Integrated Data & Record Management
One of the major challenges facing the Health Care industry in the
area of data integration and management is data processing integrity,
accuracy, and automation. Internal legacy systems often have been
pieced together over the years through acquisitions, mergers and
non-integrated development. Many providers struggle with manual
data management processes when interacting with external data sources (e.g., Centers for Medicare and Medicaid Services
- CMS) and are further challenged by disparate database management
systems. Companies receive external data feeds on a regular basis but often do not fully integrate this data with their internal records. The process of manually receiving, cleansing, formatting, storing and integrating these data to achieve a single view of members' account status creates time and expense inefficiencies.
DHSoft's Integrated Data Management solution automates and integrates both internal and external data sources (e.g., CMS) into a centralized data warehouse, ensuring that our Clients have a complete and current view of each member for claims, risk management, marketing campaign management, member service, fraud management, financial reporting and other data-dependent functions. An integrated and centralized data warehouse ensures that data-dependent organizational member and affiliate operations are optimized. The benefits of a centralized source for data and record management include:
- "Single version of the truth" for all data access, analysis and reporting.
- Fully automating external and internal data sources and records (e.g., CMS files) into a centralized repository.
- Reducing data processing and integration time to seconds over manual processing alternatives.
- Eliminating manual entry errors, resulting in greater data transparency, and record and reporting accuracy for regulatory and legal compliance.
- Improved operational efficiencies resulting in lower costs and higher operating margins.
- Integrated view of patients, members, and affiliates, including medical history, claims payments, premiums, commissions, patient diagnostic information, coverage, enrollments and cancellations resulting in better member service.
Health Care Industry Case Study: Data Warehousing
Download DHSoft's case study of Data Warehousing in the Health Care industry.
Healthcare Industry Case Study: Data Warehousing