	Care Administration

Less administration,
more time for care

Care Administrator

Care Administration

Less administration,
more time for care

Netsmart solutions simplify the business side of care delivery

Care Administration

Free up precious resources for patient care with Netsmart Care Administration solutions. From credentialing and real-time eligibility verification to patient-centric payment portals, these solutions simplify and streamline the business side of healthcare.

In this section

Claims Adjudication

Business rules engine and automated claims matching simplify claims processing for state agencies and managed care organizations (MCOs). The web-based solution aggregates claims data from electronic visit verification (EVV) applications and electronic health records (EHRs). More

Collections Automation

Clearinghouse & Third-Party Liability

This comprehensive claim submission and remittance management platform increases first-pass acceptance rates (98 percent or greater), speeds up delivery to payers and reduces denials. More

Credentialing

Reduce administrative time spent on credentialing and provider enrollment by 60 percent with assistance from Netsmart. More

Digital Collections Automation

Reduce administrative time spent on credentialing and provider enrollment by 60 percent with assistance from Netsmart. More

Document Management

EHR-integrated document management and capture solutions give care teams access to documents from within the familiar context of their EHR. More

Eligibility Management

This clearinghouse solution includes batch verification and real-time eligibility verification to increase billing accuracy for the populations you serve. More

Payment Portal

Clients can set up set up and manage self-serve payments, payment plans, electronic statement delivery and payment preferences with this patient-centric solution. More

"It is well worth the money to spend time with the experts at Netsmart to review what we use, how we use it, and how we can do better."

Shelly Miller - Chief Financial Officer, Willow Health Care

Read the Willow Health Success Story

From the CareThreads Blog

UM Solutions for HS and BH Organizations

Why Utilization Management Is Critical to Value-Based Care and Revenue Performance in Human Services

Wednesday, March 11 | Thought Leadership,Value-based Care

Behavioral health and human services providers face high authorization volumes, variable payer criteria and increased audit risk. Without a structured utilization management function, organizations are at risk of being reactive to denials instead of preventing them.

Outpatient rehab and physical therapy clinicians are finding ways to save time and reduce administrative burdens around note taking with help from AI and automation.

How AI Makes Documentation Easier for PT Clinicians

Friday, March 06 |

Outpatient rehab and physical therapy clinicians are finding ways to save time and reduce administrative burdens around note taking with help from AI and automation.

In Case Your Missed It: Recap of AlphaCoding Webinar

Why Human-Centered AI Matters in Modern ICD-10 Coding

Thursday, February 26 | Revenue Cycle/Billing

As healthcare organizations seek to maintain coding accuracy and compliance while managing productivity demands, interest in AI-supported medical coding solutions like AlphaCoding has grown rapidly.