Mark:

QLARANT

Status Date:

11-12-2019

Registration Number:

5909313

Goods and Services:

Business management and consulting services for the health care industry, namely, providing industry expertise; business consulting services in the planning, organization and implementation of health care services and the design and implementation of quality improvements to health care plans and programs; health insurance claims auditing services; providing business management of health care quality and production performance; data compiling and analyzing in the field of insurance provided to government agencies and programs and others aimed at innovating care delivery and driving population health via advanced analytics and health science expertise; health care utilization and review services; management of telephone call centers for others; business services provided to the healthcare industry, namely, the collection, reporting, and analysis of healthcare data for business purposes; collecting and analyzing claims data from healthcare organizations for business purposes; business consulting services in the field of healthcare cost management for preventing claim fraud, claim waste and claim abuse; providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities; business auditing in the nature of account auditing focusing on coding review, compliance audits, medical review, cost analysis; account auditing services, namely, recovery audit services in the nature of reviewing medical claims billing systems to detect lost profits through overpayments in order to reduce health insurance costs related to claim payment errors; business risk management consulting services; business advisory services, consultancy and information in the field of quality assurance and business process and business performance improvement, namely, conducting quality assurance reviews in healthcare facilities to determine service quality; total quality management services, namely, business management services for establishing business quality policy and determining business means for implementing those policies to improve customer satisfaction charitable foundation services, namely, providing financial assistance for programs and services of others; charitable foundation services, namely, providing grants and funding in the field of health programs; medical insurance case and utilization review and insurance claims adjustment services for health care purchasers and payors and providers and Medicare beneficiaries; administration of health insurance claims and health benefits claims, namely, payment error detection and payment error prevention; financial analysis, namely, patient reimbursement analysis, medical expense and insurance analysis in the healthcare field; financial analysis, research and consultation in the healthcare field; insurance services, namely, health insurance coverage eligibility review and verification services provided to Medicaid and other government and private health care payers; financial risk management services for merchants; financial risk management consultation training in the field of health care; Training in the field of health care and social services to improve the quality and accessibility of health care and patient safety; Training in the field of healthcare and social services for improving the quality and accessibility of health care and patient safety with a focus on person-centered practices; Education services, namely, providing classes, seminars, workshops, and online courses in the field of healthcare including those having a focus on person-centered practices; education services, namely, providing classes, seminars, workshops and online courses in the field of healthcare as it relates to improving the quality and accessibility of healthcare, patient safety and person-centered practices Quality management services in the nature of quality evaluation and analysis in the field of health care, namely, peer review of medical services and peer review of complaints by recipients regarding the quality of medical care received; design and development of computer software; design and development of computer software in the fields of data analytics, risk identification, risk visualization, risk assessment, risk management, risk prevention and risk resolution for others; design and development of software for others for use in risk assessment, business analysis, audit and audit planning; software as a Service (SAAS) services featuring software for predictive modeling, data analytics, regulatory compliance, operational efficiency, risk identification, risk visualization, risk assessment, risk management, risk prevention and risk resolution; health care quality review services for others; quality management services, namely, quality evaluation and analysis, quality assurance and quality control in the fields of healthcare and social services for government agencies and departments, and other businesses; Consultation in the field of quality management services for health care quality improvement, namely, quality evaluation and quality data analysis, all in the field of healthcare, including quality analysis of the health care impacts of the delivery of social services; software as a service (SAAS) services featuring software for providing payment integrity and healthcare cost management, namely, detecting and preventing claim fraud, claim waste and claim abuse, providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities; software as a service (SAAS) services featuring software for providing real-time business and productivity analytics for the health care field, namely, predictive modeling and reporting; data mining; data analytics, namely, data mining for overpayment, error and waste analysis, fraud and abuse detection and coding; Quality control for others, namely, independent quality review of medical services rendered, and independent quality review of claims as required by various states, all in the field of health care; quality control for others, namely, evaluating the provision of services by health care providers for government agencies and programs; software as a services (SAAS) services featuring fraud detection and prevention software; Fraud detection and prevention services in the field of healthcare insurance, namely, electronic monitoring, data mining, data analysis, predictive modeling, and audit and review in the nature of technical analysis and evaluation of insurance records to detect and prevent fraud; Fraud detection and prevention services in the nature of financial fraud investigation, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of financial records and activity to detect and prevent fraud; Fraud detection and prevention services in the field of insurance, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of insurance records to detect and prevent fraud; Fraud detection and prevention services, namely, detection and prevention of fraud, waste and abuse for government agencies and departments, human services providers, insurance companies and other businesses through electronic monitoring, data mining, data analysis, predictive modeling, and audit and review in the nature of technical analysis and evaluation of insurance, financial and other transaction records and activity population health management services, namely, providing health and wellness information; consulting services in the field of medical care; providing health care consultation services, namely, data analytics, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization for government agencies and programs; Providing health care information for health care facilities and providers including providers connected to government agencies and programs, namely, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization in the field of health care including government health care programs and services; providing health care analytics for health care facilities and providers including providers connected to government agencies and programs, namely, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization in the field of health care including government health care programs and services Investigation services related to insurance claims, namely, coding review, compliance review, medical review and cost analysis review all for the detection of fraud; compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors; investigation services related to insurance claims; investigation services related to insurance claims, namely, claim review services to identify health insurance fraud, waste and abuse provided to Medicaid and other government and private health care payers; consulting in the field of governmental legal and regulatory compliance, namely, analysis of data, policies and processes to ensure government compliance with laws and regulations related to waste, fraud, abuse and corruption; consulting in the field of governmental legal and regulatory compliance, namely, advisory and information services in the nature of preparation and provision of reports relating to government compliance with laws and regulations related to waste, fraud, abuse and corruption

Class:

Legal services

Published for Opposition Date:

01-08-2019

Mark Drawing Status:

Standart Character Mark

Business Name:

GOODELL, DEVRIES, LEECH & DANN, LLP