Healthcare Cost Management Solutions
Cost management is a planned approach that combines the skills of physician logic and automated claims surveillance with strategic financial intervention to improve outcomes of both quality care and rational costs. A critical evaluation of health care costs is an important component. Cost Management includes -
- Claims Code Editing
- Re-pricing
- Negotiations
- PPO discounts
Business Challenges
- Analyse and identify areas to minimize the Health Care spending and improve Health Outcomes and Quality of Care.
- Determining and collaborating with leading health care institutions on cost-benefits to related partners and preserving a high degree of communication and transparency with all business partners.
- Identifying and automating all feasible processes to high degree to improvise the processes and save costs.
Cost Containment Framework
Our Services
Nous understands the complexities of the modern healthcare systems and need for the Cost Management. Competency is not only expected in the cost-saving or high-end care, but the rationality and approriateness of the overall solutions to provide benefits to all stake-holders. Nous believes it can provide solutions that meet these competencies and at the same time meeting all the applicable regulatory necessities.
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Building applications that significantly reduce data quality errors, turnaround times and costs.
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Knowledge in HIPAA compliant formats, ICD-10, X12 EDI implementation and data security.
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Expertise in building auto-adjudication system and business rule engine for cost management.
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Experience in End to end automation which significantly reduces data quality errors and ensures very short turnaround time that intern reduces the cost.
FEATURED RESOURCES
Understand how Nous built robust web applications that handle end-to-end claim processing including automated edits, manual edits and third party claim editing tool integration.
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About Nous Infosystems
Nous Infosystems is a CMMi Level 5 SVC + SSD v1.3, ISO 9001:2008, and ISO/IEC 27001:2013 certified global Information Technology firm providing software solutions across a broad spectrum of industries. Major offerings include Digital Transformation, Application Development & Maintenance, Enterprise Application Integration, Product Engineering, Business Intelligence, Independent Testing and Infrastructure Management Services.
