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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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