Payers in the healthcare field face daunting and demanding challenges. For example, newly emerging payment models driven by changes to Medicare are putting extensive pressure on payers to synchronize with providers as they adopt, migrate or modify their applications. In addition, new online insurance exchanges and the growing prominence of several accountable care organization (ACO) models add more levels of complexity.
Every day, we play a central role in the evolution of the healthcare industry and the technology that makes it run. Our clients rely on our experience, access to talent and personalized approach to accomplish their critical projects.
Our core competencies include:
- Facets NetworX Pricing Configuration Specialists
- Facets Configuration Analysts
- Facets Quality Assurance Professionals
- Facets Utilization Review Specialists
- Facets Benefit Coders
- QNXT Product Consultants
- Data Integration Architects
- OBIEE Reporting Developer
- Informatica ETL Developers
- Project Managers, Facets & NASCO Leaders
- Web Developers
- NASCO Product Support Professionals
- HIPAA Compliance and Security
We’re helping payers meet ICD-10 diagnostic and procedure code requirements for HIPAA transactions. Deploying these new codes can provide more robust member status information that will yield efficiency gains and higher degrees of provider and consumer satisfaction.
Our consultants have experience within the payer field, and they can leverage this experience to help your ACO move from a fee-for-service model to a pay-for-performance model to avoid costly penalties.
Healthcare Core Administration
Your healthcare core administration system is the lifeblood of your organization. Our consultants have experience across multiple core systems, such as TriZetto, and can help you manage your business more efficiently. Having the right core administration for your business gives you the flexibility to adapt to newer technologies and product integration when business or operational needs arise.
We’ve helped many of our customers find hard-to-find talent with experience in technologies such as:
Modis can help your healthcare organization minimize its IT costs by delivering health IT consultants who have experience supporting payers and succeeding in the field. Contact us today to learn more.