bpm base solutions for healthcare bpo (business excellence)
DESCRIPTION
Hi, Please check the presentation for healthcare BPO"S we are in process automation & business excellence. please feel free to call me for more details..Pramod Kumar-09999395783TRANSCRIPT
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Velocis Systems Pvt
Ltd
JAN 2014
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Agenda
Velocis Systems
What is Augment
Augment Offerings
Healthcare solutions (RCM, HIPPA, Transcription & Billing, medical
coding etc)
Augment Based Development
a) Mechanics
b) Benefits
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About Us Augment is Division of Velocis Systems from India More than 15 years in operations Over 900 people, mostly based in India Present in New Delhi, Mumbai, Bangalore, and
80 other locations in India Representative office in Singapore Operations across Africa, Hub for African Ops in
Dubai Over 200 All India Footprint Customers
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Infrastructure Design, Deployment & Sustenance
Managed Services
Software Services
Business Process Management (Augment)
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Solutions Overview (By Industry)Banking & Finance Insurance (LI/GI).HealthcareManufacturingTelecomEducation Wealth Management
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Solutions Overview (by Business Functions)
Human ResourceOperationsSales & SupportInformation TechnologyFinance & Accounting System
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AUGMENTBPM Platform
RAD Tool (Rapid Application Development)
EAI (Enterprise Application Integration)
Fast Development/Roll-out Cycles
Compliance Management
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AUGMENT OFFERINGSBPM base solutions
DMS (Document Management Systems)Claim processing solution Tx-Router (STP and BPM in Interbanking)Accounts Payable Solution Issue Resolution portalAugment HR WorkflowsEnterprise note for approval systemSales Intelligence SystemOther customized process automation solutions
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AUGMENT BPM - TECH ASPECTS
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How does it work?
Parsing Enginewith ICR/OCR
NQC Sampler
:
?Work Allocation Manager
Work Item
XFeeder
Raw Material
RM Source(s)• FTP• Mail• Database• Chat• Another Process• etc.
Database
Indexed & ParsedRaw Material
` Workflow EngineProcess wise Queues
State wise Qs
QC Qs
Web-based user client
Services
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ComponentsProcess Server
Process Developer
Process Administrator
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Augment BPM benefits
System based tracking of all initiations
Auto routing of work items following SOP
Tracking of work items at each work-step
Tracking till closure
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Augment Approach to Development
Tool Based Development for quicker
turnaround
DifferentiatorsWorkitem Vs Object Orientation
RAD Vs Conventional Development
Ease of Modification Vs SDLC
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RESULT Much Faster Development
Typical Saving of upto 60% in effort/time
Comprehensive Solution
Templates ensure zero lapses
Minimal Risk of Project Failure
Process ensures quick delivery of complete s/w
Better Quality and Stability of Solution
Easier Maintainability
Intuitive documentation
Ease in on boarding new team members
Ease of Modification 14
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Process Excellence in Healthcare
Healthcare Solutions
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In the following process augment can help for process excellence.
Medical Billing processMedical Coding processPatient demographic entry Account receivable/follow-up management
processHospital billing support processRevenue cycle management processMedical specialtiesProcess design & re-engineering etc.Medical support applications
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Business Requirements – Our UnderstandingImprove efficiency
Automate data entry functions wherever possibleReduce time to process (better GUI, faster fetch process etc)
Consistency in work allocationMeet Customer SLAsRule based work allocation
Maintain Quality at all stagesAutomate sampling/audit process to ensure compliance Track errors against FTEs to link to training needs
Ensure TAT adherencePre configured TAT for each stepAlert/notification on approaching/overshooting TAT
Adaptability to Changes
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Claim Settlement process Overview
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Process Overview
Transmission of Claims / Manual Submission/
Re-submission
Charge entry
Medical Coding(CPT, ICD dx, ICD vol 3 etc.)
Coding QA
Audit
Payments Posting
AR Analysis & Follow-up
Audit
FTP & Indexing
Image assisted data entry
centralized data/document
repository
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workflow and coding process
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productivity in coding process
Allowing Process Manager to track work at each stage of the shop floor.
Enhancing productivity by eliminating redundant manual steps and optimizing Processes.
Enhancing Quality of data collated and analyzed.Improving accuracy by automation of data-entry wherever
possible, automating Validations, and using strict quality control
Providing 360° view of enterprise information & reports on demand, transparently in a timely manner to each level.
Maintaining a workflow for all the activities in the practice.Minimizing the tangible documents/proceedings as much as
possible.Automating of all the QA mechanisms that need to be
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ApproachDesigned to quickly create and change processes
Abstraction of business requirements
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New Process Transitions can fit into existing
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Benefits
Customer
Team lead
management
Administration
Associate
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Associate
Standardized Rich UI for effective data entryImaging tools for better image viewingBuilt in rules for data entry correction at sourceOn line helpers for data entryOn Line Self productivity and error analysis
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Team Lead•Auto distribution of work based on business rules
•On Line reports for tracking and delivery•On Line productivity and quality analysis•EOD/EOM Report Generation for Customer•Centralized Management of the process•Timely alerts •Auto Sampling of Data for QC
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Management
• Rollup Data for All Processes on the Shop Floor
•A Streamlined Operations environment•Reduction in Training needs•Movement Towards a Metric based organization
•Reduced dependency on individuals
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Administration
•Automated Downloading and Indexing of files•Centralized Management of all processes•Reduction in user calls due to single application/interface in all processes
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Overall Benefits
Digitized, Sensitized and vitrified back- end operations
Reduced time to transition of new processes
On line access to Live Process Data for analysis
Seamless Query Resolution
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contact for more about our solutions
Pramod Kumar Manager Business Development
Velocis Systems Pvt LtdAugment Division (BPM base process solutions)
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Thank You !
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