|
|
|
VISIUM HEALTHCARE CLAIMS MANAGEMENT SOFTWARE
|
|
 |
The VISIUM Suite is comprised of four main components that work seamlessly
together through the entire healthcare claim and contract management process.
From contract loading to repricing to payment error identification
and healthcare contract modeling, VISIUM saves time by streamlining
processes and eliminating manual steps.
|
ChartTech’s Visium software offers a systematic
approach to identifying potential opportunities for revenue recovery.
Large numbers of claims are processed very efficiently; payment
and/or discount variances are quickly identified and assessed for validity.
|
 |
Enterprise Contract Management System (ECMS) |
|
ECMS technology helps efficiently, quickly and accurately load contracts
|
|
 |
Minimizes repetitive entry of “business rules” making contract updates painless. |
|
Handles the toughest, most complex business rules easily. |
|
Allows automatic loading of large fee schedules and tables. |
|
Presents the contract terms in a concise table formatreflecting exactly how each claim is actually priced. |
 |
Audit & Recovery System (ARS) |
|
Compliance monitoring helps your organization dramatically increase productivity,
boost accuracy and recover revenues.
|
|
|
|
Provides efficient tools for measuring, assessing, and reporting claims payment errors. |
|
Delivers Root Cause analysis that prevents erroneous payments and future “leakage”
for clean claims processing from the beginning. |
|
Provides transparency, control and precise claims information. |
|
Defines the contractual terms for every claim processed. |
|
Compares expected and actual payment and discount at the code level. |
 |
Modeler |
|
The VISIUM Contract Modeler answers the question
“What if” analyzing reimbursement under alternative contract scenarios:
|
|
|
|
Leverages healthcare claims, payment and contract data in an interoperable environment. |
|
Accesses the underlying business rules providing a clear, concise audit trail |
|
Modifies contract terms and simulates the revised terms using actual relevant claims data. |
|
Models multiple and simultaneous changes to any or all business rules for in-depth analysis. |
 |
Repricer |
|
The Repricer is a proprietary, powerful and efficient
application which computes expected payment and discounts
based on the specific provider contracts.
|
|
|
|
Integrates with your current claim management system to
perform concurrent audits as a “double check” on payment accuracy. |
|
Prices every claim, comparing "expected" to "actual" payments and pinpoints the 1-3% of claims with potential payment variances. |
|
Prices thousands of claims per minute. |
|
Pays claims accurately the first time. |
|
Generates a Process Trail that describes how each claim was repriced in plain English
and shows the contract terms governing that claim. |
|
Web-enabled, so that claims information can be accessed
on a secure website for authorized parties to view. |
|
 |
|
|
|
