Industries

Healthcare

At Idexcel, we blend the power of strong healthcare knowledge with technology to provide solutions that maximize returns on investment. We help our customers realize superior performance by enhancing quality of care delivery and clinical outcomes through interoperable, standards-based information systems, and optimized business processes.

Consumer Driven Healthcare Services

The healthcare insurance industry is evolving from traditional plans to sophisticated consumer-driven healthcare plans. We address challenges that include:

• Rapidly increasing premiums for traditional health plans
• Integrated health advocacy offerings
• Consistency and authentication of data

Claims Platform Services and Modernization

Modernizing claims processing systems could be challenging due to various factors:

• Legacy systems developed using obsolete technologies make it difficult to find resources to support and modernize them
• Aged systems pose increased complexity due to changes made over a long period of time
• Unpredictability in making enhancements due to difficulty in interpreting old code
• Poor scalability of existing systems making them difficult to align with organizational growth plans

An efficient claims processing mechanism is imperative for a Payer’s success. An inefficient claims management system can lead to overpayments and directly hit the bottom line. Idexcel offers complete claims modernization services that improve accuracy, ensure faster claims processing, reduce claims backlog, and help our clients gain competitive advantage.

Enterprise Reporting and Data Analytics

Enterprise Reporting and Data Analytics is the key to effective decision making. Large quantities of data residing in data marts and warehouses are useless unless the data provides valuable insight into your business. When it comes to making critical decisions on new product offerings, analyzing treatments, claim payments and regulatory compliance, it is imperative that you have the right data at all times, even if it means pulling it from disparate systems. With a mature Business Intelligence practice, Idexcel helps providers and payers make informed decisions by providing them the required insight. Our comprehensive Enterprise Reporting and Data Analytics services help you unearth critical information buried under raw data to enable informed decision making.

Integration Services / Healthcare Interoperability Services

The healthcare industry is witnessing an increase in focus on integrated and interoperable IT systems that communicate and share data with each other. Fully integrated systems pave the way for a leaner IT organization and help reduce medical/claims errors significantly. But it is easier said than done. A number of new applications added over a period of time and legacy systems that are still in use seriously hamper integration efforts. Idexcel has the technical capability and domain expertise to understand the criticality of your existing systems and integrate them so that information is shared among these systems while guarding patient privacy and confidentiality.

ICD-10/HIPAA 5010 Transformation

Healthcare organizations must be transitioned, tested and compliant for ICD 10 by October 1, 2013 and for HIPAA 5010 by January 1, 2012. Are your IT systems ready for the challenge?

While transitioning to ICD 10/HIPAA 5010 is a regulatory requirement, this transformation adds immense value to healthcare organizations and provides for better understanding of procedures, improved care management and reduced claim payment errors. The impact of utilizing ICD10 codes impacts every aspect of the payer’s business cycle. Training of staff, adapting of business processes, rethinking of the contracting leverage, and customer service impacts will all be major efforts to use the new coding to your advantage. Idexcel can help you with this transition with minimal investments in upgrading IT infrastructure. Our team of Subject Matter Experts and Technical Consultants has hands-on experience in helping payers and providers transition to ICD-10/HIPAA 5010 in the most cost-effective manner.
Read more on ICD-10 Compliance...

Regulatory and Compliance Services

We offer a wide spectrum of specialized Regulatory and Compliance Services to our clients. These include:

• HIPAA Compliance Consulting and Services
• Data Migration Services
• HIPAA Compliance Testing
• Gap Analysis

Read more on Healthcare Testing Services...

Related Services

• IT Services
• QA & Testing
• Consulting Services
• BPO