Integra Group enhances the
managed care capabilities of healthcare payors and providers through
unique products. IntegraHome, a credentialed national
ancillary (home health, durable medical equipment, home infusion,
etc.) PPO, often serves as a wrap-around network to
traditional physician hospital PPOs. Trak-It, a HIPAA
compliant, web-enabled, managed care software, enables clients to
solve technology challenges without the up front cost usually
required. Managed Care Services, such as FFS billing or
capitation management, expand payor or provider capabilities without
the need to hire additional employees and increase fixed
costs.
- National ancillary
services PPO network which includes home health care, home
infusion therapy, durable medical equipment, specialty
pharmacy products, laboratory and genetic testing, diabetic
supplies, outpatient therapy, and more.
- Over 10,000 site
locations and 70 provider contracts throughout the U.S.
- Often serves as a
"wrap-around" ancillary network where geographical coverage is
lacking.
- Average fees based on
shared savings or per member per month
- Web-based healthcare
service application
- Enables companies to
adjudicate and reprice healthcare claims, maintain provider and
fee schedule data, manage capitated contracts, etc.
- HIPAA compliant
- Available as stand
alone or ASP
- Claims repricing and
adjudication/bill review
- Centralized intake,
authorization, and patient placement
- Capitation management,
including fee-for service bridges
- EDI inbound and
outbound
- Data reporting ad
warehousing
- Early Response Medical
Management (ERMM) program
- Proprietary treatment
and return to work protocols
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