Once the details of an incident are collected in Ventiv Digital, they’re available immediately in Ventiv IRM and ready for investigation, root-cause analysis and peer review. Using Ventiv’s sophisticated workflow automation tools, incidents can be immediately directed to the appropriate claims or compliance manager based on variables such as incident location or submitter. In addition to event notification, events such as compliments, complaints and grievances can be collected in Ventiv Digital and automatically sent to the appropriate manager for further review and analysis.
Whatever the claim types your organization needs to manage—including hospital professional liability, commercial general liability, and workers’ comp—Ventiv IRM gives you the flexibility to define and manage as many claim types as needed. You can also manage payment buckets, transactional values and claim payment detail to meet your specific needs. Ventiv Claims provides comprehensive insurer, bank account, insured, policy, policy period and reinsurance tracking for coverage verification, assignment and reporting. You can also assign multiple insureds (from different programs with different coverages) to a single claim or event and manage dollars for each insured. Assign multiple policies to a single insured and track (within a single claim) multiple insureds and assign different reserves and payments for each insured.
Every health care organization purchases and structures its insurance programs in a unique way to meet its own specific business needs. Ventiv IRM empowers you to create and manage policies for every insured entity, including employed physicians and joint-venture physicians. Accurately record (at your chosen level of granularity) and manage complicated policy structures. Track and validate that adequate insurance cover (whether self-insured or through market carriers) is in place. Monitor policy limits, dates, deductibles, retentions, carrier names and more. Interface with physician credentialing systems. Record limits, deductible amounts and aggregate limits in addition to associated premium, brokerage and risk management costs to provide a complete view of fees and costs relating to the cover in place. There is no limit on the types or class of insurance that can be managed in Ventiv IRM.
As a fully integrated data-management platform, Ventiv IRM empowers health care systems to track all exposures and link them to the appropriate insurance policy—or other risk-transfer mechanism—as required. There is no limit on the number or type of exposures that can be linked to insurance programs, individual policies or even unique policy sections. All tracked exposures can be linked to a specific organization within your organization’s hierarchy. As such, values and figures can be provided and reported on by individual units rather than just at a group level. All physical exposures can be mapped to a geo-location utilizing Ventiv IRM’s native mapping capabilities. Each map can be overlaid with advanced layers (such as claims data or values) to instantly visualize the performance of various territories and location.