Provider Contract Management process deals with end to end tracking of provider contracts throughout the contract lifecycle from creation, negotiation, approval, to termination. Healthcare payers process tens of thousands of contracts each year. Each provider contract is stored on paper and managed manually making the process of updating contracts, variance analysis, and compliance audits time-consuming and erroneous.
Claims Repair – addresses those claims that cannot be handled through auto adjudication process. These claims are “error out” from one of the multiple systems during adjudication process. Any delay in claims disbursement leads to high “Penalty Payout”. Moreover, handling claim exceptions is often staff intensive and characterized by manual processes.
Operating in the highly regulated healthcare landscape, it is of utmost importance to Managed Care organizations to manage complaint tracking appropriately. The challenge is to resolve the complaints which have come from the Center for Medicare and Medicaid Services (CMS) in the shortest possible time. Moreover, regulatory infractions may cost healthcare payers huge penalties.
Member enrollment, the first step in the Member Servicing cycle, is a critical business process that is often fraught with numerous errors and irregularities, due to paper-based, manual processing. This leads to the process often becoming frustrating for the prospective member, and time consuming and costly for the payer.
Handling appeals and grievances is a rigorous, time-consuming, and costly process – more so when it is done manually. Further, the process is highly regulated, scrutinized and monitored, with non-compliance leading to huge fines and penalties. All this adds to the pressure faced by payer organizations trying to ensure consistency, quality and timeliness in responding to member requests.
In this current world of “instant coffee” and short attention spans, customers have developed an intrinsic need for products and services that provide “instant” gratification. This becomes even more apparent in the Logistics Industry where customers expect real-time status updates on their deliveries.
In this current world of “instant coffee” and short attention spans, customers have developed an intrinsic need for products and services that provide “instant” gratification. This becomes even more apparent in the Telecom Industry where customer service is highly document intensive and process cycle times takes multiple days. Such a scenario does not really bode well for this “instant” culture.
In this current world of “instant coffee” and short attention spans, customers have developed an intrinsic need for products and services that provide “instant” gratification. This becomes even more apparent in the Healthcare Industry where customer service is highly document intensive and process cycle times takes multiple days. Such a scenario does not really bode well for this “instant” culture.
In this current world of “instant coffee” and short attention spans, customers have developed an intrinsic need for products and services that provide “instant” gratification. This becomes even more apparent in the Banking and Finance Industry where customer service is highly document intensive and process cycle times takes multiple days. Such a scenario does not really bode well for this “instant” culture.
OmniReports is an Enterprise Report Management (ERM) platform that captures report output of business applications like ERP systems, Billing Applications, Banking Systems, etc. from source and converts into compressed digital files that can be archived, indexed, copied, searched and accessed electronically.
OmniCompliance is an integrated solution for Governance, Risk and Compliance that's geared to ensure compliance with standards, best practices and guidelines of various regulatory acts.
Organizations look for Centralized Bulk Scanning to optimize their scanning operations. OmniScan captures documents in a centralized system. Multiple users can be assigned in different systems who can enhance image quality with tools that remove speckles, deskew images, adjust page orientation and more.
OmniDocs is an Enterprise Document Management (EDM) platform for creating, capturing, managing, delivering and archiving large volumes of documents and contents. It also integrates seamlessly with other enterprise applications.
OmniFlow is a platform-independent, scalable Business Process Management engine that enables automation of organizational business processes. Built using open technologies, it has seamless integration abilities allowing it to be introduced into any IT infrastructure.
