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QuadraMed,
United States
QuadraMed is the industry leader in developing information
technology solution that enables efficient information
management in healthcare organizations. This renowned
healthcare information system provider offers services
ranging from clinical management to patient information
management, from revenue cycle management to health
information management. Having the knowledge and experiences
of daily workings with large healthcare institutions,
QuadraMed rapidly see the potential of how embedded
real-time business intelligence could make their applications
more valuable by giving users timely information. This
then enhanced the work performance and effectiveness
of the users.
The first QuadraMed solution
to be enhanced with Speedminer is a registration auditing
and quality improvement application that provides information
needed to process insurance claims. In the hospital,
properly filing claims so that the institution is paid
for services rendered involves complicated procedures.
Every insurance organization may have different and
specific requirements on the claim format, permissible
values, and consistency of patient data. With the aid
of InterSystem Ensemble and Speedminer, QuadraMed can
now manage the application workflow and rules governing
data requirements more effectively. With Speedminer,
QuadraMed can now go a major step further by making
it possible to monitor and report on the operational
registration process in real time as needed.
Speedminer provides users with
dashboards to monitor data quality, throughput, and
backlog as well as allowing users to change data rules
and work assignments in real time. For example, users
can quickly identify if a rule needs to be altered to
facilitate the flow of claims. Or, if one person becomes
bogged down with a particularly complex claim, supervisors
can see the bottleneck, and adjust work assignments
accordingly. Thanks to Speedminer, QuadraMed can now
directly build this capability into their system and
that makes their application more appealing to users.
Therefore, QuadraMed is now more competitive in the
marketplace.
* Speedminer is also known as DeepSeeTM in Intersystems.
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