HEALTHCARE PAYER.

  • Healthcare reforms have prompted changes in regulatory mandates. The payers are adapting business transformation and new technology to improve health outcome and sustain business growth to remain competitive.
  • JerseyItech addresses these growth issues & changes with the following initiatives:
  • Product standardization – Simplify benefits and reduce restrictions for customized product configuration.
  • ICD10-5010 Conversion – Transition to new standards within deadline.
  • HIE – Modernize online sales and service functions to prepare for more transparency and accessibility.
  • Real-time Analytics – Develop robust business intelligence and analytics systems for internal and external decision making.
  • Care Management – Improve quality and cost of care to offer more personalized services.
  • Customer Experience Management – Improve customer’s interaction and satisfaction across service delivery, product and brand.
  • Services.
  • Legacy Modernization.
  • Packaged Product Services and Benefit Configuration.
  • Regulatory Compliance.
  • Care Management.
  • Enterprise Business Intelligence and Analytics.
  • Sales and Consumer Self Service Web Portal.
  • CRM Solution and Analytics.
  • Payer Enterprise Testing.
  • Healthcare Infrastructure Management and Hosting.
  • Business Process Outsourcing.

HEALTHCARE PROVIDER.

  • Existing challenges are:
  • Automating the care processes – implement EMR.
  • Connecting the individual to – providers.
  • Digitizing healthcare.
  • Reimbursement models – Patient Centered Medical Home (PCMH), Accountable Care Organization, and Bundled payments.

Services.

  • Developing more efficient provider networks, by gaining insight into provider practice patterns.
  • Providing best practices for improvement.
  • Developing indices for patient management, including care alerts and patient registries.
  • Managing referrals.
  • Managing multiple reimbursement programs & cost drivers.

PREDICTIVE ANALYTICS.

JerseyItech can assist by

  • Leveraging advanced analytics to reduce hospital readmissions.
  • Portfolio modeling including optimization of resources for new therapies.
  • Simulating PRO (Patient Reported Outcomes) for care quality improvement and outcomes.
  • Predicting high risk patients for ACO (accountable care organization) and hospitals.
  • Simulating connected health consumer and recommend technology interventions.
  • Quantify health costs & productivity.

REVENUE CYCLE

JerseyItech can assist in revenue cycle solutions and advanced technology to enhance better business health.

  • Track of claims in the system.
  • Reporting payments collected.
  • Addressing denied claims.
  • Maximizing billing and collection performance.

CLAIMS

  • JerseyItech provides claims management services across consulting, technology, and operations.
  • ICD 10
  • Training in ICD-9 and ICD-10 codes sets and its structure and assisting in transitioning.
  • Building frameworks.
  • Implementing ICD 10 impact analysis tools, and test scripts.
  • Testing services.

MOBILE

JerseyItech assists in developing mobile solutions across payers, providers, healthcare ISVs, revenue cycle management companies, EMR vendors and third party administrators.

JerseyItechs HEALTHCARE SERVICES

  • Workflow Consulting.
  • Regulatory Consulting.
  • Technical Consulting.
  • Productivity Assessment.
  • Upgrade Implementation.
  • Data Migration.
  • Customization – Interface, Report & Application.
  • Support & Maintenance.

JerseyItech PRODUCT DRIVEN CONSULTING.

  • Epic Consulting.
  • Cerner Consulting.
  • InterSystems Consulting.
  • MediTech Consulting.
  • McKesson Consulting.
  • Trizetto Facets Consulting.

EPIC

 

 

Cerner

JerseyItech Healthcare consulting can provide to your initiatives, may it be a large-scale implementation or expanding your existing footprint utilizing Cerner.

CERNER IMPLEMENTATION.