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Healthcare Provider Solutions

The healthcare provider segment is undergoing a major reform, shifting towards providing a higher quality of care at an affordable cost. In 2015, the Centers for Medicare and Medicaid Services (CMS) will implement provisions of the American Recovery and Reinvestment Act (ARRA) that provides incentive payments for the meaningful use of certified electronic healthcare records. In response, providers will need to adopt new quality measures. Progressive healthcare enterprises see a long-term business value in establishing quality practices across clinical, administrative, HR, financial, and HIT functions and in all lines of business and clinical settings.

HCL’s provider solutions in quality and compliance are designed to help healthcare enterprises develop, operationalize, and manage quality initiatives and programs; improve quality, compliance, and reporting; and meet compliance requirements.

HCL offers the following healthcare provider solutions:

  • ICD Impact Assessment: HCL’s proprietary web-based impact assessment tool, Prizm,™ aids in scientific impact assessment. It comes with preloaded provider workflows and identified impact points, which can help assess an organization against the backdrop of its pre-existing information and workflows. Read more >>

  • ICD Remediation: HCL’s i-CRM tool leverages GEMs mapping, and extensive mapping rules created by certified medical coding specialists and clinical physicians from HCL, to help guide providers through their DRG assignments. Read more >>

  • ICD Verification & Validation: HCL’s framework for ICD 10 post-remediation validation focuses on assessing the quality of remediation at the level of core applications, processes and people related impact upon an application’s usage. Read more >>