MMIS

Unite Us Introduces Real-Time Medicaid Member Eligibility Verification to Increase Enrollment and Streamline Reimbursement for Social Care

Retrieved on: 
星期一, 五月 20, 2024

New integration reduces administrative burdens by integrating with Medicaid systems to swiftly verify eligibility, enroll members in essential social care programs, and coordinate billing from a single unified system.

Key Points: 
  • Unite Us is the first social care technology solution to integrate real-time member eligibility verification with closed-loop referral management via X12 EDI 270/271 transactions.
  • The ability to integrate our Medicaid Management Information System (MMIS) with Unite Us has improved our social care reimbursement workflow in verifying Medicaid eligibility.
  • "With Unite Us member eligibility verification, we equip care managers with the ability to check for Medicaid eligibility ahead of enrollment, ensuring timely support for beneficiaries and a more efficient workflow for care managers."
  • Unite Us member eligibility verification integration exemplifies the unwavering commitment to driving social care integration into key state systems and expanding efficient access to vital social care services for Medicaid beneficiaries across the country.

Therap's Billing Module: Streamlining Financial Processes for Enhanced Provider Efficiency

Retrieved on: 
星期二, 一月 23, 2024

The incorporation of billing functionalities with service outcomes, point-of-service documentation, and goal tracking establishes a dependable audit trail.

Key Points: 
  • The incorporation of billing functionalities with service outcomes, point-of-service documentation, and goal tracking establishes a dependable audit trail.
  • Therap's Billing dashboard, from the Business Intelligence platform, aggregates agency wide billing data.
  • The Billing solutions also allow direct claims submission to Medicaid through electronic billing.
  • In essence, Therap's Billing Module emerges as a pivotal tool for human services providers, fostering efficiency, transparency, and compliance in financial processes.

OptimizeRx Announces Completion of Medicx Acquisition and Sets Third Quarter 2023 Conference Call for November 6, 2023, at 8:30 a.m. ET

Retrieved on: 
星期三, 十月 25, 2023

The two companies will operate independently through 2023 with full integration during the first quarter of 2024.

Key Points: 
  • The two companies will operate independently through 2023 with full integration during the first quarter of 2024.
  • The Company will hold a conference call on Monday, November 6, 2023, at 8:30 a.m. Eastern Time to discuss its results for the third quarter period ended September 30, 2023, as well as details of the acquisition.
  • OptimizeRx third quarter financial results will be issued in a press release prior to the call.
  • With the closing of the Medicx acquisition, the Company will expand its executive team with the addition of Medicx’s President, Theresa Greco, becoming the Chief Commercial Officer of OptimizeRx.

Florida Medicaid to Update Provider Management Capabilities Through Collaboration with HHS Technology Group

Retrieved on: 
星期四, 八月 17, 2023

FORT LAUDERDALE, Fla., Aug. 17, 2023 /PRNewswire/ -- HHS Technology Group, LLC™ (HTG) has announced  that it has been selected by The State of Florida's Agency for Health Care Administration (AHCA) to streamline the State's Medicaid provider management system in support of Florida's Health Care Connection (FX) Strategy.

Key Points: 
  • HTG's Discover your Provider® solution has been selected to streamline enrollment, renewals, and licensing for Medicaid providers throughout Florida.
  • FORT LAUDERDALE, Fla., Aug. 17, 2023 /PRNewswire/ -- HHS Technology Group, LLC™ (HTG) has announced  that it has been selected by The State of Florida's Agency for Health Care Administration (AHCA) to streamline the State's Medicaid provider management system in support of Florida's Health Care Connection (FX) Strategy.
  • Florida's new Provider Services Module (PSM) will be powered by HTG's Discover your Provider (DyP) solution.
  • To learn more about HTG's Discover your Provider platform and its proven success, visit HHS Technology Group online or at the upcoming Medicaid Enterprise Systems Community Conference (MESC23) Booth 634.

Iowa Medicaid to Update Provider Management Capabilities Through Collaboration with HHS Technology Group and Noridian

Retrieved on: 
星期二, 八月 8, 2023

FORT LAUDERDALE, Fla., Aug. 8, 2023 /PRNewswire/ -- HHS Technology Group, LLC™ (HTG) announced today that it has partnered with Noridian Healthcare Solutions, LLC (Noridian) and the Iowa Department of Health and Human Services to streamline the state's Medicaid provider management system.

Key Points: 
  • Iowa's new provider management system will be powered by HTG's Discover your Provider® (DyP®) solution.
  • Approximately 25% of the state's population is enrolled in a covered Medicaid program, and nearly 1 in 2 children in Iowa are served by Medicaid.
  • "As a result of improved provider management processes, Iowa Medicaid patients will experience better care delivery, reduced wait times, and healthier outcomes," said Bradley White, CEO of HTG.
  • To learn more about HTG's Discover your Provider® platform and its proven success, visit HHS Technology Group online or at the upcoming Medicaid Enterprise System Conference (MESC) 2023 Booth 634.

CSG Government Solutions Selected for Program Management Office Services on the Connecticut Medicaid Enterprise Technology System Program

Retrieved on: 
星期三, 八月 2, 2023

CHICAGO, Aug. 2, 2023 /PRNewswire-PRWeb/ -- CSG Government Solutions, a national leader in government program modernization, today announced that it has been selected by the Connecticut Department of Social Services (DSS) to provide Program Management and Project Support Services for the Connecticut Medicaid Enterprise Technology System (CT METS) Program, including the implementation of an Enterprise Data Warehouse and Analytics module and Enterprise Provider module.

Key Points: 
  • CSG Government Solutions, a national leader in government program modernization, today announced that it has been selected by the Connecticut Department of Social Services (DSS) to provide Program Management and Project Support Services for the Connecticut Medicaid Enterprise Technology System (CT METS) Program, including the implementation of an Enterprise Data Warehouse and Analytics module and Enterprise Provider module.
  • CHICAGO, Aug. 2, 2023 /PRNewswire-PRWeb/ -- CSG Government Solutions, a national leader in government program modernization, today announced that it has been selected by the Connecticut Department of Social Services (DSS) to provide Program Management and Project Support Services for the Connecticut Medicaid Enterprise Technology System (CT METS) Program, including the implementation of an Enterprise Data Warehouse and Analytics module and Enterprise Provider module.
  • CSG is supporting DSS' initiative to replace their core MMIS and other systems supporting the Medicaid Enterprise with modern, modular solutions.
  • The CSG team will provide full-service Program Management Office (PMO) services and expertise in Medicaid, enterprise architecture, system integration, Health Information Exchange, and security.

Conduent Reports Second Quarter 2023 Financial Results

Retrieved on: 
星期三, 八月 2, 2023

FLORHAM PARK, N.J., Aug. 02, 2023 (GLOBE NEWSWIRE) -- Conduent (NASDAQ: CNDT), a global technology-led business process solutions company, today announced its second quarter 2023 financial results.

Key Points: 
  • FLORHAM PARK, N.J., Aug. 02, 2023 (GLOBE NEWSWIRE) -- Conduent (NASDAQ: CNDT), a global technology-led business process solutions company, today announced its second quarter 2023 financial results.
  • Cliff Skelton, Conduent President and Chief Executive Officer stated, “Our Q2 performance exceeded our expectations especially with respect to Revenue, EBITDA, Net ARR and New Business signings.
  • Q2 included a large new logo win in Transportation, allowing us to record the highest quarter in New Business TCV and ACV since Q4 2017.
  • Reflecting on our March 2023 Investor Presentation, we announced several key pillars for success as we execute toward our medium term strategic and financial objectives.

Conduent Named a Leader in Healthcare Payer Operational Transformation by NelsonHall

Retrieved on: 
星期三, 六月 28, 2023

FLORHAM PARK, N.J., June 28, 2023 (GLOBE NEWSWIRE) -- Conduent Incorporated (Nasdaq: CNDT), a global technology-led business solutions and services company, today announced it has been named a Leader across all categories in the NelsonHall 2023 NEAT Report for Healthcare Payer Operational Transformation.

Key Points: 
  • FLORHAM PARK, N.J., June 28, 2023 (GLOBE NEWSWIRE) -- Conduent Incorporated (Nasdaq: CNDT), a global technology-led business solutions and services company, today announced it has been named a Leader across all categories in the NelsonHall 2023 NEAT Report for Healthcare Payer Operational Transformation.
  • The NelsonHall vendor assessment evaluated the company’s capabilities in healthcare payer process transformation and operations across member services, claims administration, and provider network management.
  • John Willmott, CEO, NelsonHall said, “Conduent is at the forefront of operations transformation in the healthcare payer sector.
  • We are executing on significant strategic investments in automation that strengthen our ability to drive healthcare payer operations transformation.

Acentra™ Health Implements Modular, Cloud-based Medicaid Claims System for Utah

Retrieved on: 
星期四, 六月 22, 2023

MCLEAN, Va., June 22, 2023 (GLOBE NEWSWIRE) -- Utah Medicaid providers have a modern, efficient system for submitting claims following implementation of the state’s Provider Reimbursement Information System (PRISM).

Key Points: 
  • MCLEAN, Va., June 22, 2023 (GLOBE NEWSWIRE) -- Utah Medicaid providers have a modern, efficient system for submitting claims following implementation of the state’s Provider Reimbursement Information System (PRISM).
  • The fully modular, cloud-based system was designed, built, and implemented by Acentra™ Health (formed by the merger of CNSI and Kepro), a leading Medicaid Enterprise Systems (MES) provider, in partnership with the Utah Department of Health and Human Services.
  • Built on Acentra Health’s proprietary evoBrix® platform, PRISM replaces the Utah Department of Health and Human Services’ 35-year-old legacy Medicaid Management Information System (MMIS) with a user-friendly system that helps providers easily submit claims and track payment status online.
  • In collaboration with the Wyoming Department of Health, the company set the record for the fastest implementation of a full claims adjudication and fiscal agent services system.

New Mexico Awards Contract for New Medicaid Management Information System to Conduent

Retrieved on: 
星期二, 二月 14, 2023

FLORHAM PARK, N.J., Feb. 14, 2023 (GLOBE NEWSWIRE) -- Conduent Incorporated (Nasdaq: CNDT), a global technology-led business process solutions company, today announced that it has been selected by the New Mexico Human Services Department (NMHSD) to deliver a new Medicaid Management Information System (MMIS) to replace the agency’s existing system. Conduent’s Medicaid Suite (CMdS), a modular, cloud-based technology platform, will create a seamless experience for providers and improve access for approximately one million state Medicaid members.

Key Points: 
  • Conduent’s Medicaid Suite (CMdS) , a modular, cloud-based technology platform, will create a seamless experience for providers and improve access for approximately one million state Medicaid members.
  • Conduent will manage the system implementation, and provide maintenance and enhancements designed to reduce costs while optimizing the state’s Medicaid operations.
  • The CMdS Financial and Claims Modules will form the foundation to transform NMHSD’s MMIS into a future-ready system to support well-coordinated services for providers and members.
  • “Conduent has proudly served the state of New Mexico for the last 29 years.