I-CAPS

A claims administration solution that transforms a claims payment process into a highly intelligent cost containment solution. Smart processes that think and make the right decisions. A responsible reimbursement system for pricing and editing claims to detect improper coding by physicians. Over 130 clinical coding rules are seamlessly integrated within one common coding compliance framework. Integrating payment rules and correct coding policies to help to contain the rising costs of health care. I-CAPS is an information management solution that combines proven software with pricing, coding policies, rule sets, and databases into one complete fully-integrated knowledge-based process. Proven fully functional software for claims processing and clinical coding edits that can reduce administrative costs and improve internal processes. It combines intelligence with defensible clinical data base rule sets. A complete information solution from one reliable vendor with smart software plus knowledge bases that have been designed to work together within one integrated process. I-CAPS eliminates the need to purchase obsolete UCR pricing data and the need to purchase separate clinical edit processes, sparing you the extra expense of software integration.