ALC CONSULTING, INC. AVAILITY

Transcription

1 Vendor Directory

2 ALC Consulting, Inc. ALC CONSULTING, INC. is a Healthcare IT consulting firm specializing in solutions for organizations looking for EDI growth strategies. We work with payers, providers, billing systems, PMS/EMR vendors, other EDI focused organizations and clearinghouses. For more information contact: Ana Croxton, ana.croxton@gmail.com or AVAILITY is an industry-leading, HITRUST-certified health care information technology company that serves an extensive network of health plans, providers, and technology partners nationwide through a suite of dynamic products built on a powerful, intelligent platform. Availity integrates and manages the clinical, administrative, and financial data needed to fuel realtime coordination between providers, health plans and patients in a growing value-based care environment. Facilitating over 8 million transactions daily, Availity s ability to provide accurate, timely, and relevant information is vital to the financial success of its customers. Find out more about Availity online at Availity.com or call AVAILITY. ALPHA II S software-as-a-service (SaaS) solutions support coding, compliance, claims editing and revenue analysis for healthcare professionals, clearinghouses and government entities both directly and through software developers. Beginning with the initial receipt of patient data through the final scrutiny of the payer's remittance advice, Alpha II empowers precision across the reimbursement process. The company's toolsets, data content and rules engines currently plug and play with electronic health record, practice management and hospital information systems to help their customers comply with the latest policies, standards and directives. For more than 30 years, our experienced healthcare professionals have worked together to gather, analyze, and interpret healthcare coding and billing rules and regulations. This continuing effort has produced the industry's most comprehensive content database and rules engine available well over 100,000 man-hours in the making and continually under development. Because of this, we are perfectly positioned to help large- and small-scale healthcare providers nationwide maintain compliance and achieve accurate reimbursement no small feat in today's healthcare environment with its complex regulatory pressures and cost containment measures. Our data centers, where the Alpha II SaaS solutions are hosted, are accredited by the Electronic Healthcare Network Accreditation Commission (EHNAC) a federallyrecognized standards development organization and tax-exempt 501(c)(6) nonprofit accrediting body designed to improve transactional quality, operational efficiency, and data security in healthcare. The achievement of healthcare network accreditation through EHNAC is a testament to Alpha II s private and secure network. For more information contact: Stuart Newsome, CPCO, Vice President of Business Development; stuart.newsome@alphaii.com; eprovider SOLUTIONS sees itself as so much more than a clearinghouse. We are a company that stands in the gap bridging over the technical complexities and compliance issues to unite providers with their payers and their patients. eprovider Solutions has a reputation for honesty and integrity, dedication to character and customer support, and is committed to establishing relationships and conducting business from a position of high ethical standards. Having decades of experience in health care operations and management, the founders of eprovider Solutions built a team of motivated and seasoned professionals with a diverse background in the healthcare industry. We continue to add to our team and our services to provide practical solutions to the ever changing obstacles our providers face in this industry. Please contact BJ Dvorak at or her at bj@eprovidersolutions.com for more information on how to partner with us.

3 esolutions CLEARINGHOUSE offers innovative, web-based solutions that represent the cutting edge of commercial healthcare billing technology. Each solution is customizable for maximum productivity to accelerate the claim lifecycle and maximize reimbursement in the most efficient way possible. With enhanced editing, payer-specific scrubbing and smarter eligibility verification, our online claims management delivers powerful analytics and executive level controls to put our clients in charge of their entire claims process. In addition to superior customer support, esolutions offers connectivity to professional, institutional, dental and workers compensation payers to seamlessly integrate with practice management system for optimal workflow. For more information, visit Contact: Brigitte Rehak; 913/ INSTAMED is healthcare s most trusted payments network, connecting providers, payers and consumers on one platform. Our rapidly growing network connects over two-thirds of the market and processes tens of billions of dollars in healthcare payments annually. Our full suite of payment and clearinghouse solutions enable providers to collect more money from patients and payers while reducing the cost and time to collect. Our forward thinking, innovative technology delivers a simple, seamless and secure experience, designed and developed by one onshore team of experts in healthcare payments. For more information, contact info@instamed.com. Far more than a clearinghouse, Practice Insight improves the entire billing and collections process, from EDI submissions to workflow management. GEBBS HEALTHCARE SOLUTIONS is a leading national provider of revenue cycle management (RCM) and health information management (HIM) solutions. Our in-depth healthcare industry expertise enables us to provide end-to-end solutions to successfully resolve our clients billing challenges, while embracing their overall business operations. GeBBS delivers a world-class infrastructure of highly skilled professionals, robust processes, and proprietary workflow engines. This makes us an ideal partner for our clients. When you need a medical coding company, we are the best choice. We provide strategic outsourcing solutions to medical billing companies and healthcare providers. By leveraging our people, processes and technology, we enable clients to reduce operating and capital costs, recover revenue, improve patient satisfaction, and increase productivity. With a current staff of over 4,000 professionals, GeBBS is an nine-time Inc honoree as one of the nation s fastest growing companies. For more information contact Patrick Malecky, Vice President of Business Development; patrick.malecky@gebbs.com; , ext. 215 (office) or (cell). Providers in all 50 states rely on the power of Practice Insight s technology which does much more than connect them to thousands of commercial and government payers to submit claims. Practice Insight s software also enables users to track every single claim in real-time, customize claim edits, create secondary claims, manage their claim workflow, verify patient eligibility, process electronic and printed patient statements, receive patient payments, recover ERA denials, monitor user productivity, analyze all EDI transactions, manage their customer support, and much more. We value our partnerships with our vendors and strive to help to them be successful. For more information visit our website at or contact Jim at jbettendorf@practiceinsight.net or at

4 TRIZETTO PROVIDER SOLUTIONS helps physicians, hospitals and health systems simplify business processes and get accurate payments quickly while always looking for new ways to help improve revenue and increase cash flow. TriZetto, a Cognizant company and business unit within Cognizant s healthcare practice, provides world-class information technology solutions to make better healthcare happen. TriZetto s world-class technology products, in combination with Cognizant s consulting, IT and business process services at scale dramatically simplifies the deployment and adoption of technology and improves operations helping to reengineer the business of healthcare today, while reimagining it for tomorrow. For more information, contact Michelle Ward, Director, Payer Solutions Management; michelle.ward@cognizant.com; CALLPOINTE is now WEST! West s Engagement Center Solutions help healthcare organizations effectively activate and engage patients and members, beyond the clinical setting, as they traverse the healthcare system. By providing innovative technology and creating strategic communications at key points across the care continuum, West s Engagement Center enables healthcare providers to reduce costs, maximize revenue, improve quality and optimize the patient experience. For more information, contact Marc Tumminello, Vice President of Sales & Business Development; matumminello@west.com PAYSPAN With the largest healthcare network in the U.S., we provide payment automation services that improve administrative efficiency, meet regulatory requirements, and enable payers and providers to manage new reimbursement strategies. We bring together healthcare expertise with proven financial services technology to empower a new generation of healthcare economics. To learn more about PaySpan, contact Blake Smittkamp at blake.smittkamp@payspan.com; WORK COMP EDI is a leading EDI clearinghouse vendor providing services in the workers' compensation and P&C markets. WorkCompEDI specializes in connecting Insurance companies, Bill Review organizations, Submitters, and Vendors (software, clearinghouses, EMR/EHR, Networks) to promote two-way electronic communication exchanges from submitter to receiver, along the way providing extensive pre-adjudication, conversion, and routing capabilities. Additionally, WorkCompEDI offers integrated business process outsourcing (BPO) services, including OCR/KFI paper-to-edi, full mail room services, custom printing services, custom software engineering services and hosted document management & workflow licensing and support. ebilling Clearinghouse Services (all-payor) Private Label Portal Systems Hosted & Deployed electronic attachment & workflow systems API Integration Services WorkCompPay (electronic payment solutions) Transaction routing & conversion (PPO, Repricing) Consultative & Custom Software Engineering To learn more about WorkCompEDI, please contact Marc Menendez MMenendez@workcompedi.com; x1305. ZELIS PAYMENTS a business unit of Zelis Healthcare, is a leading healthcare payments technology company dedicated to delivering value via exceptional client experiences. Our solutions facilitate regulatory compliance and streamline the transfer of healthcare payments and data for payers, while increasing cash flow and delivering operational efficiencies for providers. To learn more about Zelis Payments, please contact: Eileen Lee, VP, Product Management; Eileen.Lee@zelispayments.com; ;

5