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Technosoft Business Model

851 Words4 Pages

Technosoft is a nation market leader for global provider of healthcare services to Payers, Accountable Care Organization, Benefit Management & Wellness services. For more than a decade, Technosoft has developed a strong legacy and a proven track record of providing healthcare services to both US Providers and Payers.

Our Payer healthcare segment solutions enable Commercial, Blue plans, ACO organizations, Government and Healthcare exchanges to improve patient outcomes through better care co-ordination, collaboration and management – while making sustainable performance improvements that drive financial health. Our solutions, industry experts and data-driven methodologies are helping healthcare enterprises make informed changes to drive total …show more content…

• Renewal and premium billing
• Customer service.
• Medicare advantage enrolment process – AEP & Non-AEP process, TRR codes & eligibility validation.
• Risk Adjustment and Hierarchical Condition Category (HCC) coding
• Premium Billing and Reconciliation : 27
• HCC Coding

VI. Clinical Services & Reporting:

Our goal is to save you time and money as well as to accurately identify missed and at-risk revenue to boost your bottom line.
Technosoft clinical services include:
• Risk Adjustment and Hierarchical Condition Category (HCC) coding
• HEDIS reporting
• Code Audit & Compliance.
• ICD-10 services.
• Over Payment & Recovery services.

VII. Population Data Management (PDM)

From hospitals and ACOs, to health plans and government programs, all types of healthcare players need to bring their disparate data sources and systems together to work in a unified way that supports effective decision-making which enables business leaders to manage population health and continually improve care at the patient level.

Technosoft provides services throughout the lifecycle of data management, from data extraction, transformation and loading, analysis and submission towards decision- making.

VIII. …show more content…

PAYER ANALYTICS Solutions Our payer analytics provides the insights you need to negotiate fair and accurate rates with providers. Our actionable insights help improve productivity, giving care managers the ability to engage with more members than ever before. By assisting members in avoiding hospital readmissions, choosing appropriate care settings, and managing their own health conditions, care managers can reduce utilization costs across the board.

IX. Mobility - – Re-routed to Mobility segment above

Being leaders in mobility solutions, with strong offerings, integrated workflows and simple user interface, we help healthcare providers optimize and streamline the way data is entered, accessed, and shared, resulting in improved delivery of care. Our payer solutions are deployed including wellness ERP, IVR, Claims reporting

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