msg globals

Overview

The ongoing process of automating and expediting medical auditing has become a key issue on the accident and health insurance market, with automatic processing now able to map major sections of formal and contextual auditing routines. Modern software assists, but does not replace, human specialists and experts towards consistently high-quality decisions in an increasingly complex settlement landscape; we supply one of the most comprehensive, technologically developed and seasoned solutions available to this end. The long-term future will see increasing demand for highly specialised analysis based on sound medical knowledge in identifying special groups of insured persons, revenue enhancement and disbursement control, as already witnessed by the investment some health insurance companies have already made in systems developed in-house. 


Solutions

InnoCare: InnoCare provides effective case control in case and disease management; the solution is designed to avoid cross-sectional treatment breaks and controlling errors as well as overprovision and underprovision while giving case managers targeted support in guideline-based case control. The system supports manual case and order creation as well as automatic generation as required according to indication group by referring to a comprehensive medical and formal, configurable system of rules. InnoCare can also intelligently aggregate and summarize policy-holder data and benefit cases from various sectors into a comprehensive overall picture. The solution and has been designed for the health and accident insurance markets, and can be deployed to cover the entire range of healthcare management including managed care, discharge management, post-hospital curative treatment/rehab, and disease management and prevention.

InnoAnalyzer: InnoAnalyzer provides new cross-sectional perspectives based on medical expertise and accounts for control-relevant data constellations, specifically targeting health insurance companies with in-depth evaluation and analysis of stored data to determine risk structure compensation based on morbidity risk.
InnoAnalyzer is a complete modular system consisting of a database layer with attached definitions, various aggregation and calculation components, and a business intelligence solution in a modular design to allow simple and flexible component deployment.
InnoAnalyzer may be deployed either as a complete solution, a pattern, or a modular system depending on client scale and technology in an ideal integrated solution to specification designed in close consultation with you as our client.

KOLUMBUS DRG is a system for auditing medical services in somatic in-patient hospital treatment as well as DRG specialist departments with case-based lump-sum account auditing to formal and contextual criteria. The application already includes a standard rule set, but also supports easy addition of individual rules and auditing routines using a rule editor.