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Our Solutions: Data Integrity Management

 

Data Integrity Program includes re-engineering key databases such as the charge description master (CDM), order entry, pharmacy system and sub-systems, supply chain procurement systems and client item file cleansing with all documentation, dispensing systems, charging practices, protocols, workflow and charging forms related to these services. ESI provides:

  • Interfaces for all existing patient accounting systems (e.g., Meditech, Invision, Unity, MS4, McKesson HealthQuest, Series, Star, IDX, CPSI, A4, EPIC, Eclipses, Infinity, and others); Clinical and Order Entry and Sub-Systems (e.g., Cerner, Surgery, Pharmacy, Supply, and other systems); Payer Systems; Physician Practice Systems; State and Government Programs; and necessary 3rd party tools and enabling technologies
  • Monitoring and analytics in real-time of all aspects of revenue cycle processing
  • Automatically prioritizes and distributes tasks based on the role and skill of the resources
  • Step-by-step workflows that automate the maze of complex policy, procedures, charge tickets, charging protocols, and their timely and accurate completion
  • Escalate problems for fast resolution
  • Consolidate revenue data from all sources of information: legacy systems (scheduling, registrations, medical records, billing, supply/pharmacy or other subsystems), intermediaries, and payers
  • Access revenue knowledge for contract management compliance, Medicare rules and organization policy
  • Breakdowns of complex processes into a set of “dependent” interactions where each step is a workflow that can be easily managed, tracked, and completed
  • Link policies, procedures, business rules into monitors and automated workflows with data, knowledge and 3rd party compliance tools

 

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