Healthcare/Hospitals

The traditional disease management solutions (wherein the insurers relied upon the use of managed care tools including gatekeepers, specialist referrals, pre-certification, employers, and health plans for managing healthcare costs) have been discarded. It was noted that 20% of the patients, most of whom suffer from chronic conditions, contribute to 80% of the healthcare spending. A deep understanding of the progression of chronic illnesses coupled with focused care management activities for chronically ill patients has the potential to contribute to an effective reduction in the utilization of provider facilities and drugs. Information Technology enhances possibilities in the realm of care management and disease management systems.

Tech-Pro enables its use of modern technology to undertake proactive disease management. Our solutions for disease management aim to provide intelligent tools that manage principles of disease management for healthcare payer organizations. A deep understanding of the progression of chronic illnesses coupled with focused care management activities for chronically ill patients has the potential to contribute to an effective reduction in the utilization of provider facilities and drugs. Information Technology enhances possibilities in the realm of care management and disease management systems.

At Tech-Pro we facilitate EHR/PHR solutions that focus on providing e-health point services that empower clients to make use of technology, thus giving companies a greater competitive advantage.  This helps to reduce complexity and strengthen the innovation delivery in care coordination, productivity, and safety. Across healthcare organizations, Electronic Health Records (EHR) can link Electronic Medical Records (EMR) or Computerized Patient Records (CPR), efficiently and safely. Electing EHR improves patient safety, care quality, privacy protection, cost effectiveness, and reduces medical errors.

Tech-Pro provides regulatory compliance services that are supported by proven assessment and remediation methodologies. Payers and providers are constantly faced with challenges to adapt their IT systems in order to comply with federal and state regulations within a stipulated time frame. Tech-Pro offers resources to help those projects reach the end goal within the given time frame.

Tech-Pro provides a comprehensive questionnaire-based assessment and remediation approach for meeting the MMA requirements of clients, which enhances the Medicare program by bringing prescription drug benefits to the eligible population.

HIPAA enables the simplification of administrative procedures and makes it mandatory for healthcare organizations to implement standard formats for various transactions.

Tech-Pro provides the following HIPAA Compliance Services:

HIPAA Program Management

Custom Gateway Solutions

Gap Analysis and Risk Assessment

HIPAA Education and Awareness

HIPAA Remediation Planning and Implementation

HIPAA Compliance Testing

Post-implementation Support and Compliance Monitoring

National Provider Identifier (NPI) Services

NPI compliance execution

NPI compliance roadmap and assessment

Flexible approach depending on health plan scenario

Program Management

SSN Remediation

Impact Assessment and Remediation Planning

Phased Remediation

Implementing National Provider Identifier (NPI) is not easy on either the payer side or the provider side because all legacy numbers cannot be eliminated. In the provider’s case, there are instances when payers require the legacy number for an old, non-HIPAA transaction. As far as payers are concerned, not every provider is mandated to apply for a new identifier. Hence,  the only logical solution seems to be the creation of a cross-walk, wherein payers need to ensure the accuracy of provider data utilized by the cross-walk as well as the NPI data source (NPPES). They should possess the ability to handle a multi-dimensional cross-walk of

• One NPI too many legacy IDs

• Many NPIs too many legacy IDs

• Many NPIs to one legacy ID

Correct implementation leads to payers needing supplementary handling that in turn results the increase of cost in:

• Auditing required

• Unresolved mapping

• Manual Intervention

• Erroneous mapping

Tech-Pro uses the best-of-breed technologies and methodologies to consistently and efficiently deliver superior solutions. The solution set covers both packaged and custom developed applications including:

• Architecture Evaluation
• Product Assessment Design
• Evolution
• Implementation
•  Testing, Environment Planning, and
•  System Integration Solutions for customers, groups, suppliers, payers, brokers
• Web-enabling and re-designing of legacy applications
• e-business throughout, e-CRM solutions development & deployment Upstream & downstream integration with external systems for e.g. Customer Relationship Management (CRM) and Data Warehousing systems.