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  /  Case Study   /  Ensuring compliance in health care

Ensuring compliance in health care

A brief listing of healthcare project :

  • Management of the HIPAA compliance initiative for EDI transactions and privacy for a State Medicaid agency.
  • Multi-year engagement that included analysis, design, and implementation of various systems for a $400MM Health Maintenance Organization:
    • Online & EDI claims adjudication
    • Provider contracting
    • Financial systems, including capitation and medical incentives
    • Enrollment management
    • Pharmacy claims management
  • Multi-year engagement for the largest not-for-profit chain of dialysis clinics:
    • Assessment and recommendation of corporate computing architecture.
    • Analysis, design, development, and deployment of a complete clinic information system with tablet PC’s to enable direct recording at patient’s bedside.
    • Integration with the business system.
  • Quotation system used by 3000+ agents at regional health, and life insurance company.
  • Product development to assist a premier provider of home healthcare software and services.