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Precertification Resources

Cartsoft - cartsoftweb.com Supports hospitals and physicians in the development of best practices, coordinating utilization management cartsoft utilization management clinical software products guidelines best practices milliman interqual evidence- based medicine managed care precertification patient progress nursing documentation review length of stay care path drg   Cartsoft, LLC - cartsoftweb.com Offers software which automates utilization and case management, operating either stand-alone or through an HL-7 interface. The software supports quality improvement and better communication with third party payers cartsoft utilization management clinical software products guidelines best practices milliman interqual evidence- based medicine managed care precertification patient progress nursing documentation review length of stay care path drg   CertSite - certsite.com Utilization management precertification referral eligibility health managed care mco hmo healthcare insurance claims processing precert utilization management um utilization review ur ncqa standard hipaa provider primary care physician payer   HHS, Health Options - hhs-inc.com Michigan, USA, not-for-profit organization provides case management services focusing on education, advocacy, and empowerment of the individual hhs case management disease management health empowerment health awareness senior options plan enhanced health options plan out of network negotiation capitated case management hourly case management member siaa member self-insured institute of america certified case managers self-insured precertification precert data mining population management stop loss reporting managed care preauthorization   The White Stone Group - twsg.com Offers VoiCert, which streamlines the authorization, precert, and concurrent review process the white stone group precert pre-cert denials management denied claims precertification authorization voicert white stone group whitestone group

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