35 Healthcare cost containment, assessment, and analyses services; healthcare utilization and review services; medical cost management; collecting and analyzing claims data and quality metric data from healthcare organizations to ensure payment accuracy for health care purchasers, payors, and providers for business purposes; recovery audit services in the nature of reviewing medical claims billing systems to detect lost profits through overpayments in order to reduce health insurance costs related to claim payment errors for business purposes; medical records coding services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from insurance to ensure payment accuracy; providing statistical evaluation of health insurance claims performance measures for others; payment management in the nature of providing chart review and clinical chart validation services in the nature of business data and management analysis services in the healthcare field for business purposes; healthcare claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers to ensure payment accuracy; business intelligence assistance, advisory and consulting services in the field of healthcare network management; business consulting services for clinical and business process optimization; comparative business and industry statistical trend reporting and analysis services for business purposes; provision of marketing reports featuring information on retail transactions, promotions and pricing review information for products of others; business data analytics services; electronic data collection and data submission services for business purposes in the fields of medicine, healthcare, and retail; risk adjustment services, namely, financial record-keeping management and retrieval of abstraction in the nature of extracting and summarizing information from medical records for health insurance risk management and regulatory compliance purposes; business auditing support services pertaining to the Medicare Recovery Audit Contractor program and other federal healthcare programs, namely, the preparation, organization and presentation of the documents and data requested by a government body, and advice on government audit processes, policies and strategy; marketing consulting services, namely, customer engagement consulting services in the field of healthcare; customer outreach services, namely, marketing services for outreach to healthcare consumers; consumer strategy business monitoring and consulting services, namely, providing marketing advice regarding consumer relations management, consumer outreach and multi-channel communication campaign management, data management and analytics, behavioral assessment, and predictive modeling; providing reimbursement benchmarking information and other market intelligence to healthcare payors and providers; providing an online internet website portal featuring cost containment performance data in the areas of healthcare insurance claim fraud, waste and abuse for use by health care providers, administrators and health professionals; business intelligence services in the nature of continuous improvement processes for retailers; business consulting services in the field of contract management and compliance
Trademark: 97626879
