Essette Case Management Software for Healthcare

Case Management software designed by case managers. It's that simple. Case managers said what they wanted and Essette built it. Nothing more, nothing less. That's why they love it and that’s why you’ll love it.

Essette is a family of web-based online healthcare service software that can be customized and configured to meet the needs of medical management. Each of these applications can be integrated with core systems such as EZ-CAP, TriZetto, GE / IDX, MHC and others. They can also be installed as "stand alone" applications. All of these applications are simple to use and inexpensive compared to others in the industry.

RightFax Integration with Essette Case Management Software

More importantly, Essette is also capable of integration with OpenText RightFax servers. RightFax maintains over four times the market share of their nearest competitors and effortlessly automates the flow of fax and electronic documents. Eliminating steps in the faxing process, RightFax reduces organizations’ exposure to risk and makes faxing quick and easy. RightFax paperless fax solutions offer secure “point-to-point” communications with certified or encrypted delivery options that ensure the document’s integrity. RightFax offers companies the ability to save money by cutting costs, streamlining and automating business processes, and meeting healthcare compliance standards such as HIPAA initiatives. Essette healthcare solutions combined with RightFax technology provides an effective solution for electronic medical records and health information management.

Essette Case Management provides:

• Based on NCQA Complex Case Management Guidelines, and CMSA Standards of Best Practice
• Disease-specific assessments integrating Milliman Care Guidelines
• Unlimited Care Plans (configurable) including Goals, Interventions, Barriers, and Outcomes
• Patient information: demographics, authorizations, claims, diagnosis history, medication history, hospital visits, ER visits; all comes from core system
• Case notes, call logs, and referrals from multiple sources
• Web-based. Perfect for telecommuters

Inpatient Review- helps you quickly approve, deny or adjust bed days and alert claims payment department of denials and adjustments. Discharge plans can be integrated with authorizations that directly feed your core system. Inpatient review lets you report quality issues and route cases to Medical Directors or other departments when needed.

Authorizations- provide automatic approval of rules that you establish which might not be available in your core system. Feed authorizations into your core system and link into your existing provider portal. Generate correspondence including approvals, denials, ICE letters, CMS approved letters, etc.

Correspondence Automation- provides ability to create and maintain letters based on industry standards (CMS, ICE, etc.) and establishes core system trigger needs for business. Security levels can be made for creating, reviewing and printing letters, and departmental routing for review/approval can be set up. Letters can be stored as pdf’s for future retrieval and be linked to other documents for easy access.

Appeals and Grievances- create work flow based on expedited/standard business rules and tasks with due dates to ensure compliance. Scan and store correspondence and medical records and generate correspondence to members and providers.