Payer Services & Solutions
Platform Consulting Services
In a constantly evolving healthcare sector, healthcare payers are struggling to achieve internal process orientation, customer centric approach, cost benefits & regulatory compliance. SAT Healthcare IT brings rich experience in the healthcare sector, enabling payers address the technology & application challenges of the market with agile & intuitive IT solutions As a leading Healthcare IT Solutions company, we leverage our deep domain expertise in clinical data and technological advancements like – TriZetto FACETS, QNXT, CAE, NetworX, Legacy Platform Sunsetting and other cutting-edge clinical technologies. We ensure a fruitful payer-provider collaboration by harnessing our capabilities in data integration, legacy modernization and population health analytics
Payer Consulting Services
With a global presence across US and India, we employ our system integration and modernization expertise to build world-class, highly scalable consulting processes that help our clients gain outstanding business advantages. We deliver an array of technology competencies that include Software Design, Development, Implementation, QA, Upgrades, Testing and Support. With an highly qualified pool of TriZetto and FACETS experts, we deliver specialized FACETS services for installed and hosted clients (payers) for all aspects of FACETS core system including: FACETS Upgrade, Implementation and Migration, Enrollment, FACET System Analysis and Batch Management.
Comprehensive Approach to TriZetto FACETS & QNXT Services
As a proficient healthcare IT service provider, we are well equipped to deliver focused FACETS-QNXT services for installed and hosted clients (payers) for all aspects of FACETS & QNXT core system including: FACETS & QNXT Upgrade, Implementation and Migration, Enrollment, FACET System Analysis and Batch Management.
- EDI payer Services: Electronic Data Exchange or EDI has transformed the Healthcare sector. EDI has proved to be a powerful tool for boosting the efficiency levels at office and improving cash flow. Few benefits
- Timely reporting of errors: Benefit from accelerated processing and automated posting of claim payments.
- Seamless Verification: Gain access to a patient’s cost-sharing responsibility and coverage in real-time
- Eliminate dependency on manual or paper transactions: Providers can submit transactions speedily and get their claims paid faster at significantly low prices
Provider Consulting Services
Equipped with extensive expertise in the healthcare sector, we facilitate healthcare providers including physicians, hospitals and health systems, streamline business processes and get exact payments speedily. We facilitate you to boost revenue & cash flow with cutting-edge IT Solutions that are devised for today’s healthcare providers Our experts help you to stay ahead of regulatory changes, so that your organization never struggles with compliance mandates. Right from the strategy & planning through program implementation and business optimization, our provider consulting services facilitate you to develop highly effective & efficient ways of collaborating, engaging with your patients, managing costs and enabling technology innovation.
Unlock the potential of EHR & EMR
Even when relying on EHR solutions for accessing critical medical data of patients, most healthcare providers are still dependent on paper based documents. Experts at Healthcare will enable you to fill in this gap by helping deployed solutions seamlessly with EHR systems. Fortified with functional & technical expertise combined with by agile tools & methodologies, we offer comprehensive services to the providers including:
- Assessment and Planning
- Integration/Application Testing Training
- Design and Workflow Architecture
- Go-Live Support
- Legacy Support
Revenue Cycle Management
It’s challenging for healthcare providers to keep a track of the patient care lifecycle because of so many components involved. SAT Healthcare brings extensive experience to help providers determine and monitor all the nitty-gritties of revenue cycle through effective Revenue Cycle Management. Our specialized Service Delivery Experts including medical coders & billers enable processing of patient data efficiently. We help organizations streamline the clinical & business facets of healthcare to proactively determine the bottlenecks of cycle, lower coding and billing delays, eliminate accounts receivable and get a lucid understanding of reimbursement trends for payers.
SAT healthcare IT empowers healthcare organizations follow several CMS compliances such as Merit Based Incentive Payments System (MIPS), Healthcare Effectiveness Data and Information Set (HEDIS) and Quality Payment Programs for various initiatives. Historically our experts have been working from 4010 to 5010 data conversions till adapting to transition from ICD 9 to ICD 10 Today healthcare organizations are struggling to adapt to the transition from 9th ICD to ICD-10 both financially & functionally. SAT Healthcare IT offers comprehensive ICD-10 services & solutions, helping payers & providers boost the returns on their investments, address compliance issues by covering the following phases
- Blueprint/Roadmap Designing
- Testing (Currently Active)
Population Health Management
Only when payers are able to effectively harness the power of population data, success of any population health program can be ensured. Our Healthcare specialists help payers & providers embrace accountable care-delivery systems through effective analysis and management of population health data. We help you capitalize on the potential of multiple analytics platforms, leveraging your vital data with rich insights across various sources. We help healthcare organizations make smart decisions utilizing evidence-based planning. We offer a customized set of population health management solutions including care management, case management, disease management and patient engagement Solutions
Pharma Solutions & Services
Equipped with a skilled team of life sciences consultants who are well-versed in leading-edge pharmaceutical research and technology, SAT Healthcare IT capitalizes on its advanced research & development competencies to help pharmaceuticals reinforce their Drug Discovery and Formulation capabilities.
With our proficiency in delivering focused IT healthcare solutions, we help healthcare organizations to leverage the capabilities of smart medical devices to gain competitive advantage edge in an ever evolving healthcare world. Our experienced life sciences specialists apply their knowledge & understanding in advanced medical technologies like Digital Transformation to provide focused technology solutions for proactive medical data management.
Today healthcare organizations struggle to keep a tab on recurring costs. To bridge this gap, SAT Healthcare IT offers businesses with intuitive IT solutions that can help manage, optimize & source business applications cost effectively. We are highly proficient in Portfolio Rationalization that enables businesses unlock the value of their present application assets. Our expertise in optimization is helping businesses minimize operational costs by streamlining processes.
Leveraging engineering technology solutions like Sustenance Engineering & Value Engineering we help businesses significantly reduce overall IT Costs. Subject Matter Experts at SAT Healthcare IT use their decades of experience & knowledge in providing reverse medical engineering solutions
Product Lifecycle Management (PLM)
With our team of accomplished PLM experts, we help businesses manage and control the intricacies of a product lifecycle. We foster concepts that can streamline the communication & collaboration between product engineering, validation, platform migration, service upgrade, system integrations & all key disciplines that affect the product’s lifecycle
Healthcare IT Staff Augmentation:
We leverage our extensive experience in the Healthcare sector and highly skilled pool of healthcare IT consultants to offer superior and cost-effective IT services via a hybrid onsite / offshore delivery model. Our highly professional team of healthcare IT experts empower providers and payers with the ability to deliver only quality, patient-centric, cost-effective and satisfying healthcare services.
Turnkey Project Management
Whether you require additional support, upgrade or enhancements, or develop completely new applications, our highly qualified resources can help you save time and money, while minimizing all kinds of risks. We offer highly personalized Services right from Time & Material to Fixed Price solutions. So you need not worry about the coordination and burdens of overall management of the project, we offer custom-made turnkey project management solutions. We leverage our extensive experience in the Healthcare sector and highly skilled pool of healthcare IT consultants to offer flexible and cost-effective IT services via a hybrid onsite offshore delivery model.
Microsoft Healthcare Solutions
As a Microsoft Gold Partner, our IT services and solutions are tailored to meet the unique business goals and requirement of our Microsoft clients, covering Microsoft D365 Business Central, Dynamics (AX) 365 for Finance & Operations, MS D365 CRM, Dynamics 365 for PSA, MS D365 for Field Services and MS SharePoint. Our Microsoft Healthcare Solutions help health systems identify population health risk, optimize clinical outcomes and boost operational efficiency across the continuum of care.
Oracle Healthcare Solutions
As a leading system integrator, SAT Healthcare IT has implemented, Upgraded, Supported & Migrated several ERP Systems. As an Oracle Gold Partner, we enable companies to attain real business benefits and boost efficiency. We specialize in provding extensive services in Oracle PeopleSoft covering:
- Human Capital management
- Financial Management
- Supplier Relationship Management
- Enterprise Service Automation
- Supply Chain Management
- PeopleSoft Tools and Technologies