Healthcare administrators and providers are implementing new Health Information Technology (HIT), or transitioning to new and more robust HIT solutions to meet the multitude of legislative mandates for aligning health services with payment equity. These ever-evolving, fast-paced information systems are intended to optimize patient-centered coordinated care.
Healthcare providers and administrators often face challenges when developing protocols to navigate the various health insurance coverage, program operations, and payment rules found in Medicare, Medicaid, and the Affordable Care Act (ACA). Rules for delivering patient care can be lengthy, confusing, and are often not fully captured during follow-up and billing cycles. Additionally, healthcare providers may not have sufficient resources and skills to successfully develop integrated solutions to meet the needs of our evolving health systems.
Successful HIT systems often require the guidance of outside experts to ensure that those systems properly integrate care coordination with revenue management, and capture the performance measurement for quality and payment. Even more burdensome are the quality assurance and risk management practices that must be in place to ensure that HIT systems create the proper balances among patient-centered care, health outcomes tracking and measures, and payment accuracy.
As a healthcare consulting firm, XDRA Health Solutions provides exceptional business processes and solutions to help healthcare organizations meet compliance requirements for patient-centered care and payment accuracy. Our business model includes staff experts in health care administration to best support client needs for administering government and private healthcare programs in accordance with regulatory policies, including Affordable Care Act, Medicare Parts A-D, and MACRA.
Contact XDRA Health Solutions to learn more about our integrated HIT business solutions:
- Healthcare Operation and Payment Support (Implementation and Ongoing) including regulatory watch business process models and operating plans operational knowledge of best practices for implementing healthcare legislative requirements system and data support service and payment cycles and internal controls testing plans.
- Education and Outreach Services including technical assistance tools physical and virtual training services and policy guidance development.
- Program Oversight and Evaluation including innovative data modeling healthcare payment and quality evaluations cost-benefit analyses oversight , compliance, and monitoring plans and operations audits.