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Category Archives: PACE

LTC – Long Term Care IT Implementation

Posted on July 25, 2016 | Categories: HealthCare, HealthCare IT, Managed Long Term Care, Medicaid Long Term Care, Medicare, MLTC, PACE, Program and Project Management | Posted by: admin

LTC – Long Term Care IT Implementation

 

  • Overview of Long Term Care (LTC)
    • CNA – Certified Nursing Assistant
    • CNH – Certified Nursing Homes
    • CNF – Certified Nursing Facilities
    • Traditional Long Term Care (TLTC) Vs Person Centered Care (PCC)
    • SNF – Skilled Nursing Facilities

 

  • Long-Term Care Services / Activities covered
    • Activities & Exercises
    • Bathing
    • Dining
    • Measurement – Program Quality, Resident Satisfaction, Staff Interaction
    • Medication Administration
    • Nurse Administration
    • Physician Administration
    • Transportation

 

  • LTC Leadership
    • Administrator / CEO/ COO
    • Director of Dietary
    • Director of Housekeeping
    • Director of Human Resources
    • Director of Maintenance/ Engineering
    • Director of Nursing
    • Director of Technology
    • Director of Training/Education
    • Medical Director

 

  • The Care Team
    • Activities Facilitator
    • CAN / / Nursing Aide
    • Dietary Aide
    • Housekeeper
    • Pharmacist
    • Social Worker
    • Unit Nurse (RN)

 

  • Health Information Technology (IT) in Long-Term Care (LTC) Settings per HHS
    • Completing government mandated data sets are distinct from the processes used to maintain EHRs
    • Health IT in LTC is well behind that of physician offices and hospitals but improving
    • Lack of Capital Resources & Lack of computer skills among LTC staff
    • lack of standards for sharing information in an interoperable manner

 

  • Benefits of EMR in LTC
    • Enhanced communication and information exchange between varied entities viz. physicians, staff, residents, families of residents, pharmacies, and others
    • Improved provider efficiency and satisfaction
    • Improved regulatory compliance
    • Reduced medical errors and increased resident and patient safety.
    • Valuable information available at the point of care

 

  • LTC Challenges
    • Discontinuity of Care
    • Dissatisfaction of Residents and Staff
    • Insufficient Funding
    • Lack of Interoperable Standards
    • Regulatory and Legal
    • Staff Turnover
    • Staff Turnover
    • Technology Upgrade

 

 

  • LTC Reimbursements / Payments for 40 million members
    • Medicaid – 60%
    • Medicare – 15%
    • Private Insurance – 25%

 

Contact – Manish for IT / EMR Implementation for LTC at 646.644.3049 or manish@techcusp.com

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Project Management for Insurance & HealthCare

Posted on March 18, 2016 | Categories: Account Manager, Agency Systems, ALIP, Analytics, Change Management, Claims, Clinical Services, Consulting, Development Project Manager, Document Management, EMR / EHR, ePrescription, eRx, Health Insurance, HealthCare, HealthCare IT, Insurance IT, IT Services, Medicare, MLTC, Mobile Health, PACE, Payers, PBMs | Posted by: admin

Project Management for Insurance & HealthCare

 

  • Casualty Insurance
  • Health System
  • Hospital Care
  • Life & Annuity Insurance
  • Property Insurance
  • Physicians Group
  • Inpatient
  • Out-Patient
  • Emergency Room

 

PMI approved Project Management – Scope, Time and Cost

 

  • Change Request Management – identifies and develops strategy for changes in scope, schedule, and cost.
  • Communications Management – creates and manages communications with stakeholders providing relevant details for informing and decision making in status reporting.
  • Cost Management – develops, monitors, and assesses project budgets through the entire project life cycle providing full transparency to stakeholders.
  • Documentation Management – Creates appropriate project documentation. Effectively negotiates tradeoffs between scope, schedule, and budget
  • Communication Management – Excellent communication, interpersonal, Presentation and written skills.
  • Implementation and Transition Management – creates transition plan, identifies lessons learned, and applies the lessons learned to future projects.
  • Integration Management – identifies and manages project interdependencies.
  • Quality Management – identifies relevant quality standards and defines governance, communication, and quality processes across SDLC – Dev, QA and Prod stages
  • Resource Management – identifies appropriate staff, defines roles and responsibilities, develop project organization chart and governance structure.
  • Risk & Issue Management – identifies and creates mitigation plans for risks and issues. Utilizes available tools for identifying and tracking issues.
  • Schedule Management – creates, manages, and understands impacts to project scope, constraints, and schedule via MS Project Plan and CA – Clarity
  • Organizational Management – Ability to work well on cross functional project teams including IT and business subject matter experts

Call us for Project Management & Program Management

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Medicare Advantage – Software Platform by Techcusp

Posted on November 9, 2014 | Categories: Analytics, Apps, BPM, Business Intelligence, Care Management, Consulting, CRM, Database, Document Management, Health Cusp, Health Exchange, Health Insurance, HealthCare, Insurance, Managed Long Term Care, Medicaid Long Term Care, Medicare, MLTC, Mobile Apps, PACE, Payers, Pharmacy Benefit Management (PBM), Portal, Qulaity Assurance (Testing), Software Development, Tech Cusp, TechCusp.com | Posted by: admin

Medicare Advantage – Software Platform by Techcusp

 

We could build custom software for your Medicare Advantage, MAPD, PDP, Self-funded, Health Co-Op, MLTC, PACE Plans to cover your niche workflows from Mobile Apps to Enrollment, Claims & Accounting Integration.

 

Salient features of Techcusp MA software

 

  • Analytics
  • Document reconciliation and management
  • EGWP
  • Eligibility management
  • Enrollment / disenrollment management
  • Member mail management (member record storage of in and outbound communications)
  • Multi-channel capability – phone, web, chat, SMS
  • PBM integration
  • Premium billing and collections
  • Reporting and Dashboard
  • Three-way reconciliation (CMS, fiduciary, PBM)

 

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About Techcusp

Posted on October 27, 2014 | Categories: Analytics, Apps, Banking/Fs, BPM, Business Intelligence, Care Management, Consulting, CRM, Database, Document Management, Employee Benefits, Health Cusp, Health Exchange, Health Insurance, HealthCare, Insurance, ISVs, IT Services, JAVA, Managed Long Term Care, Medicaid Long Term Care, Medicare, MLTC, Mobile Apps, PACE, Payers, PBMs, Pharmacy Benefit Management (PBM), Portal, PPO Network, Providers, Qulaity Assurance (Testing), RCM, Software Development, Tech Cusp, TechCusp.com, Technology Stacks, TPAs, Website Development | Posted by: admin

What is Techcusp.com (TCC)?

 

  • TCC is IT Services & Software Development firm with sweet spot into Insurance, HealthCare & Banking

 

What are the Services of TCC?

 

  • Application Development
  • Business Process Management (BPM)
  • Quality Assurance (QA – Testing)
  • Mobility (MDM)
  • Business Intelligence (BI) – Data Warehouse, Data Analytics, Data Dashboard
  • System Integration
  • Staffing – Consulting

 

What are the Products (IP) of TCC?

 

  • Pharmacy Dashboard & Reporting

 

How TCC is different?

 

  • We are focused into Mid-market opportunities i.e. deal size less than $10 million.
  • We are USA HQ firm
  • We are focused into Insurance IT, HealthCare IT and Banking IT
  • TCC Delivery capabilities are Managed Services (Onshore-Offshore), Consulting Services (Onshore-Onsite)
  • We are Price competitive
  • TCC Management & Executive Team has over 100 Years of work experience into domain, workflows, IT & Outsourcing space

 

What are sister firms of TCC?

 

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Insurance IT, HealthCare IT & Banking IT resources – TechCusp.com

Posted on July 7, 2014 | Categories: Analytics, Apps, Banking/Fs, Business Intelligence, Care Management, CRM, Document Management, Health Cusp, Health Exchange, Health Insurance, HealthCare, Insurance, ISVs, IT Services, Managed Long Term Care, Medicaid Long Term Care, Medicare, MLTC, Mobile Apps, PACE, Payers, PBMs, PPO Network, Qulaity Assurance (Testing), RCM, Software Development, Tech Cusp, TechCusp.com, Technology Stacks | Posted by: admin

Reach out o us for Insurance, HealthCare & Banking IT Resources 

 

Consulting

  • Program / Project Management Office (PMO)
  • Project Managers (PM)
  • Business Analytics (BA)
  • Software Developers (SD)
  • Solution Architects (SA)

 

Big Data

  • Business Intelligence(BI)
  • Data Warehouse (DW)
  • Database Administration (DBA)
  • Data Analytics (DA)
  • Data Migration (DM)
  • Portal

 

Business Process Management (BPM)

  • Pega
  • Lombardi
  • Appian
  • MS BizTalk

 

Quality Assurance (Testing – COE)

  • Selenium
  • Load Runner
  • Manual Testing
  • Automated Testing
  • Server Side Automation

 

Application Development & Maintenance (ADM)

  • JAVA Technology
  • Microsoft Technology
  • Oracle Technology
  • Open Source

 

Mobility

  • Apple – iOS Apps
  • Google – Android Apps

 

Document Management (Workflows)

  • Share Point

 

Banking & Financial Services

  • Front-end Trading Solutions
  • Asset Management
  • Cash Management
  • Payment Gateway
  • eBusiness / eCommerce
  • Staff Augmentation / Contractors

 

Insurance & HealthCare

  • Duck Creek
  • UnirisX
  • ALIP
  • Plexis
  • Allscripts

 

Co-Product Development (Framework)

  • Tele-Health
  • Electronic Health Records (EMR/HER)
  • Pharmacy Benefit Management (PBMs)
  • Independent Software Vendors (ISVs)
  • Clinical Services
  • Care Management
  • Wellness Management
  • Claims
  • Revenue Cycle Management (RCM)
  • Health Exchanges
  • Automated Audit Tools
  • MLTC
  • Home HealthCare

 

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425 Washington Blvd.,
Jersey City, New Jersey 07302, USA

Phone: +1 201.258.4704
Fax: +1 201.604.3480
E-mail: Contact@TechCusp.com

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