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Managed Care Directory


Amisys Synertech, Inc.
2400 Thea Dr.
Harrisburg, PA 17110
Email: hirwin@synertechsystems.com
Phone: 717-703-6349
www.synertechsystems.com
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Amisys Synertech Inc. combines the industry leading products and services of AMISYS and Synertech.

AMISYS (www.amisysllc.com) offers comprehensive information management software and Web capabilities to healthcare payers. Its 3000 product provides extensive functionality that meets the information needs of a wide variety of health plans. AMISYS Advance, to be delivered mid-2003, expands on the robust functionality of AMISYS 3000 on the HP-UX operating system. AMISYS is based in Rockville, Md. and has an additional office in Dubuque, Iowa.

Synertech (www.synertechsystems.com), established in 1986, is a leading business process outsourcer and application services provider to the healthcare payer industry. Synertech offers business process outsourcing; consumer-directed solutions; scanning and imaging; claims processing; Web-enabled services; and Medicare Retiree programs. Synertech supports a multimillion-member base, including more than 100,000 members of new consumer-directed health plans.

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APP Design, Inc.
555 Pierce Rd., Ste. 195
Itasca, IL 60143
Email: sales@appdesign.com
Phone: 630-775-1144
www.appdesign.com
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APP Design's extensive healthcare knowledge can help your organization meet its goals. APP's team has worked in the healthcare field for many years, including working on the first community healthcare network the Wisconsin Healthcare Information Network, Western New York HealtheNet , and Healthcare Extranets of New Mexico. In addition to our RHIOnet product for securely linking healthcare information systems, we've also aided organizations with integration projects and HIPAA compliance. APP Design's RHIOnet X12 transaction set helps organizations comply with HIPAA mandated standards. In addition, we can create custom interfaces to existing legacy systems, then use RHIOnet's X12 transaction service to handle incoming X12 transactions, creating "instant" X12 compliance for the organization. Running on top of the APP AnvilT application server, the service supports the following transactions out of the box:

  • 270/271 Health Care Eligibility/Benefit Inquiry and Information Response
  • 276/277 Health Care Claim Status Request and Response
  • 270278 Health Care Services Request for Review and Response
  • 278 Health Care Services Review - Notification
  • 278 Health Care Services Review Inquiry/Response

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Avantec, LLC
16622 N.E. 117th Way
Redmond, WA 98052
Email: sales@avantecsoftware.com
Phone: 425-869-1996
www.avantecsoftware.com
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Avantec's managed care products are an integrated suite of applications designed to support a full range of risk management activities for managed care organizations. We have created one of the most powerful benefit plan and provider/facility contracting utilities in the industry to ensure that your organization can accurately replicate complex benefit/contract terms and conditions and accommodate your various payment reimbursement methodologies.

Our products are designed around a secured client/server network integration using Microsoft Windows 2000 and SQL 2000 database. Our eMCee workstation software provides referral/pre-approved authorizations, HCFA/UB92/Dental claim processing and auto-adjudication, Pool/PMPM auto-capitation, accounts payable processing and data exchange, member and eligibility management, benefit administration, provider contract management, and EDI tools for authorization, claims and eligibility.

Our Connect web-enabled browser-based application is designed to save time, improve efficiency and reduce cost to both you and your contracted providers. It gives physicians the ability to do referral request and pre-approved authorizations; perform benefit checks for coverage, expected payment and copay; inquiries on member demographics, authorizations and claims; and provider and facility directory searches.

It also comes complete with powerful administration software that simplifies the setup and maintenance that is specific to your organization. Investigate further and you will find our suite of products to be user friendly and vary affordable. It comes with the backing of seven years of development, includes source code and the best support imaginable.

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AXIOM Systems
241 E. Fourth St., Ste. 200
Frederick, MD 21701
Email: plythcke@axiom-systems.com
Phone: 847-548-2855
www.axiom-systems.com

AXIOM Systems, Inc. is a leading information technology consulting firm specializing in supporting the system integration, implementation, reporting, HIPAA compliance, and EDI needs of managed healthcare organizations. AXIOM offers a unique blend of technical capabilities and in-depth knowledge of managed care business operations with an extensive staff of project managers and technical experts averaging 13 years experience. Recognized as the industry's Managed Care Technical Experts, AXIOM attributes its success directly to its in-depth knowledge of managed care business operations and technology.

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CureMD Corp.
55 Broad St., 9th Floor
New York, NY 10004
Email: info@curemd.com
Phone: 212-509-6200 Ext. 236
www.curemd.com
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CureMD PRS (Practice Resource System) is a comprehensive network of integrated systems and services, designed to address every aspect of a medical practice's clinical, financial and administrative workflow. A true Web-based solution, CureMD PRS is available in either of two ways:

ASP (Application Service Provider): A monthly subscription-based service, securely accessible over the Internet

Client Web-server: A locally hosted client-server through which clients have the option of publishing on the Web for secure and remote access from any Internet connection

  • Intelligent Billing and Reporting
  • Enterprise Scheduling
  • Electronic Health Records
  • Mobile/handheld charge capture
  • Prescriptions Management
  • HIPAA Compliance

With CureMD EHR (Electronic Health Records), the age of practical, affordable EHR has finally arrived. Our efficient, cost-effective and fully integrated approach to EHR puts clinical information management easily within the reach of virtually any practice, solving the multiple problems of storage and retrieval of patient records and making point-of-care decision support and order entry an instant reality.

Customizable templates and SOAP-format architecture are easily adapted to any specialty. At the same time, built-in clinical decision support and CPOE features minimize pharmacy callbacks and duplicate prescription and lab orders, reduces risk of errors, and improves documentation quality and compliance.

Templates -- easy-to-use, customizable drop-downs and check lists make it simple to accurately document:

  • Vitals
  • Phone Encounters
  • Histories
  • Medications
  • Review of Systems
  • Immunizations
  • Physical Exams
  • Orders (medications, labs, procedures)

Contact us today for a demonstration of CureMD or visit our website

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DREAM EMR by Visionary Medical Systems
5600 Mariner St., Ste. 227
Tampa, FL 33609
Email: sales@visionarymed.com
Phone: 888-895-2466
www.visionarymed.com/?vid=650
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Since 1995, Visionary Medical Systems, Inc. has provided affordable information technology solutions to maximize healthcare productivity and improve patient care while reducing provider's costs.

Visionary's base medical management system includes VisionaryTM OFFICE featuring:

  • Scheduling
  • Reporting
  • Billing
  • Full Practice Management
  • Much More

Our VisionaryTM DREAM EMR interfaces with our practice management software for a complete solution.

  • Easy navigation menu is designed to increase usage speed while streamlining the data recording process
  • Interfaces with a number of external programs, including practice management, transcription, imaging and lab information
  • Intuitive sentence builder allows doctors to personalize chart notes and significantly reduce - or even eliminate - the need for transcriptions
  • Order tests, physician consultations or surgical procedures directly from the patient's chart
  • Produce error-checking reports identifying missing, unsigned or unsaved progress notes
  • Customize your questions and phrasing of your notes

All our software features easy installation, operation, support, training and modular pricing.

Visit our website www.visionarymed.com and preview VisionaryTM DREAM EMR today. When it comes to Heath care IT we're the visionaries of the industry. Your Practice Made Simple.

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DST Health Solutions
2500 Corporate Dr.
Birmingham, AL 35242
Email: inforequests@dsthealthsolutions.com
Phone: 800-272-4799
www.dsthealthsolutions.com
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DST Health Solutions has delivered business applications and process outsourcing services to health plans, third-party administrators and physician practices for more than 25 years. Our solutions drive client success in speed to market, customer responsiveness, care management, administrative efficiency, productivity, and operational cost reduction. Our applications, ASP and BPO services support more than 300 healthcare clients, representing 30 million covered lives that generate an administrative transaction volume in excess of 230 million claims each year. DST Health Solutions is a wholly-owned subsidiary of DST Systems, Inc., which provides sophisticated information processing and computer software services to more than 3,500 clients worldwide. DST operates one of the world's most advanced data centers.

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Eldorado Computing, Inc.
5353 North 16th St., Ste. 400
Phoenix, AZ 85016
Email: abell@eldocomp.com
Phone: 602-604-3100
www.eldocomp.com
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Eldorado Computing Inc. is a leading supplier of IT administration solutions for healthcare organizations, self-funded employers, third party administrators, insurance carriers, independent physician associations, and unions. Eldorado's software is available on an ASP hosted or licensed basis. Eldorado provides a leading edge proven solution for automatic claims processing of medical, dental, vision, prescription drug, long-term and short-term disability claims.

Eldorado's HEALTHpac is the foundation for claims repricing, managed care functionality, billing and administrative functions, case management, utilization review, PPO management, COBRA management, Section 125 administration, batch laser printing, electronic claims transmissions, ad hoc reporting and claims edit processing. Other products include: Imaging, Workflow, X12 Manager (HIPAA), Customer Service Interface, and real-time employee self service web applications.

Founded in 1981, the privately held company is based in Phoenix, Arizona, and has affiliate offices in Barberton, Ohio. For more information about Eldorado, visit the company's Web site at www.eldocomp.com or call (602) 604-3100.

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Health Care Software, Inc. (HCS)
P.O. Box 2430
Farmingdale, NJ 07727
Email: marketing@hcsinteractant.com
Phone: 800-524-1038
www.hcsinteractant.com
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Health Care Software, Inc. (HCS), founded in 1969, is dedicated to providing superior application software solutions designed exclusively for the healthcare industry. HCS's product, INTERACTANT, is a fully integrated clinical and financial management system for long-term care, skilled nursing, subacute, rehabilitation, behavioral and human service organizations, and outpatient healthcare providers. Information is entered once, edited on-line for accuracy, and available across the facility, disciplines, or corporation in a real-time environment, eliminating duplication of effort by your staff.

INTERACTANT manages patient/resident and facility operations through registration, physician orders, MDS, care planning, RAP documentation, multidisciplinary clinical documentation, performance measurement, billing, general ledger, human resources, payroll, and accounts payable designed for both stand-alone and multi-site healthcare providers. INTERACTANT utilizes a single relational database and addresses regulatory requirements such as MDS 2.0, RUG III, and PPS billing. The INTERACTANT Clinical Care System includes documentation and assessment tools, vital signs and intake/output entry, care planning, medication administration record, treatment administration record, reporting, and education.

Clinical applications include registration, appointment scheduling, clinical documentation and assessments, care planning, Minimum Data Set (MDS), order entry, physician referral, physician access, staffing and scheduling, pharmacy, results reporting, quality improvement, and policies and procedures.

Financial applications include billing/accounts receivable, medical records, physician billing, contract management, accounts payable, fixed assets, human resources management, payroll, materials management, executive information systems, and general ledger.

HCS offers 24/7 hot line support and is responsible for all regulatory requirements and functional compliance. INTERACTANT utilizes the IBM eServer i5 platform that provides the best price-to-performance ratio of all hardware platforms available today.

HCS INTERACTANT supports multi-site skilled nursing, independent/assisted living, rehabilitation, behavioral, inpatient, and long-term care providers with modules that stream data from clinical input to final billing.

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IntraNexus Inc.
PO Box 2777
Virginia Beach, VA 23452
Email: lshoaf@intranexus.com
Phone: 757-437-9125
www.intranexus.com
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For more than 16 years, IntraNexus® and our strategic partners have provided customized, integrated HIS solutions for more than 1,000 hospitals, behavioral health and long term care facilities, ambulatory care centers, and physicians' offices across the United States. IntraNexus is dedicated to providing customized healthcare IT solutions and personalized service.

Recognizing the need for flexible and comprehensive HIS solutions, IntraNexus has developed Sapphire, a true web-based HIS. Sapphire's usage of Internet technologies and open standards means clinical functions can happen from the physician's home or office as easily as from within the medical institution---all while using a variety of input devices such as hand-helds, laptops, tablet PCs, and smart phones.

The IntraNexus Sapphire HIS solution includes the areas of Clinical Care, Patient Accounting, Pharmacy, Laboratory, Comprehensive Radiology Management Systems, Medical Records, Respiratory Care, Networking, Operations, and Systems Engineering.

Experience the difference using flexible web-based solutions that link healthcare with technology...here.there.anywhere.

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Mardon International Healthcare Services
4111 E. Valley Auto Dr., Ste. 210
Mesa, AZ 85206
Email: info@mardonihs.com
Phone: 800-877-9257
www.mardonihs.com
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A leading software vendor in the health care informatics industry for 27 years, Mardon IHS provides integrated software solutions that meet the information needs of health care organizations worldwide. The organizations we serve include hospitals, ambulatory care centers, long term care and behavioral health facilities, home health organizations and physician practices.

We accomplish results and efficiencies other vendors don't, at a value they can't match, because of the functionality and the integration designed into our systems. Our systems cover all facets of the health care spectrum, from primary care to continuing care management. Information is integrated both horizontally across care facilities and vertically among the physicians orchestrating care, the nurses delivering care, and the clinical departments supporting this care. Clinical and financial information is fully integrated tightly coupled so health care organizations operate efficiently.

Our platform is designed and engineered with an understanding of the reliability critical to Health Care Information Systems, and the flexibility essential for information systems to continually evolve to meet changing health care dynamics.

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Medical Present Value, Inc.(MPV)
5000 Plaza on the Lake, Suite 265
Austin, TX 78746
Email: info@mpv.com
Phone: 512-795-0015
www.mpv.com
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Medical Present Value, Inc. (MPV) provides financial tools and expert consultative services to help physician medical groups maximize the value of their payor contracts and improve revenue cycle efficiency.

Our expert contract analysts define and model the complex terms of each contract line-by-line into the MPV PhynanceTM software solution. MPV also maintains a database of client-specific contract terms, fee schedules and payment policies and continually updates Medicare, state and other payment rules to ensure claim pricing is accurate.

MPV Phynance then values claims and identifies variances by comparing payments received against contract terms, flagging potential underpayments, registration, coding and posting errors. The contract data and claims history stored in MPV Phynance can then be used to assess overall payor performance and determine the financial implications of new and proposed contracts during future negotiations with payors.

As a result, our physician medical group clients experience better control over their contracts, improved workflow efficiency, increased revenue, reduced bad debt and stronger negotiating position with payors.

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Medical Software Tools
316 NW Alachua Ave.
Lake City, FL 32055
Email: Info@MedicalSoftwareTools.com
Phone: 800-860-0197
www.MedicalSoftwareTools.com
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Medical Software Tools is a reseller of Medisoft Medical Billing and Practice Management Software, Focus Reports, BillFlash, Medinotes EMR and Agile EMR. Because we are a Platinum Certified Medisoft reseller we are able to make the best deals on software and services that you will find anywhere. You will also find that we provide a much higher level of service, support and training than many of the other Medisoft resellers.

Medisoft Support & Training

Though we offer some of the lowest prices you will find anywhere, we also offer a higher level of support and training services. Medical Software Tools provides 30 days of FREE unlimited telephonic support with every purchase of Medisoft Advanced or Medisoft Network Professional. With our bundle offerings you can save hundreds and hundreds of dollars on your purchase of Medisoft and other products. We also host support blogs at www.medisoft-software.blogspot.com and www.medisoft-var.livejournal.com

Check us out.

Our staff has many years of medical software experience and we offer a host of ancillary products and services like Import Wizard which allows you to import data to Medisoft from a standard ASCII comma delimited file. We also sell and support middleware softwares that allow you to interface EMR/EHR software with Medisoft and over 100 different systems. Check out our offerings and the many FREE product demos and our support and other offerings at www.MedicalSoftwareTools.com

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Outsourcing Factory
1170, Rue Monfet
Quebec, Canada G2K 1Z1
Email: gszatvanyi@outsourcing-factory.com
Phone: 418-559-0775
www.outsourcing-factory.com

Outsourcing Factory Inc. is a dynamic IT Services & Consultancy provider established in 2003. The company is headquartered in Quebec, Canada with development branch-offices in Romania, enabling follow-the-sun support services to its clients. The core value that Outsourcing Factory brings to the table resides in consulting services and enterprise applications that enhance customers' processes and transform their businesses through unparalleled usage of technology as competitive leverage. The company is recently ISO 9001:2000 certified (equivalent of CMMi Level 3) and Microsoft Gold Certified Partner.

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RAM Technologies, Inc.
275 Commerce Dr., Ste. 100
Fort Washington, PA 19034
Email: mwullert@ramtechinc.com
Phone: 215-654-8810 Ext. 255
www.ramtechnologiesinc.com

RAM Technologies is a leading provider of advanced managed care software. Solutions include HEALTHsuite® and eHealthsuite™. HEALTHsuite is a fully integrated, enterprise-wide application that automates all aspects of benefit administration and claims processing. eHealthsuite is a web portal that reduces demands on customer service personnel by providing real-time access to information for providers, members, brokers and employers.

RAM Technologies has been serving the payer segment of the healthcare industry for over 26 years. RAM's solutions serve the complex needs of Medicare, Medicaid, Commercial, Consumer-Directed and Federal Health Programs.

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Sajix, Inc.
990 Laguna Creek Lane
Pleasanton, CA 94566
Email: info@sajix.com
Phone: 925-218-7370
www.sajix.com

Sajix is a leading provider of healthcare information system solutions, serving both the needs of healthcare providers and consumers. Our comprehensive suite of HIPAA-compliant solutions, called iHelix, is comprised of individual, but integrated modules including an advanced electronic health record (EHR) which enables our clients to build a customized health information system that meets their specific needs.

Sajix iHelix software solutions are completely scalable and can handle the IT requirements of community-sized hospitals as well as large, urban-based medical centers. We also offer our solutions on the technology platform that best suits our clients' needs. For large enterprise deployments we offer iHelix Enterprise, a scalable, comprehensive, in-house, server-based solution. For community-sized hospitals, we offer iHelix OnDemand, a hosted solution that is perfect for meeting the needs of small to medium sized facilities who prefer a hosted solution.

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ZeOmega, LLC
3010 Gaylord Pkwy., Ste. 210
Frisco, TX 75034
Email: contact@zeomega.com
Phone: 972-618-9880
www.zeomega.com

ZeOmega is a leading provider of automated workflow solutions for managed care. These web-based solutions help TPAs, self-insureds, insurance companies and medical management entities improve productivity and operational efficiency. ZeOmega has products for group health and workers compensation, covering workflows like case management, UR, disease management and maternity management. These products are available as ASP solutions.

ZeOmega also provides IT enabled back-office services, such as EOB Indexing, Medical Records Chronology, and Data Entry, through its back office team consisting of highly qualified personnel like physiotherapists.

JIVA, our group health care management platform, helps automate medical management workflows and improve operating efficiencies without compromising quality of care. JIVA is HIPAA compliant and minimizes security risks through role-based access and secure encrypted transactions. Built using Zope and Python, JIVA's modular design allows companies to selectively deploy modules like disease management and maternity management based on their current needs.

MAYA, our WC Care and Cost Management Platform, has Peer review modules with optional Required Medical Examination (RME) and Independent Medical Examination (IME) features. It allows UM/UR entities to manage their peer review process electronically by transforming bulky medical documents to an electronic form. The platform supports integrated online scheduling, calendaring, billing, invoicing, tracking and reporting.

KRIYA, our case management product for Workers Compensation is geared specifically towards Field Case Managers (FCM). The platform is web-enabled and has intelligent time & expense tracking features in addition to integrated billing, invoicing and reporting.

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Who is in this category?

Amisys Synertech, Inc.
APP Design, Inc.
Avantec, LLC
AXIOM Systems
CureMD Corp.
DREAM EMR by Visionary Medical Systems
DST Health Solutions
Eldorado Computing, Inc.
Health Care Software, Inc. (HCS)
IntraNexus Inc.
Mardon International Healthcare Services
Medical Present Value, Inc.(MPV)
Medical Software Tools
Outsourcing Factory
RAM Technologies, Inc.
Sajix, Inc.
ZeOmega, LLC


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