42 Business Application service provider (ASP) featuring software that uses medical data, evidence-based guidelines, pricing models, ICD-9 coding, ICD-10 coding, Healthcare Common Procedure Coding System (HCPCS) coding, Current Procedural Terminology (CPT) coding, and Physician Quality Reporting System (PQRS) quality indicators to create predictive models to provide analytical analysis and solutions for complex disease and disability and help primary payers, third party or self-insured entities forecast future medical costs, benchmark medical care and treatment, offer insights into medical claims practices from both the provider and payer sides, and make decisions about care delivery in terms of access, quality, and cost, including care coordination and the identification of high risk patients and clinical best practices; application service provider (ASP) featuring software for estimating Medicare set aside exposure, producing Medicare set aside reports, producing Medicare secondary payer dashboards incorporating Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) Section 111 reporting, conditional payments, and Medicare set asides, and calculating Medicare liens, CMS submission for review and approval of Medicare set asides, future medical cost projections, and Medicare set asides for complex/catastrophic injury and accident claims
Trademark: 86878762
