DIGITAL HEALTH MANAGEMENT

Digitize and control your information

ADEC Innovations-USA Healthcare is not just about providing tactical solutions. We understand the bigger picture and strive to align our services with your strategic objectives. This is why whether we partner with healthcare providers, insurance companies or pharmaceutical organizations, we never lose sight of what your ultimate goals are.

While we take pride in our technological expertise, we understand that technology is just a means to an end. The solutions and services we offer are here to help you realize your greater strategic objectives in improving the service you provide your clients.

For this reason, ADEC Innovations Healthcare is the partner you can trust to create tailor-made solutions that meet your unique organizational needs and to add real value to your operations.

  • Automation
  • Process Re-engineering
  • Telemedicine Support
  • Wearables Support
  • Data Entry and Processing
  • Administrative Support
  • Customer Support

COVID Lab Testing RCM

ADEC Innovations-USA can provide COVID-specific RCM services by creating medical billers, coders, and collections staff who will specialize on COVID testing codes and processes to ensure the labs receive correct and timely payments for services rendered. This can lead to an increase in collections revenue by 20% and posting of remits within 24 to 48 hours.

Transitional Care Management

ADEC Innovations – USA can contact over 1,200 patients every month at a fraction of the cost. provides voice support to large system hospitals for remote patient monitoring. Our skilled and quality services can help maintain a hospital system’s readmission rate to under 5% from a denial rate of 12% the previous year. This results in safe and effective care to healthcare provider patients. This service is especially crucial during the current COVID-19 pandemic. Our trained nurses provide Transitional Care Management services including:

  • Lower readmission rates
  • Avoidance or elimination of readmission penalties
  • Better CMS hospital quality star rating
  • Frees up nursing staff from admin/clerical work
  • Cost savings to use outsourcing

Utilization Management

Assessing the necessity, appropriateness, and efficiency of healthcare services before its delivery. By making use of evidence-based decisions, our solutions can reduce waiting times on the requested services.

  • Clinical Intake
  • Pre-Authorization
  • Concurrent Reviews
  • Retrospective Reviews
  • Appeals
  • Peer Review Prep

Care Coordination

Organizing patient care activities and sharing information to those involved. A patient’s needs and preferences will be known and communicated ahead of time and will be used to administer the appropriate and effective treatment.

  • Case Management Support
  • Disease Management Support
  • Re-Admission Avoidance
  • Health Risk Assessment
  • Remote Patient Monitoring

Medical Coding

Transforming healthcare diagnoses, procedures, services, and equipment to universal medical alphanumeric codes. Our team of expert in-house medical coders are trained to abstract and assign the appropriate coding on claims.

  • Inpatient Coding
  • Outpatient Coding
  • Surgery and Specialty Coding
  • Ancillary and Pro Fee Coding
  • Risk Adjustment and HCC Coding
  • Home Health Coding

Claims Processing

Checking claims requests for adequacy and authenticity. Exercise due diligence and trust us to execute initial claims processing or detect discrepancies.

  • Medical Billing
  • Eligibility Verification
  • Claims Edit and Status
  • Payment and Posting Reconciliation
  • Appeals and Reconsideration

Provider Relations

Establishing an open line for patients and insurance providers.

  • Help Line
  • Billing Advisory
  • Appeals Advisory
  • Chart Migration