Software
Directory
Our Network
Top Titles
|
|
|
|
Canopy UM
|
Canopy UM streamlines the utilization management process by electronically capturing key patient data and providing guidance for obtaining the reviews and approvals necessary to secure authorization and payment of care with the payor. Canopy UM creates an efficient and effective denial management program to track claim denials and improve an organizations success rate for appeals.
Beginning with an HL7 feed from your hospitals system, Canopy UM guides utilization managers through the process of capturing and communicating the necessary information to payors to ensure prompt authorizations and payments.
Canopy UM alerts you when the next review is due, enabling you to fax the requisite information directly through the system to your payor contact. Canopy UM enables the hospitals business office and utilization management department to work together to identify and track claim denials and to manage the appeal process. Canopy UM also tracks readmissions, avoidable days, and adverse events.
|
|
|
|
