Linium's Managed Care Contract Manager™ is a versatile, easy-to-use software system that is used to effectively manage, communicate and report on critical information related to:
- Contracts and business relationships of all types
- Rules, requirements and rate specific to client contacts
- Client and account management
- Prospects and sales
- New client implementations
The Managed Care Contract Manager™ (MCCM) improves contract management throughout the entire revenue cycle from contract negotiation through reimbursement for rendered services.
The MCCM can be used by both health care providers and insureres for management of both active and prospective contracts. The MCCM has traditionally been performed manually, and minimizes risk exposure. The core MCCM software is customized to meet the specific business needs of each client and delivered by industry leading consultants. Client customization is based on comprehensive fact finding process which may include surveys, interviews, focus-groups and observations of system users. Current stat and future state workflows are developed to assure that all relevant work processes and communications are mange efficiently using customized software.
- Improves awareness of key contract provisions and requirements, at all levels
- Instant access to a variety of covered health services and rates
- Reduces confusion about contractual obligations Improves internal efficiency by providing instantaneous contract and client performance data and wide range of on-line reports
- Supports sales and marketing operations using a simplified prospect and sales database
- Can be integrated with existing systems and databases for simplified integrated reporting Management reports support various analysis
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A shift in paradigm over the past few years has seen an increase in partial and global risk arrangements taken on by healthcare providers. As a result, the need to identify capitated membership on a monthly basis is critical for healthcare providers in delivering efficient quality care to its members. To Find Out More Click Here Now. |
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Linium's Quality Improvement Manager is designed to support proactive methodologies for quality improvement. Healthcare providers and insures can use this system to identify members at-risk based on empirical data and implement systematic interventions to improve patient care. To Find Out More Click Here Now. |
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