Video: RJ Health Overview - HealthEdge Source
Seamless Integration with RJ Health and HealthEdge Source™
HealthEdge Source™ provides a seamless integration for RJ Health pricing and edits, enabling health plans to drive payment accuracy. Both tools can operate independently or together, allowing for tailored solutions.
Key benefits of the integration:
- Flexible Configurations: HealthEdge Source provides flexible options for setting up the RJ Health pricer. Health plans can adjust fee schedules to comply with existing contracts and select different types of drug fee schedules.
- Drug Billing Support: The integration supports billing guidelines for high cost drugs through RJ Health edits. These edits facilitate accurate reimbursement processes, particularly for drugs with specific coding requirements.
- Automated Content Updates: The HealthEdge team continually updates content for health plans, ensuring that the tools remain effective and compliant with changes in healthcare regulations and requirements.
- Edit Customization: The edit functionalities are customizable, allowing health plans to enable, disable, or adjust the disposition of edits according to their unique cases. This ensures that each health plan can adapt the tools to fit their operational needs.
By integrating RJ Health, our solution helps health plans achieve enhanced efficiency, accuracy, and compliance in their pricing and reimbursement processes. This seamless integration is designed to support the growing needs of the healthcare industry, providing a robust solution for payment accuracy and operational excellence.
