Using technology, analytics and processes to help the health system:
There are five basic components in designing an integrated risk adjustment and quality program:
- Analytics
- Targeting
- Intervention
- Submission
- Compliance
Realizing the promise of value-based care:
From comprehensive clinical data to actionable analytics, several factors contribute to successful population health management implementation. Listen to our podcasts to gain insights on the key issues for health care organizations considering their transition from fee-for-service to value-based care.
Manage regulatory (DHA & HAAD) compliance with medical necessity requirements on every patient case:
- Payer denials management
- Provider denials management
NANO Products
- NANO Integrated Healthcare Solutions Health Care expenses are increasing rapidly but with NANO Solutions, these expenses can be controlled, monitored, analyzed and managed.
- NANO MED Solution includes Medical Necessity Edits & Rules, Authorization, Eligibility, Claims Submission & Resubmission serving insurance companies, TPAs, hospitals, clinics & regulators.
- NANO IMS & NANO CRM Solutions A cloud computing system that is secure, efficient and user-friendly.
NANO Medical Edits & PBM are authorized and compliant with regulators such as HIPAA, AHIMA, FDA, NHS, CHIMA, ACCD, UAE (DHA, HAAD, MOH), KSA (SFDA, CCHI) and others.
NANO Health enables checking and alert on potential mistakes and reviews in medical coding. All our edits, medical necessity checks & eRx interaction are accredited and authorized, meeting the WHO standards.
NANO Health is totally independent but is based on guidelines from recognized bodies such as CMS, AAPC, AMA, ADA, local authorities, and other recognized societies.
The NANO Knowledge Base provides all information such as: HIS requirements; insurance management; e-Prescription; codes edits (medical necessity edits, drug data) and SDK (Software Development Kit) necessary to integrate medical and drug data in a way that best meets clinicians’/ providers’/ payors’ needs for maximum functionality and usability.
Nano Health welcomes any other ways of integration required by clients.
It is time for Payers and Provider to collaborate creating value for patients which is the ultimate goal of both and increasingly critical competitive advantage for healthcare payers and providers worldwide. Payer organizations are being challenged to manage funding gaps and improve the care of members within a changing regulatory environment. NANO Health enables providers in transforming their business models to deliver cost-competitive services that improve patient outcomes and deliver sustainable growth for the organization.
Check for possible interactions between a patient's entire medication regimen — including prescription drugs, OTC, herbal, supplement or foods. The most powerful drug interaction checker available, Nano Health provides a ranked listing of all possible interactions, and a description of each reaction including but not limited to:
- Drug to Drug
- Drug to Allergy
- Drug to Nutrient
- Drug to Alternative Medicine
- Drug to Food