CACTUS For Managed Care

As a leader in provider management software, CACTUS is the credentialing solution and “system of record” of choice for large group practices, provider networks, and health plans. CACTUS helps you onboard providers more efficiently, track staff productivity, manage compliance and maintain provider directory data.

As a leader in provider management software, CACTUS is the credentialing solution and “system of record” of choice for large group practices, provider networks, and health plans. CACTUS helps you onboard providers more efficiently, track staff productivity, manage compliance and maintain provider directory data.

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Our products offer an abundance of easy-to-use, stable and constantly-evolving features. We ensure that you have the tools to succeed whether you are a small single-entity or multi-level enterprise system.

Browser-based local or hosted thin client system

Flexible single- or multi-entity enterprise configuration

Application through review committee and provider management

Intuitive user experience

Paperless workflow

Integration to hundreds of PSV sources

Real-time dashboards

Simple query/report development and export on all data

Standard and customized inbound/outbound system interfaces

Field-level security and auditing

For additional information, view our Comprehensive List of Features provided by Cactus Software’s portfolio of products.


 

CACTUS is designed for the Credentialing Professional. From on-boarding through Committee Review, robust and flexible features respond to your needs, giving you control of your workflow, schedule, and goals.

CONNECT

Connect with Providers

Begin the credentialing process with streamlined on-boarding communication.
  • Decrease application turnaround time
  • Increase provider satisfaction
  • Eliminate paper packets with online credentialing applications
  • Pre-populate standardized applications
  • Mass manage recredentialing applicants

BUILD

Build Profiles

Quickly and accurately enter Provider information into your database.
  • Track any data that is important to your organization
  • Seamlessly import Provider data from their online application
  • Minimize keystrokes with data entry shortcuts
  • Share data across organizations and with affiliates

VALIDATE

Validate Credentials

Authenticate Provider credentials and current clinical competence.
  • Seamless integration with hundreds of Primary Source Verification sources
  • Submit online affiliation verifications
  • Easily generate verification and peer reference letters
  • Electronically store verification letters in CACTUS

ANALYZE

Analyze Qualifications

Supplement your knowledge and experience to ensure qualifications are appropriate and complete.
  • Tag documents for further review or action
  • Identify gaps in training and work history
  • Receive notice if a verified item is outdated
  • Electronic worksheets track your credentialing progress

REVIEW

Manage Approval Process

Quickly and confidently complete the credentialing process with these management tools.
  • Interactive online credentialing meetings/reviews for individuals and committees
  • Mass manage committee recommendations and approvals
  • Archive credentialing records for historical purposes
  • Access images, post comments/questions and submit recommendations online

CONTRACT

Contract Management

Manage contracts and networks for one or multiple providers at a time.
  • Enroll and manage one or all providers at the same time
  • Unlimited contracts and providers in one location
  • Set and apply global attributes for groups
  • Integration with CAQH

MAINTENANCE

Record Tracking & Maintenance

Maintain the integrity of provider data.
  • Maintain, update and record document renewals, including images
  • Rely on CACTUS to maintain credentialing compliance with state and federal regulations, accrediting standards and your organization’s policies
  • Setup & implement automated business rules
  • Utilize custom interfaces to import and export data requirements
RECREDENTIALING


 

Maintaining reliable provider information can be labor intensive. But with CACTUS, you can streamline data management processes and maximize productivity while enhancing communication with internal and external sources. Trust in the industry’s leading credentialing software to help you maintain a flawless database that your organization will consider its go-to, primary source for information.

Source of Truth

The go-to provider data resource for your entire organization.
  • Confidently stand behind the accuracy of your database
  • No longer manage multiple sources or spreadsheets
  • Eliminate inconsistencies across multiple software systems
  • Identify when information was altered and by whom

Go Paperless

Imagine an organized, clutter-free work space.
  • Eliminate paper files
  • Create, organize, share, and save electronic documents
  • A secure and efficient start-to-finish paperless credentialing process
  • Online Review replaces face-to-face credentialing meetings

Maximize Productivity

Quickly and accurately enter Provider information into your database.
  • Track any data that is important to your organization
  • Seamlessly import Provider data from their online application
  • Minimize keystrokes with data entry shortcuts
  • Share data across organizations and with affiliates

 

An effective course of action, supported by the industry’s leading credentialing software, will benefit not only your department, but your entire organization.

 

DEPARTMENTAL BENEFITS

Our portfolio of solutions immediately creates valued-added results for you and your staff.

Boost Productivity

Streamline your processes to reduce duplicated efforts and gain significant time to address other important responsibilities.

Accelerate Credentialing

Reduce processing time with online applications and review processes, seamless PSV connections, and effective communication.

Direct Communication Channels

Connect with providers, review bodies, and others relevant to every step of the credentialing process.

Empower

Easily distribute real-time data through secure web portal access.

ORGANIZATIONAL BENEFITS

Significantly reduce application processing time. The quicker providers are approved, the sooner your organization can begin generating revenue.

Decrease Application Processing Time

Quickly Credential Providers & Enroll In Health Plans

Provide Patient Care & Bill For Services

Increased Revenue

Are you ready to see for yourself?

 

Give us a call at 1-800-776-2305 or email Sales@CactusSoftware.com