Welcome to the Payment Integrity Revolution Payment integrity is not an accuracy number. Recovery is not a new generic algorithm. Recovery and Payment Integrity are single process. They are a set of integrated tools that ties your claim audits, member calls, provider calls, configuration changes and root cause analysis -
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DATA METHOD INC
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DATA METHOD INC
DATA METHOD INC
39 GR●●●●●OD ST
LEX●●●TON , MA, 02421-6630
US
View this contact
DATA METHOD INC
DATA METHOD INC
39 GR●●●●●OD ST
LEX●●●TON , MA, 02421-6630
US
View this contact
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Home - Datamethod Inc. | datamethod.com Reviews
https://datamethod.com
Welcome to the Payment Integrity Revolution Payment integrity is not an accuracy number. Recovery is not a new generic algorithm. Recovery and Payment Integrity are single process. They are a set of integrated tools that ties your claim audits, member calls, provider calls, configuration changes and root cause analysis -
datamethod.com
Datamethod Inc. » ClaimTrend
http://www.datamethod.com/claimtrend
8211; Main Menu –. Your results, your data, when you want it. We give our clients the power and tools to. Pull summary and detail reports on demand, in real time. Run Audit Results by processor regardless of sample purpose. Manage auditor productivity and performance. Automated raw data extract for additional BI analysis. User account control to manage access. Direct access from within ClaimAuditor, no additional login or credentials. Client input into product development queue.
Datamethod Inc. » News and Resources
http://www.datamethod.com/news-and-resources
8211; Main Menu –.
Datamethod Inc. » Case Studies
http://www.datamethod.com/case-study
8211; Main Menu –. Case Study: How Audits Go Wrong. Auditing is not easy. Here are the top seven reasons why audits go wrong (and how to fix them). Case Study: A Day in the Life of an Audit Supervisor. Today I am working from home. The tools, such as ClaimAuditor, that I now have access to enable me to audit and supervise from home 4 days a week. Case Study: Director of Claims. Claim audit is not something I worry about day to day. But I need to know Are my people doing their jobs right?
Datamethod Inc. » Solutions
http://www.datamethod.com/solutions
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Datamethod Inc. » About
http://www.datamethod.com/about
8211; Main Menu –. Datamethod is a leading software provider and consulting company with over 20 years of experience in the healthcare insurance industry. We specialize in providing the industry’s leading audit and cost containment software for healthcare payers. Our ClaimAuditor , ClaimTrend , and ClaimTarget software applications have been built and refined over a decade from completing over two million audits and loading over half a billion claims with our customers. We understand the business needs, ...
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Peter Kelman, Esq. l Clients
http://www.kelmanlaw.com/clients.htm
Accent Printing, Inc. ActiveMedia Robots, LLC. Creators and manufacturers of intelligent, mobile robots. www.mobilerobots.com. Creators and authors of motivational materials for corporate use. Public relations, advertising and brand development, assisting businesses in cross-cultural markets. Assistance Software, Inc. Microsoft Certified Gold developer of hrm software for professional service organizations. Atlantis Technology, Inc. Brach Evaluation and Consulting, LLC. Brite Visual Products, Inc. Develo...
Section 2 Landing Page
http://www.claimheader.com/Section2/AnalyticsHome.html
The ClaimHeader offers analytics in support of claims process best practices. Perhaps one of the murkiest areas in claims is performance measurement. On the other hand, the claims process is a data driven process - which means performance can be measured. Understanding, managing and improving it requires data and the analytics to interpret the data. The ClaimHeader provides those resources in this section:. How do payers define the metrics they use to manage themselves? 100 Claims - Benchmark Library.
Disclaimers Landing Page
http://www.claimheader.com/Disclaimer.html
US Government Restricted Rights: The materials on this Site are provided with "RESTRICTED RIGHTS." Use, duplication, or disclosure the Government is subject to restrictions as set forth in applicable law and regulations. Use of the materials by the Government constitutes acknowledgement of Data Method' proprietary rights in them. Common rule of thumb: By volume 70% of claims are professional (HCFA) and 30% are facilty (UB). There are two surveys for Q2 2007:. Goal: Gather the latest EDI trends.
Section 3 Landing Page
http://www.claimheader.com/Section3/SurveyHome.html
The ClaimHeader gathers and shares claims process related information. Our current Surveys are below. Welcome to the ClaimHeader survey section. Anyone that has ever watched Family Feud has to enjoy it when Richard Dawson shouts, Survey saaays and then proceeds to tell the audience about some interesting survey. We’re hoping to make it that easy to both share and get access to claims process benchmarks and best practices. Q2 2007 EDI Survey. Go to the EDI Survey. Q2 2007 COB Survey. Go to the EDI Survey.
ClaimHeader Q2 2007 COB Survey
http://www.claimheader.com/Section3/SQ22007_COB.html
ClaimHeader Q2 2007 COB Survey. The Q2 2007 COB Survey has 25 questions. Survey Ready on May 10. Go to the EDI Survey. According to our surveys and anecdotes the volume of claims with an attachment has dropped. The numbers we have indicate that between 1990 and 2007 claims with attachments have fallen from 1 in 5 claims to 1 in 20. Common rule of thumb: By volume 70% of claims are professional (HCFA) and 30% are facilty (UB). There are two surveys for Q2 2007:. Goal: Gather the latest EDI trends.
Section 2 > Subsection 1 > Page 1
http://www.claimheader.com/Section2/100Claims/100_1_UB-HCFA.html
100 Claims: UB92 versus HCFA. 31 of 100 claims are HCFA claims. Based on our historical data, 31 of 100 claims are inpatient. According to our surveys and anecdotes the volume of claims with an attachment has dropped. The numbers we have indicate that between 1990 and 2007 claims with attachments have fallen from 1 in 5 claims to 1 in 20. Common rule of thumb: By volume 70% of claims are professional (HCFA) and 30% are facilty (UB). There are two surveys for Q2 2007:. Goal: Gather the latest EDI trends.
Section 1 -- Landing Page
http://www.claimheader.com/Section1/Q22007.html
Q2 2007 - Auths. In This Issue: Authorizations and Claims Adjudication. Issue summary and other notes. Claim Authorizations and Referrals. How do claims Authorizations and referrals impact the claims process and how best to minimize that impact. For every problem there is a solution that is simple, elegant, and wrong" H.L. Mencken. The Agony of Authorizations. Claims process best practices and authorizations. Whatever the range of services, an authorization requirement adds steps to the claims submission...
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91 9810 335 335. Linux based Cpanel Server. R1Soft / Idera Backups. Solution within their premises. Smart Solution for Corporates. Cloud based, Lowest latency with multiple gateway and failover protection for Medium and Large Companies. MX and SMTP Backup and Archival solution. Anti spam and virus protection. Hosting at a budget. Software as a Service. Run your ERP, CRM application on the cloud for multi point access. Tally Software or Busy Software on the Cloud. Redundant VPS Cloud Hosting. We're always...
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Home - Datamethod Inc.
115;ales@datamethod.com. Manage Payment Integrity. Ensure best practices and audit standards while reducing costs. Performance Insight. Automated executive dashboards for accuracy results, error and claim trends. Manage Cost Containment. Tie audit to cost containment and target similar claims impacted by audit findings. Manage configuration audits. Ensure accurate claims system configuration changes. Datamethod is payment integrity innovation. Make claims payment seamlessly accurate. All the bad news.
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