Our Solutions
Companies within the SpesNet Group are technologically focused to enable and improve processes throughout the healthcare value-chain.
The Group has established a reputation for mastering complex clinical coding and developing information technology systems to assist organisations locally and abroad in order to streamline their processes and achieve enhanced efficiencies.
SpesNet’s real-time solutions are known for being customised, robust and scalable. The agnostic, plug and play solutions are beneficial to all stakeholders within the greater healthcare landscape and are tried and tested in highly complex environments where they can comfortably manage multiple insurer and provider rules simultaneously in a paperless environment.
Our approach is one of collaboration with our clients to find the critical issues that are holding back the optimal functioning of the organisation. We then craft a bespoke solution for each client that not only solves their problem, but also takes into consideration what has to be changed within the current services, and ensure we re-use whatever current systems are re-usable.
With in-depth experience and knowledge of the functioning of all the parties within the healthcare eco-system, we are able to design solutions that take each party’s role and functioning into consideration, and ensure optimal process flow resulting in optimal flow of funds.
We understand the security risks associated with healthcare data and ensure that we comply with the required standards of each country we operate in. Interoperability is critical to the future of healthcare, and we plan and develop for all required standards.
Digital Healthcare Eco-system solutions
These include:
- Centralised electronic health records
- Electronic health exchange with built-in intelligence layers
- Risk Management engines
- Insurer and Administration management systems enabling interoperability
- Workman’s Compensation claims and Billing Management solutions
- Financial and Clinical Risk Management solutions for healthcare providers and facilities
Hospital, Pharmacy and Clinic Management Systems
- Integrated approach to centralised management of your healthcare facilities
- Ensuring interoperability
- Real-time financial and clinical risk solutions designed specifically for healthcare
- Integrated healthcare coding and rules to enable optimal revenue generation and collection
Funder Management Systems
Due to the unique positioning of the SpesNet Global Group (Offering technology solutions across Funder, Practitioner, Regulator, Hospitals, Clinics, Emergency Services, Nursing etc) we have an intimate understanding of the full eco system in which patient care and administration supports this journey.
The solutions which SpesNet has on offer, is deployed in a modular fashion, enabling a significant increase in ease of deployment of innovation, covering all typical administrator system functions.
- Membership and Dependent Management
- Premium Management & Revenue Collection
- Benefit Design & Management
- Network Creation and Management
- Hospital, Day Hospital, Clinic, Practitioner, Pathology, Radiology, EMS, Allied, Primary Care
- Provider Services, Cost Based Analytics & Risk Management
- Tariff Co-Ordination, Calculation & Comparative Analysis
- Tariff analysis for negotiations
- Formulary Design and Application Capabilities
- Clinical Coding Systems
- Funder Rules Design and Application
- Medical Claims Assessment, Calculation & Release for payment
- Management and Application of Billing, Benefit, Clinical and Risk Rules
- Fraud & Abuse Management Through Risk Engine, Machine Learning & Pattern Analysis
- Electronic Medical Record and Data Share Solutions
- Front End Call Centre Systems and Solutions
- Managed Care Systems, Networks, Data Repository, Clinical Coding and Definitive Workflows
- Primary Care & Occupational Health Solutions
- Business Analytics
- Management Reporting & Dashboards
Please contact us to set up a meeting or a demonstration
Billing Systems
Real-time financial and clinical risk management solutions designed for healthcare providers including:
Membership Management
- Through the use of the latest technology and business-informed design, we offer market leading Membership Management systems
- Understanding the market dynamics within healthcare, we are able to design appropriate solutions for your needs
- Clients range from associations and societies to national regulatory bodies
- Bespoke, customised and integrated solutions, to meet the industry and client-specific and unique requirements
- Empowering member self-help, as well as the office administration processes relating to membership management
- Member registration by simply creating a profile online, secured with your own username and password
- Get customised information, appropriate to you and your membership type, including:
- Events and calendar items
- Documents and forms
- Adverts, classifieds etc.
- Newsletters, updates and info
- Buy products online, including
- Access to workshops, symposiums, congresses and conferences
- Online training
- Physical products
- Members are able to
- Manage and update their details online, simply and easily
- Make payments for membership registration
- Make payments for membership renewal
- Get information from your members in real time, including:
- Voting
- Surveys and questionnaires
- Polls
- Membership cards
- Physical cards for your members
- Electronic or 'e-cards' directly on your smartphone
- Online directory listing of all members, including their profile information, filters, directions and contact details
- Integrated services directly into the Membership Management system, including:
- Communications to and from members
- SMS
- Financial management and reporting
- Online payment platform
- Credit cards
- Debit cards
- Debit order
- EFT
- Cash deposits
- Communications to and from members
Please contact us to set up a meeting or a demonstration
Healthcare Risk Waste Solutions
The core focus of Tech4Green is on Healthcare Risk Waste Management and includes the provision of alternative technologies that can be used for on-site waste sterilisation to significantly reduce cost.
We also offer accredited training on the management of Healthcare Risk Waste, across all levels of your organisation.
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