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Velocis Systems Pvt Ltd JAN 2014 1

Bpm base solutions for healthcare bpo (business excellence)

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Hi, Please check the presentation for healthcare BPO"S we are in process automation & business excellence. please feel free to call me for more details..Pramod Kumar-09999395783

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Page 1: Bpm base solutions for healthcare bpo (business excellence)

Velocis Systems Pvt

Ltd

JAN 2014

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Page 2: Bpm base solutions for healthcare bpo (business excellence)

Agenda

Velocis Systems

What is Augment

Augment Offerings

Healthcare solutions (RCM, HIPPA, Transcription & Billing, medical

coding etc)

Augment Based Development

a) Mechanics

b) Benefits

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Page 3: Bpm base solutions for healthcare bpo (business excellence)

About Us Augment is Division of Velocis Systems from India More than 15 years in operations Over 900 people, mostly based in India Present in New Delhi, Mumbai, Bangalore, and

80 other locations in India Representative office in Singapore Operations across Africa, Hub for African Ops in

Dubai Over 200 All India Footprint Customers

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Page 4: Bpm base solutions for healthcare bpo (business excellence)

Infrastructure Design, Deployment & Sustenance

Managed Services

Software Services

Business Process Management (Augment)

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Page 5: Bpm base solutions for healthcare bpo (business excellence)

Solutions Overview (By Industry)Banking & Finance Insurance (LI/GI).HealthcareManufacturingTelecomEducation Wealth Management

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Page 6: Bpm base solutions for healthcare bpo (business excellence)

Solutions Overview (by Business Functions)

Human ResourceOperationsSales & SupportInformation TechnologyFinance & Accounting System

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Page 7: Bpm base solutions for healthcare bpo (business excellence)

AUGMENTBPM Platform

RAD Tool (Rapid Application Development)

EAI (Enterprise Application Integration)

Fast Development/Roll-out Cycles

Compliance Management

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Page 8: Bpm base solutions for healthcare bpo (business excellence)

AUGMENT OFFERINGSBPM base solutions

DMS (Document Management Systems)Claim processing solution Tx-Router (STP and BPM in Interbanking)Accounts Payable Solution Issue Resolution portalAugment HR WorkflowsEnterprise note for approval systemSales Intelligence SystemOther customized process automation solutions

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Page 9: Bpm base solutions for healthcare bpo (business excellence)

AUGMENT BPM - TECH ASPECTS

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Page 10: Bpm base solutions for healthcare bpo (business excellence)

How does it work?

Parsing Enginewith ICR/OCR

NQC Sampler

:

?Work Allocation Manager

Work Item

XFeeder

Raw Material

RM Source(s)• FTP• Mail• Database• Chat• Another Process• etc.

Database

Indexed & ParsedRaw Material

` Workflow EngineProcess wise Queues

State wise Qs

QC Qs

Web-based user client

Services

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Page 11: Bpm base solutions for healthcare bpo (business excellence)

ComponentsProcess Server

Process Developer

Process Administrator

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Page 12: Bpm base solutions for healthcare bpo (business excellence)

Augment BPM benefits

System based tracking of all initiations

Auto routing of work items following SOP

Tracking of work items at each work-step

Tracking till closure

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Page 13: Bpm base solutions for healthcare bpo (business excellence)

Augment Approach to Development

Tool Based Development for quicker

turnaround

DifferentiatorsWorkitem Vs Object Orientation

RAD Vs Conventional Development

Ease of Modification Vs SDLC

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Page 14: Bpm base solutions for healthcare bpo (business excellence)

RESULT Much Faster Development

Typical Saving of upto 60% in effort/time

Comprehensive Solution

Templates ensure zero lapses

Minimal Risk of Project Failure

Process ensures quick delivery of complete s/w

Better Quality and Stability of Solution

Easier Maintainability

Intuitive documentation

Ease in on boarding new team members

Ease of Modification 14

Page 15: Bpm base solutions for healthcare bpo (business excellence)

Process Excellence in Healthcare

Healthcare Solutions

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Page 16: Bpm base solutions for healthcare bpo (business excellence)

In the following process augment can help for process excellence.

Medical Billing processMedical Coding processPatient demographic entry Account receivable/follow-up management

processHospital billing support processRevenue cycle management processMedical specialtiesProcess design & re-engineering etc.Medical support applications

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Page 17: Bpm base solutions for healthcare bpo (business excellence)

Business Requirements – Our UnderstandingImprove efficiency

Automate data entry functions wherever possibleReduce time to process (better GUI, faster fetch process etc)

Consistency in work allocationMeet Customer SLAsRule based work allocation

Maintain Quality at all stagesAutomate sampling/audit process to ensure compliance Track errors against FTEs to link to training needs

Ensure TAT adherencePre configured TAT for each stepAlert/notification on approaching/overshooting TAT

Adaptability to Changes

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Page 18: Bpm base solutions for healthcare bpo (business excellence)

Claim Settlement process Overview

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Page 19: Bpm base solutions for healthcare bpo (business excellence)

Process Overview

Transmission of Claims / Manual Submission/

Re-submission

Charge entry

Medical Coding(CPT, ICD dx, ICD vol 3 etc.)

Coding QA

Audit

Payments Posting

AR Analysis & Follow-up

Audit

FTP & Indexing

Image assisted data entry

centralized data/document

repository

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Page 20: Bpm base solutions for healthcare bpo (business excellence)

workflow and coding process

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Page 21: Bpm base solutions for healthcare bpo (business excellence)

productivity in coding process

Allowing Process Manager to track work at each stage of the shop floor.

Enhancing productivity by eliminating redundant manual steps and optimizing Processes.

Enhancing Quality of data collated and analyzed.Improving accuracy by automation of data-entry wherever

possible, automating Validations, and using strict quality control

Providing 360° view of enterprise information & reports on demand, transparently in a timely manner to each level.

Maintaining a workflow for all the activities in the practice.Minimizing the tangible documents/proceedings as much as

possible.Automating of all the QA mechanisms that need to be

followed.21

Page 22: Bpm base solutions for healthcare bpo (business excellence)

ApproachDesigned to quickly create and change processes

Abstraction of business requirements

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New Process Transitions can fit into existing

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Page 23: Bpm base solutions for healthcare bpo (business excellence)

Benefits

Customer

Team lead

management

Administration

Associate

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Page 24: Bpm base solutions for healthcare bpo (business excellence)

Associate

Standardized Rich UI for effective data entryImaging tools for better image viewingBuilt in rules for data entry correction at sourceOn line helpers for data entryOn Line Self productivity and error analysis

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Page 25: Bpm base solutions for healthcare bpo (business excellence)

Team Lead•Auto distribution of work based on business rules

•On Line reports for tracking and delivery•On Line productivity and quality analysis•EOD/EOM Report Generation for Customer•Centralized Management of the process•Timely alerts •Auto Sampling of Data for QC

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Page 26: Bpm base solutions for healthcare bpo (business excellence)

Management

• Rollup Data for All Processes on the Shop Floor

•A Streamlined Operations environment•Reduction in Training needs•Movement Towards a Metric based organization

•Reduced dependency on individuals

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Page 27: Bpm base solutions for healthcare bpo (business excellence)

Administration

•Automated Downloading and Indexing of files•Centralized Management of all processes•Reduction in user calls due to single application/interface in all processes

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Page 28: Bpm base solutions for healthcare bpo (business excellence)

Overall Benefits

Digitized, Sensitized and vitrified back- end operations

Reduced time to transition of new processes

On line access to Live Process Data for analysis

Seamless Query Resolution

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Page 29: Bpm base solutions for healthcare bpo (business excellence)

Some of Our Esteemed Customers

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Page 30: Bpm base solutions for healthcare bpo (business excellence)

contact for more about our solutions

Pramod Kumar Manager Business Development

Velocis Systems Pvt LtdAugment Division (BPM base process solutions)

M. [email protected]

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Page 31: Bpm base solutions for healthcare bpo (business excellence)

Thank You !

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