Doctor and patient sitting and talking at medical examination at hospital office

Healthcare Solutions Suite

Welcome to BizTech Automations’s Healthcare Solutions Suite, where we empower businesses in the healthcare industry to thrive in the digital age. Our comprehensive suite of process automation solutions are tailored to meet the unique needs of Health Insurance (Payors), Healthcare Providers, and Life Sciences (Pharmaceutical/CRO) companies.

All BizTech Automation solutions enable knowledge workers with the tools to work at the top of their license and improve performance and quality metrics. All of our solutions reduce costs and improve accuracy. We do this primarily though digital transformation and by improving individual and departmental productivity.

AI is a game changer for many companies and the use of best in class AI technology is an option in all of our applications including Generative AI as well as Decisioning AI. BizTech partners with many companies, such as Microsoft, to deliver the best results for our clients.

Health Insurance Companies (Payors)

Streamline Your Operations with BizTech Automated Digital Mailrooms

In the fast-paced world of Health Insurance, efficiency and accuracy are crucial. Information arrives through HIPAA methodology (HL7) and also through email, fax, and mail. Processing this information quickly and accurately in support of claims processing and member servicing makes a trememndous impact on the financial performance of the organization.

Our expertise in Health Insurance extends to Claims Processing, Enrollment, Data Analytics, and Member Communications. Leveraging state-of-the-art OPEX, Kodak, and Fujitsu scanning technology, we help payors process claims faster, enhance enrollment efficiency, and improve member communication through digital mailrooms. Our solutions not only reduce manual effort but also ensure accuracy and compliance in the claims processing workflow.

Payment Integrity Services

Ensuring the integrity of payments is a top priority for Health Insurance Payors. Our Payment Integrity Services, powered by Tungsten Automation (formerly Kofax) digital mailroom and information processing automation software, utilize advanced algorithms and data analytics to identify discrepancies and anomalies in billing and claims data. By detecting potential fraud and billing errors, we save payors significant costs while maintaining billing accuracy.

Payment Integrity and HEDIS:

Effortlessly access and manage patient records with our innovative interoperability bots. Integrated with Kofax and INDICIUM solutions, our advanced automated solutions simplify the retrieval of patient records, ensuring you have the right information at your fingertips, when you need it most. This not only saves time and significant costs but also greatly reduces “friction” between Payors and Providers.

HEDIS and RAF Automation

Stay ahead of quality and risk adjustment requirements with our HEDIS and RAF automation tools. We integrate with all major EHR and claims adjudication systems such as EPIC, Cerner, Meditech, Greenway, ECW, Pega Systems, and McKesson. Our solutions provide a comprehensive view of member data, enabling payors to identify opportunities for improved care management and revenue optimization.

Healthcare Providers

Enhance Revenue Cycle Management with Automated Digital Mailrooms

For healthcare providers, efficient revenue cycle management is essential for financial success. Our digital mailroom solution, enhanced by technology from OPEX, Kodak, and Fujitsu, optimizes the processing of vendor invoices, patient billing, credentialing records, medical records and financial documents. By reducing manual errors and accelerating cash flow, we enable healthcare providers to focus on delivering quality patient care without the burden of administrative tasks. Everything BizTech Automation delivers to our clients fully supports healthcare’s Quadruple AIM.

Robotic Process Automation: BOTS

Automate critical processes such as Pre-Authorization, Denial Management, Audits, and EHR System Migration with our Robotic Process Automation (RPA) and BOT solutions. Integrated with Kofax and INDICIUM solutions, our automation tools ensure accuracy, efficiency, and compliance, allowing healthcare providers to streamline operations and allocate resources where they matter most—patient care.

Life Sciences (Pharmaceutical) and Clinical Research Organizations

CRF-21 Part11 Compliance

In the highly regulated field of pharmaceuticals and clinical research, compliance is paramount. Our Enterprise Content Management solutions, enhanced by OPEX, Kodak, and Fujitsu scanning technology, support CRF-21 11 Part K compliance by securely managing and organizing critical clinical trial documentation. We provide the tools you need to navigate complex regulatory requirements confidently, ensuring that your research and development efforts are conducted in a compliant and efficient manner.

Embracing Digital Transformation with BizTech Solutions: Advancing Healthcare’s Quadruple Aim

In an era where digital technology reshapes every aspect of our lives, the healthcare industry stands at a pivotal juncture. Digital transformation within healthcare not only promises to streamline operations but also to significantly enhance patient care, reduce costs, and improve overall health outcomes. At BizTech Solutions, we’re at the forefront of driving this transformation, offering a suite of solutions designed to propel healthcare organizations towards achieving the Quadruple Aim: enhancing patient experience, improving population health, reducing costs, and improving the work life of healthcare providers.

Enhancing Patient Experience

In today’s fast-paced world, patients expect convenience, transparency, and personalization in their healthcare experiences. BizTech Solutions leverages advanced technologies like eForms and RPA (Robotic Process Automation) to streamline patient intake processes, reduce waiting times, and ensure more meaningful patient-provider interactions. Our Dolbey speech recognition and documentation tools further expedite the documentation process, allowing healthcare providers to spend more time with their patients and less on paperwork.

Improving Population Health

Improving the health of populations requires robust data analytics and management systems. INDICIUM Data Management Solutions offer healthcare organizations the ability to seamlessly collect, analyze, and leverage data to make informed decisions. By integrating AI and machine learning technologies, our solutions provide predictive analytics that can identify at-risk populations, track disease spread, and suggest preventative measures, thereby directly contributing to improved population health.

Reducing Costs

One of the most critical challenges in healthcare is managing and reducing costs without compromising on care quality. Our suite of automation tools, including Kofax and TruBridge, plays a pivotal role in streamlining operational processes, reducing manual errors, and enhancing efficiency. By automating administrative tasks, healthcare organizations can significantly lower operational costs, reduce billing and coding errors, and ensure more resources are directed towards patient care.

Improving Provider Satisfaction

Healthcare provider burnout is a growing concern, with administrative burdens often cited as a major contributing factor. Our solutions are designed to alleviate these burdens through automation and efficient data management. By reducing the time spent on administrative tasks, healthcare providers can focus on what they do best: caring for patients. Moreover, our Critical Matrix software supports healthcare organizations in managing compliance and risk, further reducing the stress and workload on healthcare providers by ensuring that they operate within a secure and compliant framework.

Driving Forward with BizTech Solutions

At BizTech Solutions, we understand the intricacies and challenges of the healthcare industry. Our digital transformation solutions are not just about implementing technology; they’re about creating a seamless, efficient, and patient-centered healthcare ecosystem. By partnering with healthcare organizations, we aim to drive innovation that supports the Quadruple Aim, ultimately leading to a healthier population, happier providers, and a more sustainable healthcare system.

The journey towards digital transformation in healthcare is complex but crucial. With BizTech Solutions, healthcare organizations can navigate this journey confidently, leveraging technology to improve every aspect of care delivery and operations. Contact us today to discover how we can help you transform your healthcare organization and advance towards achieving the Quadruple Aim.

At BizTech Automation, we are committed to helping healthcare industry players achieve their goals by providing tailored solutions that drive efficiency, compliance, and growth. Contact us today to explore how our Healthcare Solutions Suite, powered by cutting-edge technology and seamless integration with major EHR and claims adjudication systems, can transform your operations and ensure success in your specific vertical market.

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