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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:

Payers can have dozens of fee schedules that contain thousands of codes. Finding the right fee schedule can be a challenge and navigating the document can also prove time-consuming. Our Government Fee Schedule tool provides you access to fee schedules in a centralized location.

About Policy Reporter:

Empower your teams with Policy Reporter's payer documents library, change alerts, and reserach tools. 

Healthcare providers face numerous challenges in navigating the complex U.S. healthcare system:​

  • Keeping up with evolving medical necessity criteria, coverage policies, and billing rules​
  • Understanding and complying with diverse payer policies and prior authorization across commercial and government plans​
  • Efficiently managing revenue cycle processes in a constantly changing reimbursement landscape​
  • Ensuring patient access to necessary care while meeting payer requirements​
  • Minimizing claim denials and optimizing reimbursement​

This causes challenges such as: ​

  • Interpreting and applying complex payer policies consistently across the organization​
  • Reducing administrative burden associated with prior authorizations and claim appeals​
  • Staying current with frequent policy changes that impact reimbursement and patient care​
  • Balancing compliance requirements with operational efficiency​
  • Maximizing revenue while ensuring appropriate utilization of healthcare services​

Policy Reporter empowers healthcare providers to address these challenges by:​

  • Delivering analyst-verified alerts for tracking policy changes customize to your specialties and payer mix​
  • Simplifying access to up-to-date coverage criteria, prior authorization and reimbursement rules​
  • Offering comprehensive research capabilities to comply with key contract and claims rules​
  • Supporting efficient revenue cycle management with targeted insights and tools​

Our solutions reduce administrative burden, streamline reimbursement-related research, and empower your entire team to make informed decisions that improve patient care and financial performance.​​

Product Description:
Manage risk-adjusted revenue by analyzing data across systems to persistent diagnoses and suspected HCCs to support prospective outreach, point-of-care, and post-visit follow up workflows.
About Cerner Corporation:
Cerner Corporation is a supplier of healthcare information technology solutions, services, devices and hardware. Cerner solutions optimize processes for healthcare organizations. These solutions are licensed by 9,300 facilities globally, including more than 2,650 hospitals; 3,750 physician practices 40,000 physicians; 500 ambulatory facilities, such as laboratories, ambulatory centers, cardiac facilities, radiology clinics and surgery centers; 800 home health facilities; 40 employer sites and 1,600 retail pharmacies. It operates in two segments: domestic, which includes revenue contributions and expenditures associated with business activity in the United States, and global, which includes revenue contributions and expenditures linked to business activity in Argentina, Aruba, Canada, Cayman Islands, Chile, Puerto Rico, Saudi Arabia, Singapore, Spain and the United Arab Emirates. On May 23, 2011, it acquired Resource Systems, Inc. On October 17, 2011, it acquired Clairvia, Inc.

Compatibility level

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Clients

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Use Cases

Description:

None provided

Pediatric use cases:

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Users:

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Description:

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Pediatric use cases:

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Users:

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EHR Integrations

Integrations:

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EMR Integration & Relevant Hardware:

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EMRs Supported:

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Hardware Compatibility:

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Integrations:

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EMR Integration & Relevant Hardware:

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EMRs Supported:

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Hardware Compatibility:

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Client Types

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Differentiators

Differentiators vs EHR Functionality:

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Differentiators vs Competitors:

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Differentiators vs EHR Functionality:

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Differentiators vs Competitors:

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Keywords

Images

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Videos

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Downloads

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Alternatives

Company Details

Founded in 1979

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