Best Utilization Management Software - Page 3
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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Collective Medical helps care teams collaborate to support their most vulnerable patientsthose whose needs cannot be met in any single care setting.
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Connexall is an enterprise-grade communication and control platform that delivers hospital-wide interoperability to people, systems, tasks, and devices. Its capabilities act as a backbone for clinical
- 100% Mid-Market
298 Twitter followers
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Health Risk Modeling platform for Insurance and Healthcare providers.
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Eazy HMS is an web based hospital management software developed for different sizes of hospitals from 30 to 150 beds.
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eQCare Utilization Management (UM) services assist health plans by providing a multi-faceted approach to managing requests for medical services ensuring the services are medically appropriate and nece
754 Twitter followers
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Experian's Member Utilization Management Solutions are designed to assist healthcare organizations in effectively managing patient care and optimizing resource utilization. By leveraging advanced data
38,502 Twitter followers
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Getinge ia a Hospital Planning Platform for better managing and planning even large-scale hospital project.
2,771 Twitter followers
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HCS Care Plans is a comprehensive software solution designed to streamline the creation, management, and implementation of patient care plans within healthcare facilities. By integrating various clini
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The HCS Gadget is a real-time, rules-driven, desktop notification system that alerts caregivers when certain thresholds are triggered. The HCS Gadget is unique in that it operates unobtrusively across
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The Health Catalyst Data Operating System (DOS) is a breakthrough engineering approach that combines the features of data warehousing, clinical data repositories, and health information exchanges in a
- 50% Mid-Market
- 50% Small-Business
8,690 Twitter followers
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Every record represents a real person. Each data point is a potential game-changer in someone’s life: a connection to be understood and acted upon. And so our goal is to enable greater health by impro
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Are you struggling to drive top-line growth or minimize revenue loss? Arm yourself with the best data in the industry to capitalize on insights and tools proven to acquire and retain more patients, dr
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Our proprietary technology is also harnessed to analyze real-world data across other chronic metabolic diseases including diabetes, cardiovascular disease, chronic kidney disease etc. By integrating o
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HxOne is the premiere healthcare payer solutions company that offers customized solutions for commercial and governmental health benefit administrators.
238 Twitter followers
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Icario is a health action company that frees you to help people live healthier lives by helping you connect with them like they’re human. With over 100 million+ member connections, Icario is a health
942 Twitter followers
