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The
VIPsystem provides one comprehensive software application that
captures all aspects of provider related data and interfaces
to key industry systems. The all-inclusive design allows
clients to eliminate duplicate entry and often results in the
sun setting of redundant, single task applications. The VIPsystem is a powerful provider information management
system, which supports Provider Relations, Contracting,
Credentialing, Fee Code Tracking, Special Services Tracking
and Quality Management.
Contracting:
Contracting
Solution
- Improve data integrity, optimize resources, and improve
processes with our contracting solution.
All
contract relationships in one record
Contract
detail on provider record
One
stop repository for pre-contracted and contracted records
Non-contracted
load for claims interface (optional)
Managed
Care Specific Screens
Vistar has been designed to accommodate the many
diversified relationships and contractual scenarios dictated
by todays managed care industry.
Credentialing:
Application
Population
Populate applications and forms as needed.
Simply scan any form application into the system and
code it once with the ability to use it again and again.
Vistar has created over 800 codes for every data field
in the system.
Rules
Based Credentialing
- allows you to set criteria for required documents. The
system will automatically check for the scanned images and
notify you of missing or incomplete documentation.
Scanning
An intricate part of the workflow automation comes
standard with the VIPsystem.
You never pay extra for a key part of automated
credentialing.
Automatic
Confirmation
Profiles are updated with verification dates when you scan
or capture verification documents.
Sophisticated Ticklers
Powerful aging and working reports track and respond to
expirations, renewal, incomplete credentials criteria, quality
improvement issues, verification cycles and more. Intuitive
tickler or follow-up flags are on every screen for every item
entered.
Quality
Management:
| Quality Management |
Peer Review |
| Corrective Action
Management |
Utilization |
| Hedis |
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