2,608 Twitter followers
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Access Bed Control is a patient management software that provides multi-service department integration for the function of bed control.
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AccuCare allows clinicians in substance abuse treatment and behavioral health to quickly and easily enter client information and track outcomes. The web-based system allows the database to be accessed
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ACUITY Advanced Care is an integrated care management software application that robustly supports case, utilization, disease and population health management programs. The ACUITY suite offers a user-f
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Medecision is a population health management technology and services for risk-bearing healthcare organizations across the care continuum.
2,693 Twitter followers
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A risk management analytics and advisory services package for ACOs, CINs, providers, and hospitals that want to improve resource utilization, reduce drug costs, and coordinate care for chronic patient
36,107 Twitter followers
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Arezzo is an active clinical decision support and pathway technology desgned to empower personalised care delivery at patient and population level.
- 100% Enterprise
117,617 Twitter followers
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An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, and accelerate cash flow.
- 100% Enterprise
36,107 Twitter followers
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Helps hospitals use data to improve operations liberating clinicians from data entry work
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Hospital management is an online based open source or cloud server integrated that simplifies managing the functioning of the hospital or any medication. It integrates all the data relating to patient
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A comprehensive solution that connects acute care providers, physician groups and ACOs with home health agencies to better manage patient outcomes, operations, clinical protocols and utilization.
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CaseTrakker products provide a comprehensive care management solution designed to ensure that your users always have the most up-to-date information and the tools to manage their members efficiently.
39 Twitter followers
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Cedar Gate Technologies offers a comprehensive analytics platform designed to empower healthcare organizations in the transition to value-based care. This platform provides advanced tools for analyzin
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Improve patient health and earn additional revenue with CircleLink CarePlanManager
149 Twitter followers
