Areas of Service

Advocacy

 

Health care and benefits can be difficult to understand. Nile Health Services will navigate through your benefit and help you connect with an advisor via phone, chat, application, online and even on site. Nile Health Services will:

  • Guide better health care decisions to improve your well-being

  • Navigate through challenges to alleviate stress

  • Find answers promptly in order to improve productivity

  • Provide care reminders to follow up with aftercare recommendations

  • Empower you to take charge of your own health, allowing you to feel more confident

  • Deliver a convenient and personalized experience to save time

Care Coordination and Specialty Conditions

 

Chronic conditions need extra attention. In order to focus on your on heath. Nile Health Services will simplify your experience by providing encouragement and knowledge through outreach services.

Case Management

 

A small fraction of individuals drive through the majority of health care costs.
Nile Health Services will help manage with chronic and complex conditions by
improving visibility during visits and empower both patients and providers.

Improving visibility between visits: Caring for someone takes time and attention,
competing priorities and time limitations physicians may offer can be
overwhelming. Nile Health services will help manage your time efficiently to
ensure you make every appointment.

Empowers patients and providers: Nile Health Services being clinical expertise and
patient centered approach to drive provide adherence to provider care plans.
Nile Health Services provides improved coordination of care and increased
patient engagement.

Claims Review

 

Nile Health Services will provide billing accuracy of professional claims by
the following 2 ways:

Cost Savings Found in the Details:
Claims reviews is an innovative payment integrity approach targeting procedure
and surgery claims. Complex claim errors can only be caught by experienced
medical professionals with the clinical experience to spot mistakes that
automated systems cannot detect.

Focused Claims Review Professional:
Focused Claims Review Professional targets procedural and surgical claims with
the greatest potential yield and a discrete number of providers with atypical
billing patterns, saving clients 14-28% of total claims dollars reviewed.