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运行状况信息管理:如何开始

如果你读过 Exela博客 最近, you probably already recognize how fundamental information management is to solving healthcare’s costly inefficiencies. As we discuss in the 7 Layers of Digital Transformation, properly leveraging information management is akin to properly pouring the foundation when building a skyscraper. 但是作为识别, 采购, and accumulating all your building materials is a necessary first step before you can pour your foundation, data aggregation is a prerequisite for data management.

Data aggregation often involves some level of data digitization.

Depending on where you’re at along your digital transformation journey, data aggregation may rely heavily on the digitization of paper documentation. 最可靠的方法之一是通过扫描仪. 正因为如此,Exela提供扫描解决方案, 根据客户的精确需求量身定制, wherever they are on the digital transformation journey. 在某些情况下, our customers go so far as to engage us to take over their scanning workflow altogether for a completely streamlined end-to-end solution. That’s precisely what we did for a global pharmaceutical company, 最终的结果不仅是更好的控制, 更高效的文档管理, and more streamlined adherence to applicable privacy rules and regulations, but also a vast reduction in how much the company relied on paper documentation.

The mailroom is a logical place to start, or accelerate, data aggregation.

Scanning is an important part of our 电子邮件收发室 solutions. 和扫描一样, we’re sometimes engaged to take over entire front-end mail operations in order to enable our customers to shift or maintain their focus on their core, 收入的工作. 这就是一家主要保险公司的情况, which came to Exela when its outdated mail facilities and processes were beginning to have a measurable negative impact on revenues. 埃克塞拉的解决办法是搬迁, 重组, 并重新装备公司的邮件业务, 结果是戏剧性的, resulting in vastly improved service levels alongside a 30% cost reduction per year. 在某些情况下, we provide digital mailroom services in conjunction with other mailroom management services.

For healthcare payers, claims ingestion is another logical entry-point

类似的, omni-channel claims ingestion offers a logical point of entry for data into the payer workflow. A common and significant payer pain-point involves the volume and variety of forms in which provider and patient claims enter their workflow. Our claims processing and adjudication solutions unify data from all incoming communication channels and perform pre-submission checks to create clean claims and intelligently route claims for optimal processing. 例如, 用于大型医疗保健索赔处理中心, our OpenBox platform streamlined the claims-intake process by automating the 排序ing and routing of inbound claims based on artificial intelligence technologies that were trained to identify, 排序, and route claims according to form as well as content.

医疗编码不必成为一种负担

HIPAA established the coding scenario that has proven a burden to many industry players, 但其目的是简化运营. Streamlining operations is the goal of Exela’s coding services. 通过LexiCode提供, an Exela brand devoted to providing innovative health information management solutions that drive reimbursement, such services are designed to improve coding quality and minimize compliance risk, can be performed for you or alongside you in a variety of settings, 对于支付者和提供者. Such services can be provided remotely, as they were for one of our large medical center customers. can also train your staff to code accurately and in compliance with HIPAA and other applicable regulations.

接下来会发生什么?

随着健康信息管理的开展, there is a perfect opportunity to turn information contained in EHRs into strategic planning, 开票和收款, 市场营销, 以及通信资产. 我们的数据分析解决方案包括:

  • 预测分析
  • 数据可视化工具
  • 流动性管理
  • 安全性和合规性监控
  • Omni-Channel通信
  • 超定向营销

在下一篇文章中, we’ll be exploring how we take health information management to the next level via automation. 等不及了? Check out the full story in our Q4 Edition of PluggedIN: Tell Us Where It Hurts: 科技如何治愈医疗保健.