Regulatory Compliance in Healthcare

The challenge is here. Implementing healthcare reform measures will impact every aspect of your operations. HIPAA-compliant electronic transactions are only one of many readiness considerations. Every system, interface or vendor application will need to be evaluated and adapted - including financial reporting, quality, disease/case management systems, management and operational reporting, even provider contracts - the list is long. It will take time and knowledgeable healthcare IT professionals. The healthcare technology experts at Perficient are prepared to lead you through this challenge.

HIPAA 4010 to 5010 Conversion

Perficient’s HIPAA 4010 to 5010 solutions are designed for the full scope of effort within your organization including: assessment, development, implementation and testing. Our experienced team understands the key 5010 transaction types, the nuances of setting up trading partners and methods of performance testing to insure important service level agreements are met. For healthcare organizations getting a late start on 4010 to 5010 migration, Perficient provides a rapid Step Up/Step Down solution with our partner Edifecs. The financial impact of a full ICD-10 remediation can be more effectively managed over a longer period of time while meeting current regulatory compliance deadlines. We can reduce worry with a solution that compares 4010 and 5010 transactions to make sure that billing and accounts receivables don’t suddenly increase or decrease due to the migration efforts. As the standards are updated over time, our team will be there to speed addressing updates and perform testing to insure best practices.

ICD-10 Implementation Solutions

Perficient is positioned to start with your 4010 to 5010 migration and then move forward into your ICD-10 remediation projects. We believe in attacking ICD-10 with a phased roadmap of coordinated projects beginning with a careful analysis of your healthcare IT applications through planning the cultural transition on using the expanded code set. Our solution is custom tailored to fit your environment, staff and timing needs. More importantly, we offer cost effective solutions including off-shore development where needed, tools and technology knowledge and proven project management. Now is the time to act on getting the roadmap in place before scarce IT resources slow down your important deadlines.

Meaningful Use

Meaningful Use and Patient Portals: Under Phase I of meaningful use, more than 50% of all patients who request an electronic copy of their health information must be provided this information within three business days. Creating a patient portal would make the implementation of this meaningful use rule much simpler and allow for the tracking of requests to calculate the values to be submitted. The patient could file the request for electronic records through the patient portal and, if the records are available, validate the patient, and send an email offering the records to print, download, or view. If the records are to be downloaded, then there could be an option for transfer to a Personal Health Record compatible format. If the patient portal can offer two or more factor user authentification, similar to a banking website, then the request could be considered as immediate and the statistics updated for reporting. Business Intelligence Requirements Under Meaningful Use: Business intelligence will help providers meet meaningful use requirements through structuring codifed data, exchanging data across hospital systems, and creating a patient-centric community care record. Once medical record data is collected through EHR systems, that data can be extracted, transformed, and analyzed using business intelligence tools. If leveraged correctly, then business intelligence tools can also yield measurable returns in terms of cost savings, staff productivity, and enhanced diagnostic capabilities as well.