Command Launches Appeals and Grievance Solution for Medicare Organizations
Farmingdale, New York (PRWEB) July 31, 2013 -- Command Business Products announced today that it is the exclusive distributor of "Compliant A&G", the first completely dedicated and comprehensive Appeals and Grievance solution available in the Healthcare industry. Compliant A&G, is a Business Process Management (BPM)-based, out of the box software solution, that streamlines appeals and grievance operations by providing a full range of integrated turnkey services from complaint capture and document management through fully managed case handling and correspondence distribution.
Winner of the Adaptive Case Management award for Production Case Management, Compliant A&G is now integrated with Command's printing and distribution capabilities allowing Health Insurers to reduce costs by as much as 50%. With Compliant A&G, form data, letter correspondence and other documentation from many sources are gathered and routed to internal and external parties for review and approval. A&G case interactions, many of which are strictly specified by the Center for Medicare and Medicaid (CMS) and/or state regulators, are complex in nature and require heavy tracking, auditing and reporting requirements. By systematically enforcing CMS rules, Compliant A&G prevents costly errors and miscommunication which can negatively impact STAR quality ratings.
"Health Insurers know that the handling of Appeals and Grievances can be one of the most challenging aspects of their business operation" said Gary Bolnick, President of Command, "By leveraging our Healthcare expertise with the Compliant A&G workflow automation and correspondence management solution, we can now provide Medicaid and Medicare organizations with the industry's first true end-to-end solution."
"Overall, case handling has been significantly improved and our case managers now have greater control of the process, real-time visibility and reporting," said Mike Richmond of Touchstone Health. "At the same time, the automation in Compliant A&G also ensures adherence to CMS regulatory requirements."
The need for this end-to-end solution has never been greater within the Health Insurance industry. By law, members of health insurance providers have the right to appeal any decision made by the provider. Members may also submit grievances expressing dissatisfaction with any aspect of the operations, activities or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested. Providers who do not strictly follow the laws involving Appeals and Grievances (A&G’s) are subject to regulatory fines. Annual costs of managing such programs for a mid-sized medical insurance can quickly exceed $500,000, for large HMO's more than $1,000,000/year.
For inquiries concerning how Compliant A&G can help your organization, please contact a Command representative at 1-800-570-8755 or visit commanddirect.com.
About Command Business Products, Inc.
Command is a national provider of healthcare solutions relating to printing, mailing, programming and marketing communications. Command offers a web-based ordering platform that manages and streamlines printing and distribution for healthcare providers. Command has also developed several proprietary products geared toward automating specific processes including: Directory Building, Automated Provider/Member Communications and 508 Compliance remediation services.
About StraightForward Methods
Straightforward Methods, LLC is a New Jersey based consultancy group that specializes in Business Process Management, Software Development Lifecycle Management and Software Product Management. They assist organizations in BPM education and in developing BPM platforms and turn-key solutions.
Gary Bolnick, Command Business Products, http://www.commanddirect.com, +1 6317532630 206, [email protected]
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