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Santéon for Healthcare

Improve care and reduce costs

Healthcare payors and providers are under increasing pressure to improve care and reduce costs, and are strategically turning to process streamlining, collaboration and integration to accomplish these efficiencies. Compliance requirements such as the Health Insurance Portability and Accountability Act of 1996 (HIPAA) put additional pressure on the healthcare industry. Santéon BPM provides a rapid and low-cost way to handle patient and administrative process efficiencies, with many out-of-the box components for healthcare, such as HIPAA X12 message structures and forms and HL7.

To maximize ROI, HIPAA compliance should be incorporated as business transformation and technology planning.

Santéon's customers are realizing significant ROI in their HIPAA compliance initiatives. While many organizations have substituted their legacy electronic formats with the HIPAA required standard formats, they are still using legacy processes and not taking full advantage of the benefits of the standardization. There is still significant manual intervention, too many rejections of transactions, too much time responding to errors and questions, and significant slow downs handling paper from non-adopters. Santéon is helping customers leverage the benefits of data standardization. One customer took a 3 day claims paying process down to a 10 minute process. And now they have insight into the status of claims to respond to customers better than ever before.

Santéon's solutions for healthcare organizations provide these key benefits:

• Streamline processes of capturing and sharing patient medical and administration information to improve care at Point of Service
• Improve the quality of care in real-time by providing collaboration on patient information through enhance information flow across the enterprise
• Prevent errors, in administration and care
• Lower administrative costs
• Reduce stacks of paper work and the time to process it
• Ensure compliance with a variety of regulations, including HIPAA and JCAHO, by automating processes
• Improve Revenue Assurance Management through integration
• Increase customer satisfaction and streamline communications through portal technology
• Improve Patient Identity Management and Connectivity with other enterprise systems such as Electronic Medical Records (EMR)

Santéon is currently seeking a partner to improve information exchange using RFID in hospital settings. Contact us, if interested.

Santéon solution areas for Healthcare

Santéon serves a variety of healthcare organizations, including, Payors, Providers, Health Systems, Third Party Administrators, Government, Taft-Hartley Labor Funds, Clearinghouses.

• HIPAA Transactions: built-in message structures, pre-built forms with intelligence for HIPAA, supporting all seven levels of compliance
• HIPAA Privacy and Security: Gap Analysis and Remediation in a tool to manage the complete lifecycle of managing compliance
• JCAHO Compliance: Process standardization and audit trail

Santéon can also support other process activities for healthcare, including HR administration, procurement, supply chain management, research protocols and trials, forms management for workers compensation and other types of highly manual or paper-business processes that would benefit from pulling data from disparate systems into a workflow and intelligent form with full audit trail.

Santéon also OEMs BPM functionality for healthcare independent software vendors : ISVs power their software with Santéon's workflow, intelligent forms, UI and other abilities to better provide services for their healthcare customers

For further information on improving your healthcare administrative or patient management efficiency, contact 1-866-santeon (toll free) or info@santeon.com.