Healthcare is a tricky industry that revolves around multiple providers, services, and regulations. And particularly for care management organizations (CMOs), maintaining a fluid workflow between different parties is a must. However, contracting providers, configuring benefit plans, and processing huge amounts of data can be challenging. In fact, an article about healthcare challenges in 2017 notes how organizations face problems regarding data security, ICD codes, and even telemedicine. And with the growing demands of the industry, organizations might need to recheck their current management software. That is, if you want to stay competitive for the next few years.
Processes like provider contracting, electronic data interchange (EDI), and claims adjudication are just a few of the many responsibilities of MCOs. But with the right management software, organizations generally keep up with the workload. However, problems occur when technological advancements demand newer processes from MCOs. For example, the leap from ICD-9 codes to the newer ICD-10 codes caused a lot of system problems for companies. And organizations with systems that couldn't adapt as fast have to rely on other software to keep up with demands. Which leads to spending more dollars on third-party systems.
Keeping up with industry demands also means that your data security is on point. In fact, having secure management software is necessary to keep up with HIPAA standards. Additionally, the advancement of mobile applications are also allowing patients and providers to access healthcare data via smartphones. Which means that MCOs need advanced management software that offer advanced tools like apps or the flexibility to integrate newer technologies. With all this in mind, how do you pick the best care management software?
You don’t just need care management software, you need one that has all the tools to keep up with modern demands. In fact, you want a system that has the technology to stay competitive for decades. Luckily, MCOs can now upgrade to more advanced management software like QuickCap 7. In fact, here are a couple of key features to look out for:
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