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Knowledge bank

Avinica has compiled the following list of internet resources  to assist you in  your healthcare knowledge quest concerning practice management , billing, coding and compliance. You may also e-mail us at support@avinica.com where by we may further assist you  in your needs.

www.magma.com
Medical Group Management Association.

www.hbma.com
The Healthcare Billing And Management Association

www.hfma.org
The Healthcare Financial Management Association

www.cms.hhs.gov
US Federal agency which administers the Medicare, Medicaid, and the state Children's Health Insurance Program.

www.hanys.org
A non-profit organization representing healthcare networks and hospitals of NY State.

www.gnhya.org
The Greater New York Hospital Association.

www.hrsa.gov
Health Resources and Services Association.

www.cdc.gov
Center for Disease Control.

www.dhhs.gov
Department of Health and human Resources.

www.hcca-info.org
The Healthcare Compliance Association.

www.ama-assn.org
Physicians dedicated to the health of America

www.ahima.org
The American Health Information Management Association.

www.aapc.com
The American academy of Professional  Coders.


HEALTHCARE PROVIDERS

Q.1 What is a Healthcare Provider?

A.1 Healthcare Provider
This simply means providing healthcare services by a company on behalf of another company which has outsourced this job. Provider organizations are striving to improve quality of healthcare, patient safety and overall operating efficiency while dealing with cost pressures and decreasing reimbursements. It takes more than a world-class service to be competitive in the healthcare industry today. With reimbursements decreasing and prices increasing, hospitals are struggling to keep afloat. A healthcare provider has to emphasize on reducing medical errors, increase automation, improve communication with patients and payer organizations, integrate enterprise applications, and use the web as a B2B channel. Companies like us provide all these back - office jobs by taking over the work outsourced to us by other companies. We take over the total responsibility of the work outsourced to us and the companies who outsource them can can totally rely on us.

The different kinds of Healthcare Provider services are:

  • Medical Billing

  • AR Analysis and Collections

  • Medical Coding

  • EMR and Medical Transcription

  • Clinical Process Outsourcing

Q.2 In short what we provide in Medical Billing, AR Analysis and Collections, Medical Coding, EMR and Medical Transcription, Clinical Process Outsourcing.

A.2 MEDICAL BILLING
Avinica  provides some of the routine processes related to medical billing which can be outsourced easily, reducing cost and improving turnaround time. We provide quality service and help make transition seamless. We offer different pricing models to suit your requirements.

AR ANALYSIS AND COLLECTIONS
Avinica is currently serving many physicians. We work as the client's offshore team in doing the correct billing and providing the right AR follow-up. We follow and enhance client's systems and processes with our expertise and experience of the industry. Our clients appreciate us bringing value to their systems and processes. As a result we save healthcare service providers and healthcare management companies valuable practice time, resources and money. Moreover we, help them focus on building core competencies.

MEDICAL CODING
Avinica gives you immediate access to full-time certified coders that are highly trained and skilled in all areas of medical coding and surgical coding, including ICD9 diagnostic coding and CPT coding.

EMR AND MEDICAL TRANSCRIPTION
Avinica offers a simple and user-friendly EMR Solution as an ASP application. You will not require any expensive hardware or software to use this service. We can customize this application to fit your special needs. This application runs on a secure Unix server with a transaction-based ODBC compliant database which can handle terabytes of data. All you need is a Windows-based PC with Internet connection to use this service.

CLINICAL PROCESS OUTSOURCING
Spurred by a shortage of U.S. radiologists and an exploding demand for more sophisticated scans to diagnose scores of ailments, doctors at several American hospitals are finding that offshore outsourcing works even in medicine. Avinica' global radiology center utilizes the local talent pool and time zone advantage to provide a scalable business model to hospitals, radiology practices and imaging centers across the globe. Supported by the world-class infrastructure, this HIPAA compliant and Six Sigma aligned practice aids in plugging the supply-demand mismatch of radiologists in primary and consultative interpretations. By facilitating quick turn around times of reports through 24 x 7 x 365 coverage-on-demand, we lower the length of stay (LOS) of patients.

Q.3 Why should you outsource?

A.3 You will definitely benefit if you outsource. One of the most important reasons as to why you should outsource is the time that you can save by giving us the total responsibility, and you know that time is money. Since we do all the work, all the back office job and outsourced work assigned to us, you can totally concentrate on your main business, this will obviously enhance your main business. On top of that we have skilled and experienced employees doing only this job for many clients which you might not have. All these will save you money and you know that every penny saved is every penny earned, so your expenses will reduce and profits will increase.

HEALTHCARE PAYERS

Q.1 What are Healthcare Payers?

A.1 Healthcare Payers
Payers today need to be on the path to aggressively gain ground in the trend towards consumerism in health benefits placing the individual at the center of healthcare decision making process. Business and technology integration is required to have accurate and timely information available from back end core, administrative and partner systems to make customer interactions more efficient and relationships more effective. By forging strategic relationships, Avinica has helped payer organizations to become real time, customer centric organizations, thereby increasing their profitability, productivity and consumer satisfaction. Leveraging on our vast domain expertise and our experience in implementing a wide array of projects in the payer domain, our clients have experienced measurable business benefits throughout the engagement lifecycle.

The different kinds of Healthcare Payer services are:

  • Paper Claims to EDI conversion

  • Claims Adjudication

  • Member Enrollment services

  • Authorization services

Q.2 In short what we provide in Paper Claims to EDI conversion, Claims Adjudication, Member Enrollment services, Authorization services.

A.2 PAPER CLAIMS TO EDI CONVERSION
Avinica' is one of the leading companies in the industry in clearinghouse and EDI solutions for automated EDI workflow that decreases electronic claims receipt and pre-processing cost; reduces phone calls from providers and improves your auto-adjudication rate. Our secure transmission mechanisms and HIPAA translations and formats offer you the best, and most reliable, connectivity services available so that claims are processed correctly. Our nationwide electronic network reach allows us to connect to any system for all payer-to-provider HIPAA-mandated transactions.

CLAIMS ADJUDICATION
Avinica' approach to claims adjudication is straightforward - utilize a skilled group of offshore professional claims adjudicators, an operations group and a team of experienced IT professionals to deliver extraordinary service to Healthcare payers. Avinica' secure, outsourced solution will facilitate an adjudication cost savings of at least 30%.

MEMBER ENROLLMENT SERVICES
Enrollment is the initial process whereby new individuals apply and are accepted as members of a prepayment plan. The total number of covered persons in a health plan. Also refers to the process by which a health plan enrolls groups and individuals for membership or the number of enrollees who sign up in any one group.

AUTHORIZATION SERVICES
Authorization means any document designating any permission. The HIPAA Privacy Rule requires authorization or waiver of authorization for the use or disclosure of identifiable health information for research (among other activities). The authorization must indicate if the health information used or disclosed is existing information and/or new information that will be created. At Avinica' the authorization form is combined with the informed consent form, so that a patient need sign only one form.

Q.3 Why should you outsource?

A.3 You will definitely benefit if you outsource. One of the most important reasons as to why you should outsource is the time that you can save by giving us the total responsibility, and you know that time is money. Since we do all the work, all the back office job and outsourced work assigned to us, you can totally concentrate on your main business, this will obviously enhance your main business. On top of that we have skilled and experienced employees doing only this job for many clients which you might not have. All these will save you money and you know that every penny saved is every penny earned, so your expenses will reduce and profits will increase.

SOFTWARE DEVELOPMENT

Q.1 What is Software Development?

A.1 Software Development
More and more Fortune 500 companies are outsourcing software development to India. A strong supply of high-class programming talent, favorable government and tax incentives, and the ability to work efficiently with international time zones are some of the reasons why India is an attractive destination for offshore software development. By outsourcing their software development needs, companies can focus more on their core competencies and rely on service providers to manage critical, non-core processes for them. Avinica is well versed in web and software development. The kinds of solutions we offer are not just limited to mere execution of your requirements. Creativity, talent, and expertise allow Avinica to suggest ways in which you can transform your business. In some cases, if you choose, we can even define your business model. We adopt a customer centric approach where we make it our job to listen, to research, and to understand the requirements, so that we can provide you with truly unique and effective solutions. A flexible outlook makes us open to creating and developing any kind of website or web application.

The different kinds of Software Development services are:

  • Application Development

  • Database Design

  • Web Development

  • Database Maintenance

  • System Administration

  • System Integration

Q.2 In short what we provide in Application Development, Database Design, Web Development, Database Maintenance, System Administration, System Integration.

A.2 APPLICATION DEVELOPMENT
Application development is the connecting bridge that enables an idea to complete the journey from conception to reality. Application development is as much about technology as it is about formulating business processes and refining them. Quality application development is the touchstone of identifying an established and mature software company. Avinica provides application development in the areas of client /server, wireless, embedded systems and web application development. Avinica has successfully completed and delivered many innovative application development projects globally by adopting flexible and scalable architectures that ensure 24x7 business availability and reduced development cycle times.

DATABASE DESIGN
In the world of IT, it is successful management of growing amount of information that makes your business spin. A prolonged slowdown or an accidental mix-up in data processing can be eliminated by an effective database solution. Managing data is a huge task, and requires proper organization in some logical sequence. Organizing data into logical sequences makes it easily accessible and effective. In the current era of Information Technology, every organization has some data related requirements or the other. Avinica offers complete Database Design services to help you organize your data in MS Access, SQL, MYSQL and ORACLE in an effective manner. We provide a customized database design service which covers data management aspects lock, stock and barrel. We produce reliable turnkey Web based or non-Web based database-driven solutions for desktop or client/server environments in insurance, education, ecommerce, and other industries where efficient data management is vitally important.

WEB DEVELOPMENT
Website development, in literary terms, includes all the areas of developing a website for the Internet including graphical design, coding of pages, database connectivity, server configuration etc. Web development is a rapidly growing industry and is expected to grow over 20% over the next 5 years. Over the years, our approach to Web development has evolved from A to Z to bring to you sophisticated, yet easy-to-use solutions which guarantee success. Avinica offers a full range of high quality and cost effective offshore web development services to global clients seeking to reap the benefits of the Internet.

DATABASE MAINTENANCE
For any organization whether big or small data plays a major role. This data needs to be stored with special care, as it needs to be retrieved for mission critical information whenever required. Avinica simplifies this task by implementing database management and maintenance system. Many software services packages outsourced not only comprises of storing and retrieving the data at ease but along with it various outsourcing services such as data cleansing, data migration, etc. are also provided by Avinica.

SYSTEM ADMINISTRATION
System administration services at Avinica are ideal for business that rely on their website for everyday business operations but do not want the hassle of it's regular systems maintenance. Our system administration services give you the opportunity to invest all your energy, time and resources towards your business as we take care of its administration and maintenance services. Whatever may be the problem in any area of functioning related to the systems part and more, our expert service personnel are there for you round the clock. With Windows 2000, NT or XP, Linux or Solaris, etc., you can get your perfect pick of installation, maintenance, troubleshooting, updating or controlling solutions from Avinica.

SYSTEM INTEGRATION
At Avinica, we design, implement, integrate and maintain your complete ICT solution, from the application server over the network connections to the PC of the end-users. The entire solution is covered by one single SLA. Our System Integration services include the creation of complex information systems infrastructure that may include designing or building a customized Network & Server architecture, installation & maintenance of mail server, internet server, proxy server, Firewall, Storage & Clusters.

Q.3 Why should you outsource?

A.3 You will definitely benefit if you outsource. One of the most important reasons as to why you should outsource is the time that you can save by giving us the total responsibility, and you know that time is money. Since we do all the work, all the back office job and outsourced work assigned to us, you can totally concentrate on your main business, this will obviously enhance your main business. On top of that we have skilled and experienced employees doing only this job for many clients which you might not have. All these will save you money and you know that every penny saved is every penny earned, so your expenses will reduce and profits will increase.