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Posted on: May 05-2014 | By : Urvashi Sharma | In: Healthcare Informatics | 1 Comment
As we gear up for the overhaul it is not just the compliances that Providers need to secure their processes for, you also need to tap large amount of data for data forensics. The EMR and data warehouse systems will become rich sources of information, making it important to build a holistic framework to manage clinical and financial information for effective and efficient reporting. Similarly, it is important to design processes to achieve high levels of data quality and standardization and appropriately interpret and implement evidence-based clinical guidelines.
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Urvashi Sharma
'Dr. Urvashi is part of Healthcare Provider sub-vertical and comes with 9+ years or experience...

 
Posted on: April 15-2014 | By : Neha Kanwar | In: Healthcare Informatics | 1 Comment
As Providers refurbish their old software, upgrade to new systems, they also need to focus on software testing to achieve desired compliance. The diversity of products used by Providers adds to the challenges—increasing demand for end-to-end test repositories.

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Neha Kanwar

 
Posted on: March 20-2014 | By : Harish Rijhwani | In: Healthcare Informatics | No Comments
Post October 2014 Providers are mandated to use only ICD-10 codes for billing. ICD-9 to ICD-10 migration is a huge change for the healthcare industry. Separately, in Meaningful Use Stage 1 healthcare providers used to capture patient information using ICD-9 or SNOMED CT, but for Stage 2 they need to use only SNOMED CT.
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Harish Rijhwani
Harish C. Rijhwani is a Delivery Manager at Syntel with 14+ years of experience in Healthcare...

 
Posted on: March 05-2014 | By : Kunal Sawant | In: Healthcare Informatics | No Comments
While most providers would have migrated to ICD-10 post October 2014, some of the payers that you interact with might not be ICD-10 compliant. This means, while sending claims to some of these non-compliant payers, providers would need a code mapping crosswalk, translating claims from ICD-10 to ICD-9 to ensure that they are able to generate and process ICD-9 claims. Apart from this, even prior to the October deadline, providers need to undertake a financial neutrality analysis to plan for the possible impact on reimbursement variances between pre and post change landscape as well as remediate any reporting variances as a result of code changes.

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Kunal Sawant

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Kunal Sawant
Dr Kunalsen Sawant is medical physician with more than a decade of experience working with...

 
Posted on: February 14-2014 | By : Anish Malik | In: Healthcare Informatics | No Comments
Healthcare spend in the US has outpaced other industries over the years. The healthcare industry is currently swamped with changes in compliance mandates, transforming healthcare landscape to make systems more affordable and accessible. These mandates also demand for better integration of health information received from various stakeholders.

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Anish Malik

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Anish Malik
Anish Malik is a Healthcare Provider Business Analysis and Pre-sales consultant at Syntel with 7...

 
 

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