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Application Consulting & Development - Case Studies Full Life Cycle Development... |
| Developing a Web-based Data Collection Portal To Meet HEDIS Compliance and NCQA Accreditation ...The process of obtaining and processing the needed patient health status data via CD’s, paper and desktop technologies had become burdensome and inefficient for the company and for its medical group participants. Information was not available in real time and the process was often very manual. Submitted data was not available for confirmation once verified by the health insurance carrier. Furthermore, the insurance company was mailing its reports, resulting in a slow and costly process.  Click to read or download .pdf |
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| Solving Blue Cross and Blue Shield of Illinois’ Need for Improved Internal and Provider Communication with a Central Portal Like others in this highly regulated, constantly changing industry, Blue Cross and Blue Shield of Illionis, a very large health insurance carrier, was faced with a spiraling communications crisis among its internal staff, as well as with its provider groups, office staffs, and other constituents. Much of its information gathering and sharing was based on paper or inefficient electronic tools, forming an unwieldy system. Furthermore, many of the company’s users worked remotely, making data collection, communication, and reporting difficult and inconvenient. Click to read or download .pdf |
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| Helping McKesson To Streamline Patient Data Aggregation Processes While Reducing Cost for BCBSIL ...When MXOtech took over the project, patient data from the insurance company’s health care member providers was widely disparate. Information and reporting systems varied from provider to provider with many data points such as pharmacy and inpatient claims and patient eligibility. All were submitted via paper forms, making it difficult to organize and track, as well as to maintain timeliness and HIPAA compliance. MXOtech was tasked with developing an electronic system to collect and unify patient data AND to orient providers’ staff to ensure acceptance of the new method. Click to read or download .pdf |
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