Meets and exceeds regulatory compliance
Consumers have long complained about how inaccurate provider directories confuse the provider selection process, and result in higher costs and dissatisfaction when the consumer inadvertently receives treatment from an out-of-network provider.
As such, the Centers for Medicare and Medicaid Services (CMS) and numerous states have cracked down on lax provider directory updating, with CMS instituting significant fines. New rules require qualified health plans and dental plans to maintain provider network directories that are "accurate, up-to-date, machine-readable and publicly available." In the instances when the latest provider data can't be obtained, payers must demonstrate they made a good faith effort to get it.
Santéch's solution makes meeting these requirements a breeze. Top features include:
- Proactively identifies and manages needed directory updates
- Simplifies outreach to large volumes of providers
- A choice of response options for providers, with the ability to update data online, or via fax, mail or even a phone call
- Archives contact attempts to demonstrate proof of outreach
- Cloud-based, quickly implemented solution
- Charged only for successful transactions, supports unlimited users and providers
Turns provider data into an enterprise asset
This latest solution from Santéch is part of the company's I-Network Productivity Suite, an enterprise platform that provides a single, streamlined means for querying and receiving provider data for credentialing, enrollment and provider directory updates.
"We look forward to sharing with NADP attendees this fast and simple means of updating provider data, and a platform that enables payers to at last keep accurate and reliable provider records," stated Neeraj K. Sharma, Chief Operating Officer at Santech.
He added, "Keeping data current and comprehensive may not be the most exciting capability, but ask any payer administrative executive and they'll tell you it's one of the most critically needed for maintaining viable, profitable networks. It is Santéch's core mission to make reliable data a hallmark of these networks and health plans."
Santéch will be at Booth 209 at the NADP Conference. Members of the media may schedule an interview by contacting Stephanie Frasier, Amendola Communications for Santech, at Pr@mysantech.com or 732-658-0072 ext. 306.
Founded and managed by healthcare specialists, Santéch offers innovative web-based solutions and services that allow payers, practices, hospitals, providers and networks to transform their provider and network management capabilities. Built for scalability and high performance, our enterprise-caliber solutions are designed to meet the needs of small, midsize and large organizations. Santéch is a Delaware Corporation headquartered in Oxnard, Calif. with offices in California and New Jersey. Visit us at www.mysantech.com.
Amendola Communications for Santéch
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