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Introducing Essette® for Healthcare
We have developed web-based software that can be customized and configured to meet the needs of medical management.
Each of these applications can be integrated with core systems such as EZ-CAP®, TriZetto®, IDX®, MHC® and others. They can also
be installed as "stand alone" applications. All of our applications are simple to use and inexpensive compared to others in
the industry.
The data stored in our modules is not proprietary. It can be stored at your location and is accessible by you.
Ad-hoc reporting is available using Microsoft Excel®.
Our applications are developed in the Microsoft ASP.Net framework (versions 3.5 and 2.0)
and require SQL 2005 or SQL 2000 as the database source. Current development is being updated to work with SQL 2008.
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Case/Disease Management
- Web-based. Perfect for Tele-commuters
- Based on NCQA Complex Case Management
Guidelines
- Patient information: demographics, auths, claims,
diagnosis history, medication history, hospital visits,
ER visits; all comes from core system
- Unlimited assessments (configurable)
- Disease-specific assessments integrating Milliman
Care Guidelines®
- Unlimited Care Plans (configurable) including Goals,
Interventions, Barriers, and Outcomes
- Correspondence to members and providers
automatically generated
- Case notes – chronological history
- Call log – chronological history
- Referrals from multiple sources
Inpatient Review
- Track progression using embedded Milliman Care
Guidelines®
- Discharge plan integrated with authorizations that
feed your core system
- Ability to refer to our case management tool
- Report quality issues
- Case Notes
Authorizations
- Web tool that feeds auths into your core system, or
stand-alone
- Available for telecommuters
- Can be linked to your existing provider portal
- Generates correspondence include ICE letters, CMS
approved letters, etc.
Correspondence Automation
- Ability to create letters based on standards such as
CMS, ICE, etc.
- Core system triggers need for letters for all areas of
the business
- Member/provider/auth/claim/etc. information comes
from core system
- Drop-in language available when creating letters
- Security levels for creating, reviewing and printing
letters
- Letters stored as pdf’s can be retrieved any time in
the future
- Link other documents to existing letters for ready
retrieval of history
Provider Web Portal Tools
- Eligibility list
- Create and track authorizations
- Claim status
- Refer members to case management
- Display current admissions/discharges
- Provider/specialist search
- Specific patient/member info
- Demographics
- Auths/claims history
- Rx history
- Lab data
Appeals & Grievances
- Create work flow based on expedited/standard
business rules
- Create tasks with due dates to ensure compliance
- Scan & store correspondence, medical records
- Generate correspondence to members & providers
- Document decisions
- Member/provider/auth/claim/etc. information comes
from core system
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Drop us a line.
Whether you're an existing client or have been referred to us by one of our customers, we always welcome your inquiries.
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