CLAIMS MANAGEMENT

- SOFTWARE & CONSULTING SERVICES - 

 

CLAIMS MANAGEMENT SOFTWARE

The Claims Management Module (CMM) is a web-based tool for the entry, maintenance, and review of your organization's professional and general liability claims. It's designed to incorporate the best practices in claims management, it's simple to use, and it allows you to manage a claim through its entire lifecycle...providing you with time-saving tools and powerful easy-to-use functionality.

Managing claims can be a complex and error-prone process. With the Claim Management Module, you have all the tools you need to effectively manage claims from inception through resolution, ultimately leading to reduced costs.

  • Receive daily email reminders of claims scheduled for review

  • Track all necessary financial information including reserves & payments

  • Store all pertinent documents & files in one place so everything is there when you need it

  • Easily search the system for previously entered claims by a variety of criteria

  • Stay on top of each claim by quickly adding follow-up comments & notes

  • Use the diary information function to quickly & easily follow up on claims based on date criteria

  • Provides an attorney evaluation to help assess defense counsel's performance

  • Review a number of standardized reports including loss runs, incident, clinical code & attorney assignment

  • Customize your own reports so you are getting the exact information you desire

  • Track risk issues that are identified in your claims in order to monitor for trends & initiate proactive risk management activities


TECHNICALLY, IT'S SIMPLE.

  • Accessible via your Intranet
  • Integrates with Healthcare SafetyZone® Portal event module
  • Cloud-based; no IT maintenance
  • HIPAA compliant
  • Smooth implementation process
  • Professional Training & Help Desk


MMSEA REPORTING ADD-ON TOOL

  • Easily transfer claims data to the COBC with an automated interface
  • Includes the 100+ MMSEA reporting requirements
  • Auto populates over half of the required MMSEA data fields
  • Receive assistance with the COBC online registration process
  • Receive assistance with the COBC data testing requirements
  • Creates a system to check for beneficiary status prior to reporting

For a Free Consultation & Pricing Indication, Contact Us Today


 

CLAIMS CONSULTING SERVICES

Clarity Group's experienced claims consultants can assist you in aggressively managing your general and professional liability claims to help reduce exposure and promote your institution's financial integrity. Our services are tailored to the specific needs of your healthcare organization and consist of a broad range of solutions, including:

 

DIAGNOSTIC REVIEW

> Claims Audits

> Recommendations on how to improve your operational efficiencies & reduce the overall costs of claims



CLAIMS MANAGEMENT ASSISTANCE

> Coverage analysis

> Outside counsel selection guidance

> High-risk claims support


Claims Management Program Review & Development

  • Recommendations on how to improve your current program

  • Development of a new claims management program


 

For a Free Consultation & Pricing Indication, Contact Us Today