Finding the Best Care Management Software for You
Healthcare is a tricky industry that revolves around multiple providers, services, and regulations. And particularly for care management organizations (CMOs), maintaining a fluid workflow between different parties is a must. However, contracting providers, configuring benefit plans, and processing huge amounts of data can be challenging. In fact, an article about healthcare challenges in 2017 notes how organizations face problems regarding data security, ICD codes, and even telemedicine. And with the growing demands of the industry, organizations might need to recheck their current management software. That is, if you want to stay competitive for the next few years.
The Solution for Care Management Challenges
Processes like provider contracting, electronic data interchange (EDI), and claims adjudication are just a few of the many responsibilities of MCOs. But with the right management software, organizations generally keep up with the workload. However, problems occur when technological advancements demand newer processes from MCOs. For example, the leap from ICD-9 codes to the newer ICD-10 codes caused a lot of system problems for companies. And organizations with systems that couldn't adapt as fast have to rely on other software to keep up with demands. Which leads to spending more dollars on third-party systems.
Keeping up with industry demands also means that your data security is on point. In fact, having secure management software is necessary to keep up with HIPAA standards. Additionally, the advancement of mobile applications are also allowing patients and providers to access healthcare data via smartphones. Which means that MCOs need advanced management software that offer advanced tools like apps or the flexibility to integrate newer technologies. With all this in mind, how do you pick the best care management software?
Finding the Best Management Software
You don’t just need care management software, you need one that has all the tools to keep up with modern demands. In fact, you want a system that has the technology to stay competitive for decades. Luckily, MCOs can now upgrade to more advanced management software like QuickCap 7. In fact, here are a couple of key features to look out for:
- Secure Data - You need a system that allows you to fully customize the access rights of each user so you can protect your confidential data but at the same time make specific information readily accessible for your other users.
- Mobile App Features - Having a system that allows mobile app extension can significantly improve your communication. For example, QuickCap 7 has a mobile application that allows providers and other users controlled access over important data so they can manage their work on the go and communicate with users in the touch of a button.
- Extensive Data Features - Finally, you can avoid unnecessary costs if you get a single system for all your diverse processes. After all, having one management software can make data storage and processing more efficient.
Find out more features of QuickCap 7!
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HITRUST Risk-Based 2-Year Certification Achiever
The Health Information Trust (HITRUST) is a standards organization dedicated to security, privacy, and risk management. They developed the HITRUST Common Security Framework (CSF), which assists organizations in maintaining a comprehensive and secure approach to HIPAA compliance and managing risks. HITRUST is widely recognized as the benchmark in data security and privacy.
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The Health Care Administrators Association is the nation's largest nonprofit trade association for third-party administrators, stop loss insurance carriers, managing general underwriters, audit firms, medical managers, technology organizations, pharmacy benefit managers, brokers/agents, human resource managers, and health care consultants. HCAA has spearheaded the change of self-funding for more than 35 years.
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