OCExaminer

OCExaminer, developed by Certive Solutions Inc., is a healthcare technology solution aimed at improving healthcare efficiency through its revenue cycle services and cybersecurity solutions. According to the vendor, this product is designed for small to large healthcare organizations, including healthcare providers, hospitals, revenue cycle management professionals, healthcare executives, and health tech firms.

Key Features

Revenue Solutions: Certive Health Revenue Solutions offers revenue cycle services tailored to the hospital space. According to the vendor, their flagship solution focuses on identifying, verifying, and recovering missed charges on the original bill to optimize revenue. Additionally, they provide revenue integrity analytics based on data science, clinical expertise, and administrative process knowledge.

Compliance Solutions: Certive Health Compliance Solutions provides cybersecurity solutions customized to meet the unique needs of healthcare organizations. According to the vendor, their offerings include on-demand security testing to validate security risk effectiveness. They cover external security, internal security, and active security measures to ensure compliance and safeguard sensitive data.

Audit and Compliance: Certive Health offers comprehensive audit and compliance services to healthcare organizations. According to the vendor, their expertise lies in lost charge recovery, DRG (Diagnosis-Related Group) revenue assurance, denial management, and price transparency. Through their revenue integrity analytics methodology, they verify charge accuracy by comparing it to the medical record. They also provide root cause analysis and management action plans to prevent future missed charges.

Cash Acceleration: Certive Health's cash acceleration services assist healthcare organizations in improving their financial performance. According to the vendor, they offer various solutions such as early-out services, short pay solutions, billing support, and insurance receivable backlog management. Their software solutions, including ChargeMASTER CDM Integrity and OCExaminer Claims Integrity, aim to streamline workflows and automate processes to enhance productivity and deliver better results.

Cyber Health Suite: Certive Health's Cyber Health Suite is a comprehensive cybersecurity solution designed specifically for healthcare organizations. According to the vendor, their focus is on zero-trust architecture, providing scalable and reliable security services. The suite encompasses external security, internal security, and active security measures. To ensure compliance, Certive Health also offers security testing on demand to validate security risk effectiveness.