Skip to main content

Discover insights within our latest topics.

All Resources

Recent Searches

Share this Post

Share on facebook
Share on twitter
Share on linkedin
Share on email

Home
Info Sheets
Clinical Claim Reviews - Episode of Care Review FAQ

Clinical Claim Reviews - Episode of Care Review FAQ

Here are the most frequently asked questions about Gainwell's Episode of Care Review offering.

Previous Flipbook

Gainwell Company Overview

Learn how Gainwell Technologies empower clients everyday through innovative, purpose-built technologies and solutions to deliver great health and human services outcomes.
Next Flipbook

Payment Analytics - Genetic Testing FAQ

Here are the most frequently asked questions about Gainwell's Genetic Testing solution.

Most Recent Flipbooks

about 1 month ago
Provider Portal

Gainwell’s self-service portal streamlines healthcare operations for providers and administrators, offering access to round-the-clock support.

Read Flipbook
about 1 month ago
Provider Management

Streamline provider enrollment, relations and contracting with Gainwell’s integrated commercial-off-the-shelf module.

Read Flipbook
about 1 month ago
Provider Enrollment Screening

Gainwell's Provider Enrollment & Screening solution simplifies clinician enrollment, meets federal requirements and offers cost-saving features for Medicaid agencies.

Read Flipbook
3 months ago
GainwellGo™

Discover the innovative digital solution providing Medicaid members with easy, secure access to their health data. See how GainwellGo is enhancing patient experiences while reducing costs for states.

Read Flipbook
5 months ago
Audit & Quality Management

Take the stress out of audits and build quality assurance and control in your processes. Gainwell's Whole Person Service Audit & Quality Management helps agencies manage audit findings. Discover now.

Read Flipbook
6 months ago
Early Intervention Family Portal Overview

Discover an innovative early intervention family portal that empowers caregivers of children with developmental delays. Track progress, access resources and communicate with ease. Learn more now.

Read Flipbook
7 months ago
FraudCapture®

Gainwell Technologies uses cutting-edge tech to deliver future-ready fraud solutions. We combine innovation & experience to provide value beyond the margins of today's healthcare landscape.

Read Flipbook
7 months ago
At A Glance - Gainwell Technologies

Gainwell Technologies is the leading provider of digital and cloud-enabled solutions to health and human services programs, supporting 56 million Medicaid beneficiaries.

Read Flipbook
Preferred Drug List Management

Our dynamic and forward-looking approach to developing Preferred Drug Lists can help you reduce overall pharmacy expenditures and provide the best clinical value.

Read Flipbook
Pharmacy Point-of-Sale

Our Pharmacy Point-of-Sale solution can help you control budget spend and administrative resource time while meeting federal and state requirements.

Read Flipbook
Provider Solutions - Provider Credentialing

Centralized provider credentialing gives states control over the credentialing process, allowing enrolled Medicaid providers to be credentialed only once, saving money and reducing abrasion.

Read Flipbook
Pre-payment Solutions

Gainwell's pre-payment solutions are comprehensive, compliant & configurable. See how we can help your organization minimize abrasion, alleviate administrative burden, and reduce claim spend.

Read Flipbook
Enterprise Data Warehouse

Our centralized, cloud-based platform gives you the power of master data management, business intelligence & transformational analytics offerings that range from basic to advanced predictive modeling.

Read Flipbook
PHE Unwinding - Whole Person Service

Read Flipbook
about 1 year ago
Eligibility Verifications

Gainwell's comprehensive eligibility verification solutions include dependent eligibility, pension beneficiary, point of enrollment, working spouse provision, residency & non-smoking verifications.

Read Flipbook
Residency Verification - Eligibility Verifications

Our residency verification solution prevents future erroneous payments through the identification of non-residents. Learn how.

Read Flipbook
PHE Unwinding - Analytics

We're committed to helping you and your staff efficiently navigate the redetermination process - ensuring the vulnerable populations you serve maintain access to the care they need after the PHE.

Read Flipbook
Claims and Encounters Analytics - MCO Analytics

Our MCO Analytics solution helps organizations decipher meaningful data insights so they can make decisions that increase productivity and improve outcomes.

Read Flipbook
PHE Unwinding - Audit and Quality Management

Implementing an audit and quality management strategy can help you ease administrative burden and get ahead of the curve as the PHE comes to an end. Learn how we can help.

Read Flipbook
Pre-payment Solutions - COB Data Management for Government Programs

Our COB Pre-payment Solutions offer comprehensive, CMS-certified and configurable features to advance your data management. Reduce administrative burden and proactively avoid cost.

Read Flipbook

Return to Home

Copyright © 2023 Gainwell Technologies, LLC. All rights reserved.