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Freed Associates

Problems We've Solved


Health Plan Achieves Big Gains by Migrating to Electronic Claims Processing

By successfully migrating to an electronic-based clearinghouse system, the health plan was able to meet its standards for data quality and performance, address regulatory compliance expectations, and better-position itself for future financial success.

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Gaining Key Insights for a Single Vendor Application Platform

From a strategic, operational and clinical standpoint, it became abundantly clear the health care system and its patients would significantly benefit from having a single vendor application platform.

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Management Services Organization Expedites Vendor Due Diligence, Benefits Business

By determining and verifying its critical requirements and risks, the MSO was able to expedite its vendor selection process, build more complete and effective testing plans and better able to plan for its staffing needs for UM implementation.

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Avoiding Medi-Cal Encounter Reporting Issues

Strategically and methodically, the health care organization built a new encounter reporting solution, and became data-compliant, able to deliver on its backlog of prior encounter data.

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Are You Maximizing Your Short-Doyle Reimbursements? Learn How This Client Did So

During the first eight months after the implementation, the client collected $4 million in reimbursement. The client also received more than $4 million for prior-year reconciliations.

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Toward Better Knowledge Management

Gathering input about the current state of knowledge management supported the development of the future state design.

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HMO’s Member Outreach Pilot and Data Flow Assessment Enhance CRA Compliance

The HMO significantly reduced its annual risk adjustment payments, met CMS requirements for CRA program reporting and enhanced the quality of care for its members.

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New Data Mart Helps Health Plan Meet Regulatory Provider Network Reporting

Until this initiative, the health plan’s provider network reporting to Medi-Cal had been incomplete and relied on proprietary Excel templates, making it difficult to manage.

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Major Insurer Revamps 3Rs Reporting to Gain Multimillion ACA Returns

The client built a 3Rs-related operational model, complied with all 3Rs-related regulatory policies and changes, and developed and improved multiple 3Rs-related processes.

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Major Health System Works with Freed to Automate Care Coordination Workflow

In today’s pay-for-performance era, health care providers can no longer have weak or inconsistent relationships with their nearest community-based service providers.

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New Data Warehouse Capability Helps Company Improve and Expand its Services

Freed’s input will help the BI team produce critical deliverables more quickly and efficiently, improving the company’s ability to execute additional strategic initiatives.

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