Tallan Blog

Tallan’s Experts Share Their Knowledge on Technology, Trends and Solutions to Business Challenges

Category Archive for "Healthcare"

CMS

First Look: Microsoft Healthcare Bot

On February 7th, 2019, Microsoft announced the availability of a new SaaS chatbot offering designed for use in the healthcare industry.  They designed it to be a very fast-to-market conversational AI with built-in healthcare language models, terminology, and be compliant with security standards in the industry (HIPAA, ISO 27001, ISO 27018, CSA Gold, GDPR).
Mid-March I began my exploration into this offering and started building my first “Scenario.”  Once you have created a bot, you are delivered to a new portal and are quickly presented with a showing of pre-baked templates for you to modify and make your own. At the time there were three available and four listed as coming soon.

I decided to start with the Provider Lookup scenario.  Once I created the scenario, I was then taken to a well-designed CMS tool for building it.  The tool displays the…

Top 3 Trends Impacting Healthcare Payers

Healthcare is one of the most important factors in how individuals perceive their quality of life.i But quality health care comes at a price and precious healthcare funding is being lost to fraud, waste and abuse (FWA). In fact, an estimated $455 billion in global healthcare spending is lost every year – ultimately leading to lower quality care and higher premiums and taxes.ii
Everyone plays a role in combatting FWA, but healthcare payers are on the front lines. Recently, three major trends emerged that present an opportunity for healthcare payers to play a major role in combating FWA. Let’s take a look at the way these trends are changing the healthcare landscape.
1. Plenty of healthcare data, not enough insights
Healthcare executives would like to leverage big data, but only a few are able to gain EDI data insights and visibility needed to garner…

Setting Verbose mode for a Boomi Process using Dynamic Process Property

Setting Verbose mode for a Boomi Process using a Dynamic Process Property
In most instances developers will have to accommodate certain reporting, notification and logging requirements of a given interface within the Dell Boomi AtomSphere platform.
Often times, the logging or emailing may need to be disabled for testing and/or faster iterative cycling through test cases and, of course, to not annoy the user community with email test messages.
The most straightforward way to accomplish or implement a verbose or Test Mode Boolean flag (as is very common in other platforms) is to create and enable a Dynamic Process Property and then assign its default value while allowing to reassign the same with extensions directly after deployment.

B2B Challenges in Healthcare

It’s no secret that paying for healthcare in the United States is extremely difficult to do. Payment systems for healthcare across the country are highly fragmented; many payers and providers use multiple formats for remittance. This creates challenges and frustration for patients, providers, and insurance companies, particularly at a time when there is increased pressure to reduce costs. Other industries use B2B automation processes in standard languages like EDI to standardize and automate payment systems; B2B challenges abound for the healthcare industry.
The B2B challenge in healthcare remittances
Thanks to the Affordable Care Act, there are now in motion some new initiatives related to healthcare payment reform – chief among them, the transition from fee-for-service to value-based care.  “The ramifications of this transition for payers are significant,” says John Tyler, Data Science Platform Manager at Premera Blue Cross. “Payers are going to…

Considerations About HL7 Integration

On the provider side of healthcare integration, HL7 (particularly v2) is a critical message type to understand. While it is standardized and heavily used by various EHRs/EMRs, it’s used in slightly different ways. There are efforts to further standardize and normalize its use across the board (such as with v3/FHIR), many EHRs and EMRs continue to use 2.x messages.  Common HL7 messages include admissions/transfer/discharge (ADT), scheduling (SIU), lab orders and results (ORU, ORM), and medical reports (MDM).  Choosing the right HL7 or EDI Software platform can be challenging.
Some of the challenges of HL7 2.x messages include:

The ability to add non-standard custom segments or additional data anywhere in the message (whether they are completely custom “Z Segments” or other segments that aren’t typically part of the message, such as IN1 segments in an ADT message to include additional insurance information).
A myriad of…

The Queue Manager solution to the Healthcare business

From my limited experience working for a client in the Health Care business I saw the magnitude of positive change the right solution can have on a problem. In the health care business it is often the case that patient information needs to be managed in such a way that it is easy to organize and manipulate patient data, by many different people. In a lot of cases a lot of this work and organization is done manually, whether it is a manual process on a computer or whether it is still done on physical paper. These manual solutions obviously slow down the workflow and add a level of complexity to organization that can be greatly simplified with a conceptually simple solution, The Queue Manager.
The Queue Manager, as you may have assessed from its name is comprised of a simple…

Leveraging Queue Manager Technology to solve the Healthcare Business Problem

            In the healthcare business today, a problem exists in integrating various information systems. The issue can be partially attributed to the fact that these systems only serve one specific department within a healthcare business.  Having such an issue can lead to inefficient patient care. For example, if patient’s health information is spread out over a number of different departments that do not collaborate, this could lead to negative implications on their overall care.
            To address the aforementioned issue and in an attempt to resolve challenges faced during system integration of healthcare applications, queue manger technology is being integrated in the healthcare industry. Specifics on queue management can be found here, but in short, a queue management application is an interface that sends and receives messages to/from other queue managers, allowing programs to run independently of each other, at different speeds…

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