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HealthFusion's® Real-Time Eligibility Achieves CAQH CORE™ Certification for Expedient, Reliable Data Exchange of Patient Insurance Information
SOLANA BEACH, CA – April 6, 2009 – HealthFusion, a leading healthcare software service specializing in Clearinghouse, Practice Management and Electronic Health Record solutions, announced that it's Real-Time Eligibility Solution has earned the Council for Affordable Quality Healthcare's (CAQH) Committee on Operating Rules for Information Exchange (CORE™ ) Certification Seal. The certification recognizes the company's expedient and reliable electronic exchange or access of patient insurance information.
The CORE Certification ensures that HealthFusion users can securely process electronic eligibility queries within 20 seconds and that providers will receive consistent patient administrative information. After a thorough review, HealthFusion successfully completed certification testing for CORE Phase 1 rules.
"Throughout our company's history, we have been committed to providing affordable and exceptional services to assist our customers with the business of healthcare. This certification is confirmation to our customers that they are receiving the very best services to help them meet the growing demands in the healthcare industry and improve their revenue cycle. The efficiency and accuracy of our systems enable providers to dramatically reduce administrative costs and respond more quickly to patient needs and concerns" said Dr. Sol Lizerbram, Chairman of HealthFusion.
HealthFusion, founded by physicians in 1998, is a national clearinghouse for health care transactions, PMS and EHR, connecting healthcare providers with over 2000 insurance companies to provide billing, scheduling, claims, eligibility, denial tracking, ERAs, and electronic prescribing. HealthFusion helps providers eliminate costly write-offs, paper files, additional staff, software installation and hardware management. HealthFusion's solutions are affordable, quick to deploy, and easy to use, and reduce overhead and increase revenue through better collections. In fact, providers only need access to the internet and can utilize the HealthFusion systems for less than $200 a month, a fraction of the cost of traditional suppliers and legacy health IT investments.
The CORE Rules, which build upon national standards, including HIPAA's eligibility transaction, make electronic administrative data communications seamless, streamlined and predictable. In many cases, the CORE rules eliminate the need for time-consuming phone calls and paperwork.
According to a recent CAQH study, providers can reduce labor costs associated with verifying insurance coverage by as much as 50 percent by moving from labor-intensive verification methods, such as phone and fax, to automated HIPAA transactions.
This certification is another example of HealthFusion's commitment to providing the very best service and products to its customers. The company recently achieved full accreditation from the Electronic Healthcare Network Accreditation Commission (EHNAC) for excellence in health data processing and transactions and compliance with industry-established standards and HIPAA regulations. In addition, HealthFusion earned the prestigious J.D. Power and Associates 2008 Call Center Certification for its outstanding customer service experience.
CAQH, a nonprofit alliance of health plans and trade association, launched CORE to promote health plan-provider interoperability and improve provider access to administrative information. To date, the voluntary industry-wide initiative has brought together more than 100 healthcare industry stakeholders – health plans, providers, vendors, CMS and other government agencies, associations, regional entities, standard-setting organizations and banking industry experts – to develop the operating rules. These stakeholders cover more than 130 million lives, or more than 75 percent of the commercially insured plus Medicare and state-based Medicaid beneficiaries.
HealthFusion® is the customer-focused, Web healthcare software service that delivers secure electronic medical solutions for Revenue Cycle Management to help Providers "go digital" and Billing Services succeed. Based in Solana Beach, CA, HealthFusion invites medical professionals to learn more and schedule a brief, informative Web demo at http://www.HealthFusion.com.