Health Information Exchange Featured Article

August 21, 2012

One Call Medical Partners with Acrometis for More Efficient Employment Policies

Recently, One Call Medical (OCM), a company that offers specialized services that provide faster, more efficient and cost-effective claim resolution, joined the Alliance Partner Program of Acrometis.

The Alliance Partner network from Acrometis targets the complicated problems of workers' compensation and helps companies in making them more automated. Payers need to restrict medical spend, decrease expenses and exchange files seamlessly with internal systems, managed care and bill review partners.

For that, companies are looking for more highly combined systems, workflows and business processes as a way to improve outcomes, meet faster time frames and reduce operating costs over the lifecycle of a claim.

Acrometis' platform supports workers' comp workflow processes. This allows the achievement of the full value of managed care decisions. Previously, an insurer, third-party administrator or self-insurer had to look at the processing of claims and specialized services like high-end diagnostic procedures, dental programs, transportation and language services as “carved out islands,” the company said in a recent statement.

“One Call's clients want to have more powerful and integrated systems, workflows and processes," said Bob Zeccardi, president of One Call Medical Specialty Programs Group. "Existing and prospective clients can now receive need-for-service alerts and automatic referrals, through One Call's very tight integration with CLAIMExpert(R). The system also identifies and routes Utilization Review determinations so they are scheduled with an OCM-contracted provider, and eliminates leakage by identifying and routing bills appropriately all within CLAIMExpert.”

The company recently introduced its provider portal for practices in its diagnostic network. This safe online portal allows OCM network providers to have easy 24/7 access to information and to streamline communication, patient scheduling, claims management, authorizations and re-credentialing of facilities.

Edited by Braden Becker