12 Capabilities to Look For in Care Management Software

12 Capabilities to Look For in Care Management Software

Care management programs allow for coordination among practitioners, UM clinicians, care coordinators and customer service representatives. This coordination results in improved outcomes for members and patients. Corporate wellness programs are delivered by a team that delivers a spectrum of services to its members. Historically, many health plans, providers, corporate wellness teams and elderly wellness organizations […]

Revenue Forecasting & Recognition at Contract Research Organizations: The Alternative to Spreadsheets

Revenue Forecasting & Recognition at Contract Research Organizations: The Alternative to Spreadsheets

Because of the nature of their businesses, Contract Research Organizations (CROs) need tools that allow for reliable revenue forecasting and recognition. Some CROs need to manage hundreds of forecasts at a time. These revenue forecasts are important for overall planning and for making staffing decisions. When the future month-to-month workload can be reliably forecasted, appropriate […]

Post Acute Care In The Home: Technological Advances

Post Acute Care In The Home: Technological Advances

Post acute care continues to be a rapidly growing segment within healthcare. The growth has been driven both by economics and by technological innovation. On the economics front, insurance companies and Medicare have reduce reimbursements for readmissions that occur shortly (10 – 31 days) after a patient has been discharged. Beginning in October, 2012, the […]

SBIRT Training & Technology Resources

SBIRT Training & Technology Resources

SBIRT (Screening, Brief Intervention, Referral to Treatment) is a public health approach to delivering early intervention to anyone who uses alcohol and/or drugs in unhealthy ways. Proper SBIRT training is key to successful intervention. SBIRT has proven to be an effective way to identify and curtail potential substance abuse problems. Substance abuse has a major […]

Managed Care Organization Lists For New England and New York

Managed Care Organization Lists For New England and New York

A managed care organization (MCO) is an entity that specializes in provider network development, credentialing and contracting. On an ongoing basis, MCOs manage the provider network, claims pre-processing and utilization. Before we get to the MCO lists, we’ll cover some relevant background information. State Medicaid Programs and MCOs Medicaid programs are an area in which […]

How CRM Can Help Medical Device Manufacturers With CAPA Procedures

How CRM Can Help Medical Device Manufacturers With CAPA Procedures

The FDA’s Title 21 CFR 820 Regulatory Requirement means that manufacturers of medical devices that are subject to FDA regulation need to establish and maintain procedures for implementing corrective and preventive action (CAPA) related to device non-conformity. These procedures must provide for control and action to be taken on any distributed or not yet distributed […]