Managed Care (HMO/ PPO) | Healthcare (Integrated) | Insurance Management | Insurance Compensation Management | HIPAA Systems and Services | Medical Billing | Business Support | Claims Processing | Insurance (Integrated)

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HEALTHsuite® - Claims Processing Software by RAM Technologies, Inc. HEALTHsuite is an administrative claims processing system designed for health plans and other health care organizations. Rich in features and functions to support health plans of all sizes and types, HEALTHsuite supports all aspects of health care administration including HMO, Consumer Driven, Medicare, Medicaid and Federal Health Benefits.  (ASP & SOFTWARE PRODUCT) GO TO DETAILED REPORT

FACTS® PPO™ by Ebix Health, Inc. January 2001 - (Free Research) FACTS® PPO™ is a fully automated provider network processing module, this system provides you with a fully integrated database for providers (both practitioners and facilities). (ARTICLE) VIEW ABSTRACT | GO TO ARTICLE

HCL Insurance BPO Services Transforms Its Mainframe Environment to Reduce Costs by 75% and Improve Service Performance by Micro Focus, Ltd October 2009 - (Free Research) Following a Business Process Outsourcing agreement for the administration of Life and Pension products, HCL Insurance BPO Services, undertook a full analysis of the inherited infrastructure. A risk was identified with the third party mainframe used to host its CAPSIL insurance application. (CASE STUDY) VIEW ABSTRACT | GO TO CASE STUDY

FACTS® Web™ by Ebix Health, Inc. January 2001 - (Free Research) FACTS®Web™ facilitates the sharing of real-time information directly from your FACTS® system to insureds, employees, and provider's web browsers through the Internet. (ARTICLE) VIEW ABSTRACT | GO TO ARTICLE

Achieving HIPAA Compliance with Red Hat Enterprise Virtualization for Desktops by Red Hat October 2009 - (Free Research) This paper will illustrate how Red Hat Enterprise Virtualization for Desktops can help organizations comply with specific HIPAA mandates, while at the same time increasing their overall efficiency and agility. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

DataDirect HIPAA/ICD Upgrade Toolkit 2009 by DataDirect Technologies October 2009 - (Free Research) This toolkit will help you to fully understand the new rules that have been installed to United States Department of Health and Human Services (HHS) and how it is being used in conjunction with Health Insurance Portability and Accountability Act (HIPAA). (ASSESSMENT TOOL) VIEW ABSTRACT | GO TO

E-Guide: Essential Guide to HIPAA by Information Security Magazine August 2009 - (Free Research) Electronic health records are a cornerstone of President Obama's national healthcare reform. But in order to succeed, healthcare organizations need to ensure consumer privacy. As a result, changes to the Health Insurance Portability and Accountability Act were recently enacted. We'll explain the new requirements and how to prepare for an audit. (EGUIDE) VIEW ABSTRACT | GO TO

Evaluating the Costs and Benefits of Backup and Deduplication Storage by Data Domain July 2008 - (Free Research) Unreliable backups and recovery times that are too long have long plagued IT organisations. This paper takes a look at the costs and benefits of backup with deduplication storage as strategic assets for data protection. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

VUE Software: Enterprise Incentive Management by CSSI VUE Software solves the complexities of insurance sales commission and incentive compensation plans by delivering flexibility and automation. VUE Software’s web-enabled EIM solution reduces costs while driving accuracy and efficiency into your organization. This comprehensive solution provides the ease of a total solution from one vendor.  (SOFTWARE PRODUCT) GO TO DETAILED REPORT

Business Value of Compensation Management in the Insurance Industry by CSSI January 2007 - (Free Research) Changes in the insurance industry have generated a real need for effective, automated commissions and incentive compensation management solutions. This CSSI white paper describes some of the dilemmas carriers, MGAs, producers and support staff face, and it presents the advantages of using an automated system. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

The Business Value of Insurance Compensation Management Systems by CSSI February 2008 - (Free Research) This white paper describes some of the problems insurance carriers face regarding compensation and presents the advantages of using an automated system to simplify incentive compensation. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Buyer’s Guide for Compliance Solutions by Oracle Corporation February 2009 - (Free Research) This document presents an overview of the Sarbanes-Oxley Act (SOX), Gramm-Leach-Bliley Act (GLB), and Health Insurance Portability & Accountability (HIPAA). It then translates these mandates into identity management requirements and challenges; defines and describes the reference model, and applies the reference model to the mandates. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Security on a Budget by Global Knowledge May 2009 - (Free Research) We need to establish cost-effective security as a standard practice. This should be a long-term goal, not just one inspired by a tough economy. This paper explores several innovative ideas to help your organization save money on company security. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Greenville Hospital System Selects Kofax Intelligent Capture & Exchange to Automate the Processing of Insurance Records by Kofax, Inc. August 2009 - (Free Research) Learn how the Greenville Hospital System integrated Kofax Capture and Kofax Transformation Modules to reduce the time and resources needed to digitally scan detailed patient records into their system. (CASE STUDY) VIEW ABSTRACT | GO TO CASE STUDY

Presentation Transcript: SOX, GLBA and HIPAA: Multiple Regulations, One Compliance Solution by Tripwire, Inc. September 2009 - (Free Research) Many companies, even those that are not in a regulated industry, can benefit from current information about the three most common compliance regulations: SOX, GLBA and HIPAA. Read this presentation transcript to learn how these laws may affect your organization. (PRESENTATION TRANSCRIPT) VIEW ABSTRACT | GO TO

Reinsurance Company Improves Data Quality, Enhances Profitability with DataFlux by DataFlux Corporation January 2009 - (Free Research) DataFlux dfPower Studio combines several tools to help standardize incoming data and assist companies in building business rules into their system. (CASE STUDY) VIEW ABSTRACT | GO TO CASE STUDY

Simplifying charting of CA-7® critical paths at Pacific Life by SEGUS Inc December 2008 - (Free Research) Read this case study to learn how Pacific Life discovered a solid reporting and charting product to reduce time spent on flowcharting their CA-7 scheduling information. Once in place, they found that it could save time in many other areas too. (CASE STUDY) VIEW ABSTRACT | GO TO CASE STUDY

Deliver Effective Governance for Identity and Access Management by IBM June 2009 - (Free Research) Organizations should consider a thorough approach to IAM governance that meets the requirements of discovering, documenting and analyzing user access; establishing a process for user access governance; ensuring that constraints help manage business conflict; enforcing policies; and continuous monitoring. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Storage Efficiency: The Key to Green Storage Operation by Xiotech Corporation August 2008 - (Free Research) While energy consumption of overall data center operations and server-related equipment is generally understood, the story is quite different when it comes to storage systems. This paper offers practical advice on how to measure storage system efficiency and compares the efficiency numbers of several common storage solutions. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Email Archiving: Understanding the Reasons, Risks and Rewards by Proofpoint, Inc. October 2008 - (Free Research) Regulatory compliance, legal discovery and storage management issues are driving more organizations to consider email archiving. Here's what you should know when making decisions about your organization's use of email archiving technology. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Introducing the PowerEdge M805 and PowerEdge M905 Blade Servers by Dell and Microsoft December 2008 - (Free Research) Dell PowerEdge M805 and PowerEdge M905 fullheight blade servers are designed to deliver outstanding performance in virtualized and database-intensive environments. (TECHNICAL ARTICLE) VIEW ABSTRACT | GO TO

Enterprise Information Management: Strategy, Best Practices & Technologies on Your Path to Success by SAP America Inc September 2008 - (Free Research) The goal of this paper is to paint the EIM landscape, noting its components but focusing on the importance of an overarching EIM strategy that focuses on corporate objectives while at the same time offering cross-functional support. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

IBM Rear Door Heat Exchanger by IBM October 2008 - (Free Research) This IBM white paper helps you to understand what's happening in an overheated system and to see if yours is at risk, it also explains how the IBM Rear Door Heat eXchanger helps to dramatically reduce data center power consumption. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

A Shortcut Guide to Virtualization and Service Automation by Hewlett-Packard Company October 2008 - (Free Research) This Shortcut Guide to Virtualization and IT Service Automation provides an insightful overview of virtualization and IT Service Management. It helps demystify virtualization and helps you determine if virtualization is right for your environment. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Managing Requirements, Tests and Defects with HP Quality Center by Hewlett-Packard Company May 2007 - (Free Research) HP TestDirector for Quality Center software drives a more effective and efficient global application testing process and supports high levels of communication and collaboration among distributed testing teams. (DATA SHEET) VIEW ABSTRACT | GO TO

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