Insurance claims can be called the lifeblood of the American healthcare system. When a patient walks into a clinic, he or she gets treated and their visit is documented. Subsequently, it is coded and the claims are filled out to be sent to payers. The payers process the claim to check if everything done by the provider is valid and reimburse the provider for the services they provided. In other words, insurance claims make up most of the revenue cycles in healthcare.

Claims contain a…

A pharmacy information system or a pharmacy management system is used in pharmacies. This system provides basic to advanced pharmacy functionality. After verification, the system can store data and have features that support safe medication delivery.

Pharmacies can use this technology independently or as a larger hospital administration system module. Pharmacy management software can have a user interface, automated data entry, data retention, strong encryption for data…

Payers are a crucial component in healthcare delivery, and they have to ensure that patients get timely care at the right cost. Those who opted for payer management network solutions from custom healthcare software development firms can function smoothly—those who haven’t yet faced the brunt of paper-based processes and repetitive tasks.

The deployment of provider network management solution software for insurers is vital as it helps them manage their healthcare provider networks…

A healthcare providers’ network is a group of doctors, and other healthcare providers like physiotherapists, home caregivers, clinics, and hospitals included in an insurance payer’s health plan. Each of those entities would have undergone an elaborate process of being onboarded into the plan. This process is called credentialing and it involves a series of verifications, processing, checks, documentation, and paperwork.

A provider network would have individual medical entities…

Provider network solutions involve data collection across healthcare ecosystems for improving operational efficiencies. These networking management solutions can offer a single point of access for information on health plans, regulatory compliance, processes, and other data in a healthcare institution. A provider network management software automates most of the daily processes that healthcare payers go through. In this way, provider data management conserves time and cost compared to manual…

Today, the Healthcare industry is solely dependent on the new digital healthcare technology to improve an individual's health and wellness. Various healthcare mobile apps and gadgets are booming the healthcare industry. This digital transformation has led to easy and quick access to all types of medical services. Digital Healthcare tools gather every data that allows individuals to trace every detailed information about their health and even consult a doctor. It provides clinical support and…

Patient engagement is widely being touted as an integral aspect of healthcare. So much so that numerous companies have begun pouring money and resources into innovating ways of boosting it. But what is patient engagement?

Patient engagement involves all the activities that increase the interaction between doctors and their patients to enable patients to manage their own health better. In other words, there is greater engagement between doctors and patients which goes a long way in…

Healthcare is rapidly transitioning from pay-for-service healthcare payment systems to a system known as value-based healthcare where healthcare costs are determined by the quality of the services received. To make any healthcare organization more efficient and save money, they need to use health payment solutions that will allow them to process claims faster and pay claims for the right services at the right time.

There are several different types of software applications that can be…

A provider network management solution collects data from multiple healthcare ecosystems. These could be internal or external systems. A provider network management solution can then use this data to provide a central system.

The consolidated data can pertain to patients’ lab results, medical claims, authorizations, care plans, and treatment schedules. The consolidation of data saves time for businesses…

Once patients leave the hospital, it is difficult for health providers to track their activities. Most often, lack of adherence to medication or recommended treatment is the reason for the slow health progress of patients. Doctors do not have visibility into the medical adherence details of their patients. mHealth apps can help with this by logging an entry every time the patient has taken medication. The logged entries can be used to analyze the consistency of the patient.…

It is always easier to receive payments through digital solutions. With a well-integrated healthcare payment system, you can use various digital payment options such as emails, UPI transfers, online baking, etc. One can even install self-service kiosks in the hospital to allow patients to pay comfortably.

Payments are getting modernized day by day. In healthcare, patients are willing to pay through mobile apps, specific hospital portals, QR Codes, or contactless wallets. This need can…

It is always easier to receive payments through digital solutions. With a well-integrated healthcare payment system, you can use various digital payment options such as emails, UPI transfers, online baking, etc. One can even install self-service kiosks in the hospital to allow patients to pay comfortably.

Payments are getting modernized day by day. In healthcare, patients are willing to pay through mobile apps, specific hospital portals, QR Codes, or contactless wallets. This need can…

Healthcare is not an easy industry to pursue. And with the onset of pandemics, things became a little more worrisome. But thanks to the invention of new technologies such as mhealth, healthcare software, and telemedicine, things started to come in place. But are we progressing into a perfection vector or pushing into a vacuum where things are getting more challenging?

Well, we surely have a lot of obstructions ahead when it comes to…

The integration of mobile technology in healthcare solutions is known as mobile health technology or mHealth.

The primary goal of mhealth apps for patients is to improve communication between patients and providers, implement efficient chronic disease monitoring services, provide quick access to health data, and significantly improve the patient experience.

These are not the only benefits one can reap through…

There are many industries out there in one of the most dynamic sectors in the healthcare industry, and it's rapidly expanding as the year passes with new updates and changes in healthcare practices. There is massive pressure and multiple challenges faced by healthcare providers.

So now the question is, how will the practice management system help to cope with this problem? The answer is simple: this solution will help with simplifying the medical business workflow of healthcare…

In the healthcare sector, the Clinical Decision Support system (CDSS) is a computer-based program that analyzes the data linked with EHR to provide reminders that help healthcare providers implement evidence-based care. It gives the healthcare organization accurate patient identification for accurate medical decision-making. The data is commonly administered through the EMR system and other clinical workflows, increasing by adopting EMR with advanced capabilities.

Clinical decision…