Solutions for the Healthcare and Insurance Industries

From hospitals to clinics to medical device manufacturing, the Healthcare Sector presents a unique set of regulatory compliance challenges for companies.  In addition to managing a myraid of ever-changing regulations, the number one issue within the healthcare industry is COST CONTROL.  In recent years, costs at all levels has spiraled out of control. Regulatory compliance requirements and industry standards are changing and increasing rapidly.  Integrated healthcare providers must master and understand JCHO, ARRA, HIPAA and HITECH as well as other national and state regulations for patient safety. Apart from regulatory pressures is the need for healthcare providers to prepare themselves for Medicare and Medicaid audits such as the RAC, MIC, and ZPIC audits is an ever-growing constraint on resources.

For the insurance companies it is essential to understand, approve and authorize payment of claims based on real time understanding of medical justification, relevant fee schedules and review of other evidences. In addition, insurance companies need compliance and risk assessment of the insureds.

Xybion can help your system reduce the costs of these critical processes. The solution to cost containment as well as many of the challenges facing the healthcare industry is the integration of people, processes, and advanced technology.  The adoption of advanced technologies to support enterprise compliance management and governance initiatives may serve to revolutionize all areas of the healthcare system.

Current technology-driven changes will necessitate the adoption of an advanced IT infrastructure across the healthcare industry to support compliance, risk management, and governance as well as enterprise content management.

Xybion offers a comprehensive portfolio of solutions for the healthcare industry.  Our solutions help healthcare organizations effectively manage quality, risk, and compliance objectives in a controlled manner.  Global healthcare organizations have leveraged Xybion’s solutions for compliance management, risk management, case management, and certification management for organizations such as Joint Commission.

Solutions for Healthcare include:

• EHR with a special focus on Musculoskeletal wellness management
• Medical Billing and Revenue Cycle Management
• Compliance, Governance, Risk
• Records Management
• Information migration and management
• Asset Management

Solutions for the Insurance sector include:

• Smart Content and document management
  • Auto create ACORD Forms from the policy documents for both initial and renewal times
  • Attach images for adjusters and payments
• Medical Bill Review for Claims management
• Audit compliance of various statutes by insured parties
• Predict Risks due to non-compliance by clients