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Claims and Denials Management 2017

Claims and Denials Management 2017
Support & New Tools Highly Valued in Well-Established Market

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With strong, easy-to-use claims-editing functionality now a commodity among claims management solutions, what differentiates the vendors in this market, and what areas do healthcare organizations identify as being next on their wish lists? Interviews with 296 healthcare organizations reveal three key factors that organizations are looking for from their claims management vendor today: stellar support, improved denials management functionality, and better drill-down analytics. The first two are examined below.

Key Topics

  1. Exceptional Service and Functionality Drive Top Performance by Lesser-Kown Quadax
  2. Behind Quadax, Vendors SSI Group, Experian Health, and Change Healthcare (RelayAssurance) Deliver Quality Relationships That Lead to High Satisfaction
  3. Organizations Hesitant to Adopt Denials Management from Their Claims Vendor; Epic Emerges as Surprisingly Common DM Player for Users of Epic RCM
  4. Vendor Bottom Lines

relationships driving performance

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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2019 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.