Consultations, Project Implementation, Trainings & Workshops

• Develop a Vision & Mission Statement
• Generate marketing & Business opportunities for subsidiary verticals basis market needs
• Review operations processes, identify gaps and process re-engineering for robustness
• Time Management
• Stress Management & Stress busters
• Systems review, identify gaps and systems upgrading/modifications for robustness
• Data Analytics using MS Excel and Analytics software such as SAP, SSPS etc.
• Anti-Fraud measures, develop EWS (Early Warning Signals), Red Flags & Training team with case studies from the industry
• Train team on medical matters and treatment protocols to identify deviations from standard treatment, up coding and cross coding
• Review empanelment and negotiate package rates with hospitals
• Time & Motion Studies to improve performance with Performance management
• Benchmarking standards with industry
• Dispute resolution on claims payments amounts and claim decisions
• Hospital Audits & Billing system  review
• Specific Bill Review
• Fraud Prevention, Detection & Mitigation
• Tailor-made need based services