HEALTHCARE ANALYTICS AND INFORMATICS (HCAIR) CONSULTING

Claims Analysis and Medical Management
Cost and Utilization, Prompt Payment, DRG Analysis, Specific Claims System Issues, Membership Details, Risk Stratification, Member Identification, Predictive Models, Providing Profiling, Drug-Drug Interactions, Pharmaceutical Marketing, and etc...

Operations
FTP Optimization, Provider Profiling, Network Analysis, Plan Effectiveness,
Quality, Data Quality, Clinical quality measures, Statistical Process Control,
Sigma Six Methods, TQM or CQI Implementation, etc...

Information Systems
Reports on Demand, Data Mapping, Programming (VB, .Net, PHP, Perl,
Coldfusion, C/c++, Java, ASP, .NET, etc...), EDI Processing,
Mainframe Queries/loading/etc, Database (Oracle, DB2, Access,
FoxPro, Informix, etc), Modeling (ERWIN, ROSE) etc...

Business Intelligence
Decision Support Systems, Surveillance Systems, SAS,
SPSS, SYSSTAT, Brio, Informatica, Cognos, Business Objects, Matlab, etc...

Clinical Studies and Assessment
HEDIS, Intervention Programs, Medication Usage, etc...

System Analysis and Design
Current System Process Analysis, GAP Analysis, Reengineer Current Systems,
Data Transfer, SAD for new systems, Patient Safety System, etc...

Finance and Accounting
Get the overall picture of your organization, A/R recovery, Finance/Accounting
Warehouse, Reconciliations, Financial Reports on demand, etc...

Fraud Detection
Collaboration with PSC and CMS to Provide Analysis for
 Fraud Abuse Cases and Investigations.

Statistics Consulting
Provide Advanced (PhD In Statistics) and Statistics Solutions to Organizations.

Total IT Solution
Network, Support, Storage, Intranet, Internet, Internet Applications,
and other Customized Solutions.

Total Business Solution
Business Process, Six Sigma, Accounting/Back-end Office, Full-IT support, Strategy and Business Development