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Payment Integrity Solutions
Subject Expert
Boyd Stewart
VP of Payer/Provider Collaboration
Subject Expert
Boyd Stewart
VP of Payer/Provider Collaboration
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Overall Score Filtered view: ##.# Segment Average ##.#
Average for Pre-Payment Accuracy & Integrity Solutions (Payer) ##.#
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Software Average for KLAS Rated Products ##.#
Single Physician
The product does not have 15 surveys from facilities with 2-10 physicians, but has at least 15 when including surveys from single physician facilities.
Component
Solution that typically includes most but not all components that comprise a complete system or that serves only a subset of the market.
Limited market share
This solution does not have a sufficient number of live customers to qualify for a Best in KLAS ranking.
Not primary
Solution is not the vendor’s lead product in the category but may still be purchased.
Regional
Solution for which the majority of data comes from organizations located in the same, small geographical area.
Superseded
Legacy solutions or other solutions that are not generally marketed or whose marketing is superseded by another solution in the same category.
Emerging technology
Solution is new/emerging and has yet to meet standard data level qualifications. Designation will be removed once solution meets the qualifications.
Market Energy
This is an indication of the relative considerations of Market Energy within the shown products from the
Decision Insights KLAS Data
Market Energy Levels:
| Low Market Energy | |
| Medium Market Energy | |
| High Market Energy | |
| Not Enough Data |
Org Sample Size
- n = total survey sample size
- u = # of unique organizations surveyed
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Provider Organizations
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HIT Companies
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Score Breakdown (1 Year) Filtered view:
Culture
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Keeps ALL promises (Yes|No)
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Product works as promoted (1-9)
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Part of long-term plans (Yes|No)
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Would you buy again (Yes|No)
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Likely to recommend (1-9)
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Overall satisfaction (1-9)
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Forecasted overall satisfaction (1-9)
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Operations
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Quality of implementation (1-9)
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Quality of training (1-9)
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Ease of use (1-9)
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Supports integration goals (1-9)
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Overall product quality (1-9)
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Product has needed functionality (1-9)
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Delivery of new technology (1-9)
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Relationship
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Quality of support (1-9)
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Vendor executive involvement (1-9)
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Value
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Avoids charging for every little thing (Yes|No)
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Drives Tangible Outcomes (1-9)
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Money’s worth (1-9)
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Want to directly encourage your clients to share candid feedback?
To help ensure KLAS ratings are always accurate, honest, and impartial, all vendors must adhere to the guidelines below:
- Coordinate encouragement efforts with KLAS. Please notify KLAS before inviting client contacts to participate. Aligning with KLAS’ efforts optimizes the response.
- ALL customers must simultaneously be invited to participate, not a selected sub-group (unless approved by KLAS). Your KLAS representative MUST receive a copy of the invitation sent to client contacts.
- You may utilize the sample email template to encourage customers to respond to KLAS’ invitation.
- Do NOT provide any incentive to customer participants for evaluating a product through KLAS (cash, gift cards, random prize drawings, etc)
Aside from the KLAS-coordinated encouragement outlined above, all online evaluations received as a result of vendor encouragement will be quarantined until KLAS validation and bias checks are satisfied. Evaluations deemed to be cherry-picked or biased are discarded.
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Latest Comments See all (73) comments Filtered view: ##.#% ##.#% ##.#% Download as Excel
Manager
Product
We are very satisfied with Zelis Healthcare.
Manager
Relationship
We are very satisfied with our long-lasting relationship.
COO
Relationship
Zelis Healthcare doesn’t address concerns in a reasonable time frame....
COO
Relationship, Operations
We run into issues when Zelis Healthcare starts changing things, and...
COO
Product
I like that all the processes are automated with Zelis Healthcare.
COO
Culture, Relationship
The only thing we run into with Zelis Healthcare is that there is not...
VP/Other Executive
Relationship
The quality of Zelis Healthcare’s service has changed. We understand...
VP/Other Executive
Culture, Value
Zelis Healthcare does avoid charging for every little thing. Their...
VP/Other Executive
Operations
Zelis Healthcare’s initial training was very good. They schedule...
VP/Other Executive
Relationship
Our pet peeve is that we alert Zelis Healthcare to a problem and wait...