The healthcare payer ecosystem in the United States has changed dramatically over the last decade and is expected to evolve at an even faster pace over the next few years. Many world-class companies involved in healthcare payment processing are finding themselves constrained by their existing information technology infrastructure. The silos that they built around Business to Business (B2B) processing are constraining them, making it difficult to achieve governmental mandates and (more importantly) increase processing efficiency and competitive advantage.
The payers’ world today requires adherence to multiple industry standards, government regulations, and industry expectations. It is becoming more technical and payers need to become more agile (Figure 1). The IBM Standards Processing Engine Solution for Healthcare Payers is your answer to B2B enablement in today’s complex HIPAA/ACA (Affordable Care Act) world.
Building Effective Denial Management DashboardsCitiusTech
In this whitepaper, we try to create dashboards from the lens of “Coding and Compliance Managers” – the real users who rely upon these dashboards regularly to help financially sustain a facility.
hCentive Webinsure Exchange Integration PlatformAlisha North
Are you an insurer worried about integrating to state & federal marketplaces? Are you worried about cost, technology infrastructure, strategy, complexity and deadlines?
This white paper addresses these concerns and more. Learn what steps you need to take and what pitfalls to avoid. Let hCentive be your guide through this challenging and changing landscape.
hCentive's WebInsure Consumer is the perfect solution for insurers looking for a proactive approach towards web based insurance solutions. WebInsure Consumer simplifies the implementation of the complex health reforms and offers a cost-effective and highly tailored solution for insurers looking to leverage retail-focussed opportunities arising in the industry.
Healthcare Information Technology: IBM Health Integration FrameworkIBM HealthCare
Today’s challenges to health plans call for business transformation — the individual member is now the customer. IBM can help make this transition from product model to service model with Health Integration Framework-enabled solutions
Importance of URAC Accreditation for Health PlansCitiusTech
Utilization Review accreditation Commission (URAC) is one of the two major organizations which accredit health plans on various healthcare quality measures.It is a Washington DC-based, nonprofit, independent organization founded in 1990, recognized by 46 states, District of Columbia, and 6 federal agencies
Building Effective Denial Management DashboardsCitiusTech
In this whitepaper, we try to create dashboards from the lens of “Coding and Compliance Managers” – the real users who rely upon these dashboards regularly to help financially sustain a facility.
hCentive Webinsure Exchange Integration PlatformAlisha North
Are you an insurer worried about integrating to state & federal marketplaces? Are you worried about cost, technology infrastructure, strategy, complexity and deadlines?
This white paper addresses these concerns and more. Learn what steps you need to take and what pitfalls to avoid. Let hCentive be your guide through this challenging and changing landscape.
hCentive's WebInsure Consumer is the perfect solution for insurers looking for a proactive approach towards web based insurance solutions. WebInsure Consumer simplifies the implementation of the complex health reforms and offers a cost-effective and highly tailored solution for insurers looking to leverage retail-focussed opportunities arising in the industry.
Healthcare Information Technology: IBM Health Integration FrameworkIBM HealthCare
Today’s challenges to health plans call for business transformation — the individual member is now the customer. IBM can help make this transition from product model to service model with Health Integration Framework-enabled solutions
Importance of URAC Accreditation for Health PlansCitiusTech
Utilization Review accreditation Commission (URAC) is one of the two major organizations which accredit health plans on various healthcare quality measures.It is a Washington DC-based, nonprofit, independent organization founded in 1990, recognized by 46 states, District of Columbia, and 6 federal agencies
Reducing Risk, Cost and Complexity Across Healthcare Processes With the Lightwell Healthcare B2B Gateway. The Lightwell Healthcare B2B Gateway solution helps healthcare organizations address HIPAA requirements (levels 1-7) while reducing risk, cost and complexity across their B2B processes.
http://www.servicewing.com/
Service Wing Healthcare, Inc. develops and markets a unique suite of software that deliver comprehensive monitoring of Body Area Network (BAN), smart and or Wi-Fi enabled devices.
Independent consultant since 1996 with over 30 years of experience with Healthcare Information Systems; Expertise in healthcare industry, project management, business analysis, business administration/operations, Electronic Data Interchange (EDI), Electronic Medical Record (EMR), Physician Practice Management (PM), Health Information Exchange (HIE), testing, training, support and consulting; Experience working directly with providers, payers, software manufacturers, electronic data interchange organizations, billing services, clearinghouses and government agencies; Excellent skills for communication, technical research and problem-solving. Efficient and effective leadership for cost effective solutions.
Cognitive Integration: How Canonical Models and Controlled Vocabulary Enable ...Cognizant
For pharmaceuticals companies dealing with multiple partners' systems, employing a canonical model for data communications facilitates point-to-point integration, and applying a controlled vocabulary (CV) in such models alleviates semantical ambiguity and facilitates cognitive and systems integration. We demonstrate how this works with a pharma business scenario involving Contract Research Organizations (CROs).
Streamline denial management process with intelligent automationRuchi Jain
Claim Denial management is a challenging process. Increased Denials can adversely affect revenue cycle operations. Ensuring accurate medical records can be difficult, with exponential growth in the administrative cost of denial claims. It can affect care delivery and hamper cash flow processes.
A white paper written for Bluepoint Solutions that discusses the context for enterprise content management. Regulatory compliance demands have grown in recent years as a result of Dodd-Frank regulations rendering the old IT systems obsolete.
Utilizing crm for medical transparency complianceCharudatta Thute
United States of America (USA) implemented Physician Payment Act, as a part of the healthcare reform bill, in February 2013 commonly known as the Sunshine Act. As per the regulations of this bill, data on payments and gifts made to physicians, teaching hospitals by pharmaceutical
and medical device companies must be made public. Healthcare companies use CRM for sales and service management and medical representatives are the key users to capture HCP (Healthcare professionals) centric data. The paper provides an honest approach to cater to Sunshine act related expense management within CRM. It details concept and approach needed to fulfill Sunshine ACT expense management compliance. The concept is based on study of US medical industry transparency guidelines i.e. Sunshine Act and can be leveraged across geographies with similar medical industry regulations and compliance.
The approach also describes first of its kind unique and distinct feature to track and monitor carbon footprint for expenses incurred by sales representatives. By relating carbon emissions to expenses, it helps set up a practice to approach customers through greener means and reduce organizational carbon footprint,
3 Ways Imaging Platforms Empower Your Enterprise - Part 2: InteroperabilityMach7 Technologies
This 3 Part Executive Brief explores key reasons image- empowering the enterprise has become one of the most significant “frontiers” to address in the healthcare eco-system. Image Sharing, IT system interoperability, and Data Analytics
are three critical business enablers that healthcare C-Suites
are discussing. Learn more at http://www.mach7t.com/
Interoperability in Healthcare: Making the Most of FHIRHealth Catalyst
With the CMS and ONC March 2020 endorsement of HL7 FHIR R4, FHIR is positioned to grow from a niche application programming interface (API) standard to a common API framework. With broader adoption, FHIR promises to support expanding healthcare interoperability and prepare the industry for complex use cases by addressing significant challenges:
Engaging consumers.
Sharing data with modern standards.
Building a solid foundation for healthcare interoperability.
A Healthcare Digitization Framework: 5 StrategiesHealth Catalyst
While most consumer-oriented industries have turned to mobile-first, cloud-based platforms for consumer interaction, healthcare lags behind in digitization, particularly when it comes to self-service consumer engagement. As digital consumer interaction increasingly drives enterprise success, healthcare must join the modern digital playing field. To get there, organizations need to establish digital investment and enablement frameworks and can then follow five strategies for stable, scalable transformation:
Formally define “digital” for the organization.
Follow 10 guiding principles to support digital.
Divide technology into appropriate portfolios.
Develop an analogy to explain the integrated portfolio approach.
Strategically select vendor partners.
Health System Mergers & Acquisitions: Considerations for IT Joann Williams-Hoxha
In HealthNET's presentation for the Massachusetts Health Data Consortium, Clifton Jay and Mary Ann Keane presented 6 considerations for health system mergers & acquisitions.
EHR Integration: Achieving this Digital Health ImperativeHealth Catalyst
As the digital trajectory of healthcare rises, health systems have an array of new resources available to make more effective and timely care decisions. However, to use these data analytics, machine learning, predictive analytics, and wellness applications to gain real-time, data-driven insight at the point of care, health systems must fully integrate the tools with their EHRs. Integration brings technical and administrative challenges, requiring organizations to coordinate around standards, administrative processes, regulatory principles, and functional integration, as well as develop compelling integration use cases that drive demand. When realized, full EHR integration will allow clinicians to leverage data from across the continuum of care (from health plan to patient-generated data) to improve patient diagnosis and treatment.
IBM MQ: The messaging solution for virtually all industriesLightwell
Simpler, faster and more reliable messaging to help enable a more responsive and agile enterprise. In this solution brief from IBM partner Lightwell (http://www.lightwellinc.com) you'll learn how IBM MQ can:
● Help enable enhanced customer interaction with faster, more reliable data processing, exchange and connectivity
● Help enable mobile banking and mobile retail innovation with support for MQTT applications
● Manage compliance and risk effectively with more reliable, security-rich data exchange
● Help enhance collaboration with a universal messaging backbone that connects virtually all systems and devices from mainframe to mobile and sensors
● Help enable pricing innovation and faster revenue growth in telcos with simpler applications
● Integrate more seamlessly telco business and operations for enhanced customer loyalty
CEVA Logistics: IBM Sterling B2B IntegrationLightwell
For consumers, retail events such as Black Friday and Cyber Monday are exciting opportunities to pick up a bargain—but for the logistics companies working behind the scenes, these massive spikes in demand can be a tough challenge.
To keep the supply chain moving smoothly, logistics companies rely on electronic data interchange (EDI) messages—containing information on purchase orders, invoices, acknowledgements and more— owing between hundreds of clients, suppliers and logistics partners. In the run-up to major retail events, the volume of EDI messages sent to logistics companies can skyrocket, and any processing delays increases the risk of lost revenues and damaged reputations. How can logistics businesses gain high-performance, dependable and scalable EDI services without breaking the bank?
Reducing Risk, Cost and Complexity Across Healthcare Processes With the Lightwell Healthcare B2B Gateway. The Lightwell Healthcare B2B Gateway solution helps healthcare organizations address HIPAA requirements (levels 1-7) while reducing risk, cost and complexity across their B2B processes.
http://www.servicewing.com/
Service Wing Healthcare, Inc. develops and markets a unique suite of software that deliver comprehensive monitoring of Body Area Network (BAN), smart and or Wi-Fi enabled devices.
Independent consultant since 1996 with over 30 years of experience with Healthcare Information Systems; Expertise in healthcare industry, project management, business analysis, business administration/operations, Electronic Data Interchange (EDI), Electronic Medical Record (EMR), Physician Practice Management (PM), Health Information Exchange (HIE), testing, training, support and consulting; Experience working directly with providers, payers, software manufacturers, electronic data interchange organizations, billing services, clearinghouses and government agencies; Excellent skills for communication, technical research and problem-solving. Efficient and effective leadership for cost effective solutions.
Cognitive Integration: How Canonical Models and Controlled Vocabulary Enable ...Cognizant
For pharmaceuticals companies dealing with multiple partners' systems, employing a canonical model for data communications facilitates point-to-point integration, and applying a controlled vocabulary (CV) in such models alleviates semantical ambiguity and facilitates cognitive and systems integration. We demonstrate how this works with a pharma business scenario involving Contract Research Organizations (CROs).
Streamline denial management process with intelligent automationRuchi Jain
Claim Denial management is a challenging process. Increased Denials can adversely affect revenue cycle operations. Ensuring accurate medical records can be difficult, with exponential growth in the administrative cost of denial claims. It can affect care delivery and hamper cash flow processes.
A white paper written for Bluepoint Solutions that discusses the context for enterprise content management. Regulatory compliance demands have grown in recent years as a result of Dodd-Frank regulations rendering the old IT systems obsolete.
Utilizing crm for medical transparency complianceCharudatta Thute
United States of America (USA) implemented Physician Payment Act, as a part of the healthcare reform bill, in February 2013 commonly known as the Sunshine Act. As per the regulations of this bill, data on payments and gifts made to physicians, teaching hospitals by pharmaceutical
and medical device companies must be made public. Healthcare companies use CRM for sales and service management and medical representatives are the key users to capture HCP (Healthcare professionals) centric data. The paper provides an honest approach to cater to Sunshine act related expense management within CRM. It details concept and approach needed to fulfill Sunshine ACT expense management compliance. The concept is based on study of US medical industry transparency guidelines i.e. Sunshine Act and can be leveraged across geographies with similar medical industry regulations and compliance.
The approach also describes first of its kind unique and distinct feature to track and monitor carbon footprint for expenses incurred by sales representatives. By relating carbon emissions to expenses, it helps set up a practice to approach customers through greener means and reduce organizational carbon footprint,
3 Ways Imaging Platforms Empower Your Enterprise - Part 2: InteroperabilityMach7 Technologies
This 3 Part Executive Brief explores key reasons image- empowering the enterprise has become one of the most significant “frontiers” to address in the healthcare eco-system. Image Sharing, IT system interoperability, and Data Analytics
are three critical business enablers that healthcare C-Suites
are discussing. Learn more at http://www.mach7t.com/
Interoperability in Healthcare: Making the Most of FHIRHealth Catalyst
With the CMS and ONC March 2020 endorsement of HL7 FHIR R4, FHIR is positioned to grow from a niche application programming interface (API) standard to a common API framework. With broader adoption, FHIR promises to support expanding healthcare interoperability and prepare the industry for complex use cases by addressing significant challenges:
Engaging consumers.
Sharing data with modern standards.
Building a solid foundation for healthcare interoperability.
A Healthcare Digitization Framework: 5 StrategiesHealth Catalyst
While most consumer-oriented industries have turned to mobile-first, cloud-based platforms for consumer interaction, healthcare lags behind in digitization, particularly when it comes to self-service consumer engagement. As digital consumer interaction increasingly drives enterprise success, healthcare must join the modern digital playing field. To get there, organizations need to establish digital investment and enablement frameworks and can then follow five strategies for stable, scalable transformation:
Formally define “digital” for the organization.
Follow 10 guiding principles to support digital.
Divide technology into appropriate portfolios.
Develop an analogy to explain the integrated portfolio approach.
Strategically select vendor partners.
Health System Mergers & Acquisitions: Considerations for IT Joann Williams-Hoxha
In HealthNET's presentation for the Massachusetts Health Data Consortium, Clifton Jay and Mary Ann Keane presented 6 considerations for health system mergers & acquisitions.
EHR Integration: Achieving this Digital Health ImperativeHealth Catalyst
As the digital trajectory of healthcare rises, health systems have an array of new resources available to make more effective and timely care decisions. However, to use these data analytics, machine learning, predictive analytics, and wellness applications to gain real-time, data-driven insight at the point of care, health systems must fully integrate the tools with their EHRs. Integration brings technical and administrative challenges, requiring organizations to coordinate around standards, administrative processes, regulatory principles, and functional integration, as well as develop compelling integration use cases that drive demand. When realized, full EHR integration will allow clinicians to leverage data from across the continuum of care (from health plan to patient-generated data) to improve patient diagnosis and treatment.
IBM MQ: The messaging solution for virtually all industriesLightwell
Simpler, faster and more reliable messaging to help enable a more responsive and agile enterprise. In this solution brief from IBM partner Lightwell (http://www.lightwellinc.com) you'll learn how IBM MQ can:
● Help enable enhanced customer interaction with faster, more reliable data processing, exchange and connectivity
● Help enable mobile banking and mobile retail innovation with support for MQTT applications
● Manage compliance and risk effectively with more reliable, security-rich data exchange
● Help enhance collaboration with a universal messaging backbone that connects virtually all systems and devices from mainframe to mobile and sensors
● Help enable pricing innovation and faster revenue growth in telcos with simpler applications
● Integrate more seamlessly telco business and operations for enhanced customer loyalty
CEVA Logistics: IBM Sterling B2B IntegrationLightwell
For consumers, retail events such as Black Friday and Cyber Monday are exciting opportunities to pick up a bargain—but for the logistics companies working behind the scenes, these massive spikes in demand can be a tough challenge.
To keep the supply chain moving smoothly, logistics companies rely on electronic data interchange (EDI) messages—containing information on purchase orders, invoices, acknowledgements and more— owing between hundreds of clients, suppliers and logistics partners. In the run-up to major retail events, the volume of EDI messages sent to logistics companies can skyrocket, and any processing delays increases the risk of lost revenues and damaged reputations. How can logistics businesses gain high-performance, dependable and scalable EDI services without breaking the bank?
Extend governance over critical B2B integration and MFT file exchanges with IBM Control Center.
Highlights:
• Improves B2B governance and compliance
• Increases customer satisfaction
• Provides central monitoring and configuration management
IBM Sterling Order Management Drop Ship CapabilitiesLightwell
Expand product assortment without increasing inventory costs with IBM Sterling Order Management.
Benefits:
• Increases revenue by expanding product assortment without increasing inventory costs
• Reduces operational costs and shortens order fulfillment lead time by automating the order processes
• Improves customer satisfaction with on time delivery by leveraging real-time visibility into available inventory
Achieve 100 percent integration with your dynamic business network. In this solution overview from IBM partner Lightwell (http://www.lightwellinc.com) you'll learn:
Overview
In this solution overview,
you will learn about:
• Protecting and flexibly integrating trading communities
• Extending internal IT and business processes to external partners
• Achieving visibility into key external B2B IT and business processes
• Accelerating the ROI of B2B projects
Benefits
• Offers faster and easier partner onboarding
• Offers more effective communication with trading communities
• Offers visibility into business activity for predictable performance
• Offers faster ROI on B2B projects
IBM Sterling Secure Proxy provides a robust, auditable edge security for your multi-enterprise data exchanges.
Benefits:
• Enable trusted Business-to-Business transactions and file exchanges
• Secure your network at the edge, protecting your data, and internal systems
• Comply with security policy and more easily pass security audits
Leverage the call center in your omni-channel strategy with IBM Call Center for Commerce.
Below are some benefits of IBM Call Center for Commerce:
• Helps ensure high quality customer service by better enabling your customer service representatives to see exactly what the customer sees
• Increases customer satisfaction by providing consistent service across virtually all channels
• Dramatically decreases average call handling time through increased productivity
• Reduced IT costs to deploy, manage, and grow call center operations
IBM Sterling Supply Chain Visibility InboundLightwell
Provide visibility across supplier and carrier networks with IBM Sterling Supply Chain Visibility Inbound.
Benefits:
• Reduce lead-time variability by identifying and adjusting to supply exceptions in real-time
• Improve supplier compliance by detecting potential order delays or shortages even before the order is shipped
• Reduce blind spots through supply chain process models that track the order lifecycle and alert on potential bottlenecks
IBM B2B and Commerce Solutions for CommunicationsLightwell
Solutions guide from IBM partner Lightwell (http://www.lightwellinc.com) explores how:
• One communications service provider increased its billing collection rate by 76 percent within one year of implementing IBM B2B and Commerce Solutions
• A broadband communications service provider doubled their average sales in the first three months with IBM B2B and Commerce Solutions
• A U.S. cable, TV and broadband provider migrated a significant portion of its sales and ordering to the lower-cost e-commerce channel
• A U.S.-based broadband provider deployed one order management system to orchestrate and execute virtually all fulfillment transactions
B2B Integration for Healthcare - InfographicLightwell
B2B integration is a tough challenge, and technology upheavals and healthcare transformation are only going to make it tougher. You’re right to be concerned. Fortunately, IBM’s right here to help.
How to Leverage Increased Data Granularity in the ICD-10 Code SetPerficient, Inc.
A webinar designed for healthcare professionals. We explore how to leverage the increased data granularity in the ICD-10 code set. While there are risks, a properly executed ICD-10 implementation will deliver plentiful rewards.
Activity-Based Costing in Healthcare During COVID-19: Meeting Four Critical N...Health Catalyst
As health systems increasingly transition to a value-based care model, the financial strains and uncertainty of COVID-19 have placed more urgency on cost management. More than ever, organizations need a costing solution that helps them understand the true value of their services. With the right next-generation activity-based costing (ABC) tool, health systems can access the detailed data they need to lower the cost of care, automate costing activities, and reduce administrative costs while preparing for the mounting intricacy of the post-pandemic setting.
Activity-based costing meets healthcare’s complex COVID-19-era costing needs by addressing four big challenges:
Data management.
Scalability.
Ongoing maintenance.
Adoption.
Healthcare products suffer from a lack of ability to control documents and non-clinical images. OpenText ApplicationXtender can solve that problem for vendors through our OEM program. This whitepaper goes through the benefits of embedding ApplicationXtender into healthcare products.
Healthcare information management is complex. Not only does it require a system designed specifically for medically relevant information, you also need a system that manages billing and the normal every-business kind of HR, vendor, etc records that confound organizations of all kinds.
In this whitepaper we go through how Content Services (nee ECM) can be used as the connective tissue between your clinical systems and administrative use cases.
The healthcare reform law will have far-reaching impacts in areas of
Coverage
Insurance Reform
Insurance Mandates
Health Insurance Exchanges
Get the FACTS here a MUST see POWER POINT
Data-driven Healthcare for ManufacturersLindaWatson19
Medical Device Equipment and Hospital Supplies Manufacturers also face increased pressure to comply with strict regulatory procedures to ensure patient safety. Product transparency and efficient end-to-end processes that optimize the manufacturing process and decision making are very important.
Data-Driven Healthcare for Manufacturers Amit Mishra
Data-driven healthcare empowers the providers with a common data platform to discover untapped data-driven opportunities. Healthcare data and its impact on the patient care decision process via accurate, real-time, reliable data from disparate sources is creating a digital health revolution. Physician groups, nursing facilities, hospitals, pharmaceutical companies, clinical researchers, and medical equipment manufacturers are all churning out vast amounts of data during their daily operations. This data has tremendous value and can revolutionize patient care, diagnosis, real-time decisions and help deliver new, unimagined innovations with quality of patient care. Know more about data-driven healthcare at https://www.solix.com/solutions/data-driven-solutions/healthcare/
Modernizing Legacy Systems in Healthcare: A Comprehensive GuideLucy Zeniffer
Modernizing Legacy Systems in Healthcare: A Comprehensive Guide" offers practical insights into upgrading outdated healthcare technology. Exploring strategies, challenges, and benefits, this guide empowers healthcare professionals with the knowledge to navigate the complexities of system modernization. From enhancing efficiency to improving patient care, it provides a roadmap for embracing innovation in healthcare IT infrastructure.
Similar to Solutions to Accelerate Compliance with Affordable Care Act (ACA) Mandates and HIPAA Standards (20)
At Lightwell we develop, implement and optimize technology solutions that address today’s critical business challenges. Our technology services and solutions—including B2B integration and file transfer, supply chain, order management, ecommerce and IT staffing—enable cost reduction, increase customer satisfaction, and accelerate growth. We are headquartered in the United States and have multiple offices in the United Kingdom.
Hirschvogel Inc: IBM Sterling B2B Integration Services Case StudyLightwell
In 2007, Hirschvogel Inc. manually processed data to and from their ERP system, which was quite labor intensive. Therefore, when their parent company asked them to migrate to SAP as part of a global strategy, they were glad to participate. As part of that initiative, Hirschvogel Inc. needed translation services between EDI X.12 documents and SAP IDocs to enable automatic processing of e-commerce with their U.S. customers.
Hirschvogel Inc. had two options: the parent company could invest in additional in-house resources to manage and support B2B integration of multiple automotive standards and protocols or outsource the process to a trusted partner. Indeed, Hirschvogel Inc. wanted to implement the most cost-effective option to reduce total cost of ownership of B2B collaboration.
Coca Cola Bottling: IBM Sterling B2B Integrator Case StudyLightwell
Manual searches and information delays were creating operational bottlenecks and business inefficiencies for Coca Cola. CCBCC’s business was running on a multitude of different technologies. Manual searches and information delays were creating operational bottlenecks and business inefficiencies. CCBCC would manually enter the equipment services work order into their legacy system when work orders arrived via phone or fax from their customers. This process was time consuming and open to error, and so CCBCC began to question the potential cost of these errors. CCBCC needed to quickly accept and return information electronically without error and focus on software replacement as a means to improve cross-application and system integration. They needed a flexible and robust system to integrate internally with SAP as well as other existing systems.
Manual data processing made Bonnie vulnerable to human errors and long delays. To improve customer service, they needed a solution for increasing operational ef ciency and providing better visibility into internal business processes and external trading partners. IBM® Sterling B2B Integration Services enables Bonnie Plants to grow and operate more efficiently.
Protecting Margins and Creating Value in TelecomLightwell
In 2010, Communications, Media, and Entertainment (CME) businesses are becoming more confident in their revenue potential with most companies feeling the recession is behind them or nearly halfway over. To prepare for spending growth, many CME businesses plan to increase their focus on sales strategies with a keen focus on improving customer collaboration as a top priority.
However, improving customer collaboration, especially in business-to- business (B2B) selling and order scenarios, is difficult to achieve due to product portfolio and selling/ordering process complexity. Within the CME marketplace, companies are offering customers a rich array of options including products and services via multiple channels. This is good news for customers, who demand freedom of choice and ease of use. But it makes selling and order management a complex task for CME companies, which are looking to optimise these processes to increase sales performance.
Learn about the transformation of managed file transfer: the drivers and challenges behind the transformation; what differentiates future-ready managed file transfer solutions from traditional managed file transfer; the business impact of modernizing your managed file transfer capabilities; and five questions to ask about your managed file transfer solution.
IBM Managed File Transfer Solutions OverviewLightwell
Learn about the products that make up the IBM Managed File Transfer Suite: the key capabilities they provide, what they allow our customers to do, how to know when you need a specific solution, and more. This guide provides an overview of IBM Sterling Control Center, File Gateway, Secure Proxy, Connect:Direct Advanced, and the Aspera File Sharing Suite.
IBM Omnichannel Commerce Solutions OverviewLightwell
Learn about changing consumer expectations and market demands, how the IBM Commerce solutions help, and they key advantages and capabilities of the IBM platform for ecommerce and order management.
Learn about flexible cloud technologies and expert services to optimize your dynamic business network. This guide provides an overview of the IBM B2B integration cloud portfolio, including: IBM Sterling B2B Collaboration Network; IBM Sterling File Transfer Service; and capabilities including mapping, transformation, community enablement, fax conversion, e-invoicing, and more.
IBM B2B Integration Gateway and Transformation Engines OverviewLightwell
Learn about common B2B integration challenges, the key advantages of modernizing your B2B capabilities, and how the IBM B2B integration solutions (including IBM Sterling B2B Integrator, IBM Transformation Extender, IBM Transformation Extender Advanced, IBM Sterling File Gateway, IBM Sterling Control Center, and IBM Sterling Secure Proxy) can help. You'll learn how these solutions work together to address a wide range of business, industry and technology needs today.
Learn about Lightwell's B2B Framework that includes:
- Over 300 pre-built components and assets
- Pre-defined, configurable rules-based processes for most common communication, translation, and routing needs
- Centralized visibility and control of documents and processes
- End-to-end visibility and 360° life-cycle tracking
- Simplified trading partner onboarding and management
- Secure, role-based access for business users and partners
- Individualized dashboards and reporting for business and technical users
- And more
At Lightwell, we develop and implement technology solutions that answer critical business challenges.
Since 1998, our experienced team has helped hundreds of companies across North America and Western Europe achieve their business and technology visions.
Our services and solutions provide organizations increased clarity and actionable insights that enable cost reductions, increase customer satisfaction, and accelerate growth. And we do this with unrivaled service expertise and innovative applications, tailored to our clients’ needs.
IBM Infographic - Enterprise File GatewayLightwell
Do you have more than two existing file gateways?
Have you missed SLAs due to file transfer failure?
Add more than 10 new external connections a month?
Are your file gateways your Achilles’ heel of security and compliance?
Anticipating an internal or external security audit that
includes file transfer?
Learn how to solve these file transfer problems in this infographic from IBM.
At Lightwell, we develop and implement technology solutions that answer critical business challenges.
Since 1998, our experienced team has helped hundreds of companies across North America and Western Europe achieve their business and technology visions.
Our services and solutions provide organizations increased clarity and actionable insights that enable cost reductions, increase customer satisfaction, and accelerate growth. And we do this with unrivaled service expertise and innovative applications, tailored to our clients’ needs.
Strategic IT Staffing, Professional Placement and Project-Based Consulting S...Lightwell
Regardless of whether you need IT resources for two months, two years or need them on a permanent basis, Lightwell’s team of recruiting and staffing professionals is ready to support you with the best technology resources when and how you need them.
Our B2B Managed Services offerings combine the industry-leading capabilities of IBM® Sterling B2B Integrator, the deep technical and business expertise of our consulting team, the numerous benefits and capabilities of our innovative B2B Framework, and world-class hosting and infrastructure.
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Solutions to Accelerate Compliance with Affordable Care Act (ACA) Mandates and HIPAA Standards
1. Solutions to Accelerate Compliance with Affordable Care Act (ACA) Mandates and HIPAA Standards 1
®
Solutions to Accelerate Compliance with Affordable
Care Act (ACA) Mandates and HIPAA Standards
IBM Redbooks Solution Guide
The healthcare payer ecosystem in the United States has changed dramatically over the last decade and
is expected to evolve at an even faster pace over the next few years. Many world-class companies
involved in healthcare payment processing are finding themselves constrained by their existing
information technology infrastructure. The silos that they built around Business to Business (B2B)
processing are constraining them, making it difficult to achieve governmental mandates and (more
importantly) increase processing efficiency and competitive advantage.
Gone are the days of a small set of data following static and simple standards traded between a limited
set of organizations. Gone are the days where the rules for when data is valid versus invalid can
expressed in a paragraph or two. Gone are the days when information about a healthcare payment was
almost entirely about the "who," "when," and "how much."
The payers’ world today requires adherence to multiple industry standards, government regulations, and
industry expectations. It is becoming more technical and payers need to become more agile (Figure 1).
The IBM Standards Processing Engine Solution for Healthcare Payers is your answer to B2B enablement
in today’s complex HIPAA/ACA (Affordable Care Act) world.
Figure 1. Today’s healthcare payer infrastructure: More than just claims
2. Solutions to Accelerate Compliance with Affordable Care Act (ACA) Mandates and HIPAA Standards 2
Did you know?
Standards Processing Engine Solution for Healthcare Payers provides a modular, comprehensive
solution for transforming for healthcare payers. It includes these features:
Modular, scalable document mediation
Consistent capabilities across multiple industry standards
Automated processing that adheres to industry practices
Support for IBM WebSphere Transformation Extender, IBM Sterling, and Extensible Stylesheet
Language Transformations (XSLT) transformation maps
Integration with multiple IBM products and third party applications
Business value
Standards Processing Engine Solution for Healthcare Payers addresses the administrative simplification
aspects of HIPAA legislation, that is, the standardization of electronic patient health, administrative, and
financial data. This solution enables organizations to accomplish these objectives:
Process the increasing volumes and regulatory complexity associated with US healthcare messaging
Build complete, certifiable healthcare solutions for HIPAA and Health Insurance Exchanges and
reporting requirements
Break down data silos, allowing a customer centric view of the data.
This solution also provides these capabilities:
A modular, scalable document processing capability to help enable HIPAA compliance supporting
WEDI/SNIP levels 1-5
Ready-to-execute templates and compliance validation for the complete ASC X12N HIPAA standard
as well as several additional non-mandated transactions useful for HIPAA EDI based processing.
HIPAA Data Formats for ACA: Much more than meets the eye
In Figure 1, you see a small example of the new and future look of HIPAA/ACA related processing related
to healthcare claims. The traditional claims process includes the following steps:
Patient receives care from healthcare provider (doctor).1.
Healthcare provider bills healthcare payer (insurance company).2.
Healthcare payer determines how much to pay based on services and goods the patient received3.
from provider compared to "usual and customary" costs.
Healthcare payer pays healthcare provider.4.
3. Solutions to Accelerate Compliance with Affordable Care Act (ACA) Mandates and HIPAA Standards 3
This traditional view is not at all patient-centric; it lacks patient involvement in much of the decision
making, incentives, and feedback. It is expected that the US healthcare market, through the use of better
data standards processing implemented as part of HIPAA, the ACA and other recent mandates will evolve
into a much more accountably responsive system. The expectation is a system which is more responsive
to social, economic, and technological advances.
The key to understanding how ACA is designed to improve the United States Healthcare ecosystem is to
focus on the first word, affordable. Once of the keys to making the system more affordable is by
increasing accountability in the system.
For example, by involving the healthcare consumer in more decisions, including selection based on the
costs of various treatment options, the combination of the better educated consumer and the more
transparent healthcare pricing should increase affordability. The trend away from "fee for service" to
"outcome based compensation" and increasing regulations around reporting transparency are also big
shifts in the US; the benefits are projected to be tremendous and should put the US more in line with
healthcare systems in other developed nations. As the changes listed here cover several broad concepts,
we will focus on just the differences shown in Figure 1.
The Accountable Claims Process includes the following steps:
The patient is enrolled in a tier of coverage through an Insurance Exchange. The patient selects their1.
level of coverage’s versus out of pocket charges; potentially giving them a greater level of control over
their healthcare options than they traditionally had.
The patient selects a healthcare provider (doctor) when they need services. It is anticipated that the2.
patient, with more control over their enrollment process, will follow through in the provider selection
process and select providers based on quality and cost of services.
The provider treats and monitors the patient knowing that many services will be paid based on a3.
matrix of outcomes and not per-service. In other words, fully, partially, or not resolving the disease
state will impact reimbursement.
Richer more complete information regarding services and outcomes will be communicated, collected,4.
and analyzed across multiple providers, healthcare systems, states, and possibly regions.
Based on quantitative analytics, the cost versus effectiveness of various services can be determined5.
allowing for adaptive models for coverage and reimbursement.
So the big question becomes, can your organization get from the "traditional claims process" to the
"accountable claims process"? And the answer is "yes, if you leverage the data." Using the HIPAA and
related data standards and being able to consume, track, validate, acknowledge, transform, and transmit
it will be key to your success. This is a cornerstone of the SPE value proposition.
Solution overview
Leveraging Industry standards allows businesses to transfer structured information from one computer
system to another, often in different companies, with little or no manual intervention. IBM Standards
Processing Engine is a modular, scalable document processing solution for transforming structured
documents in key industry verticals. It goes beyond the "one standard at a time" processing typical of B2B
systems, allowing a common set of tooling across standards.
4. Solutions to Accelerate Compliance with Affordable Care Act (ACA) Mandates and HIPAA Standards 4
IBM Standards Processing Engine (SPE) helps enable organizations to address the increasing volumes
and regulatory complexity associated with US healthcare messaging, add additional EDI transformation
capabilities to an IBM Integration Bus or WebSphere Transformation Extender Launcher infrastructure,
rationalize multiple disparate EDI systems, and maximize previous investments in packaged applications
and enterprise information systems. IBM Standards Processing Engine is the next evolution of the IBM
Universal Transformation strategy, providing a modular and more comprehensive solution for
transforming documents based on industry standards.
SPE for Healthcare Payers gives insurance providers and payer organization, clearinghouses, other
processors, as well as healthcare providers, a solution to accelerate compliance with the Affordable Care
Act (ACA) mandates and HIPAA standards. It provides an infrastructure that offers these benefits:
Helps enable compliance with government and industry mandates
Controls administrative costs and streamlines business processes
Facilitates accuracy and timeliness of information
Adapts to new technologies as they emerge and integrates with multiple systems
Enables validation and transformation of healthcare exchange formats into the application specific
formats required by internal business systems
Solution architecture
SPE is developed based on plug and play architecture. The Java API allows the product to be integrated
with multiple technologies. The product is supported on IBM Integration Bus and WebSphere
Transformation Extender out of the box.
SPE provides support for debulking, validating, acknowledgement, data mapping, enrichment, partner
management, encoding and versioning of artifacts. A Web interface is provided that allows checking in
maps, schemas, and developing partner specific envelopes and code lists.
A default derby database is provided as part of the product to store envelope configurations, maps, and
so on. The customer can configure other databases such as IBM DB2® and Oracle. IBM WebSphere
Transformation Extender Design Studio and Sterling Map Editor have a comprehensive set of capabilities
to develop and test maps for SPE. SPE for Healthcare Solution is supported on all Enterprise platforms
and provides the product capabilities shown in Figure 2.
5. Solutions to Accelerate Compliance with Affordable Care Act (ACA) Mandates and HIPAA Standards 5
Figure 2. Product capabilities
Figure 3 shows the core components of Standards Processing Engine Solution for Healthcare Payers.
Figure 3. IBM Standards Processing Engine Solution for Healthcare Payers components
The healthcare solution (shown in Figure 3) has the following core components:
Standards Processing Core Engine
Healthcare Compliance framework
The base component (bottom box in Figure 3), IBM Integration Bus or IBM WebSphere Transformation
Extender has these components:
IBM WebSphere Transformation Extender for Integration Servers or WebSphere Transformation
Extender Command Server or WebSphere Transformation Extender for Application Programming
Envelope, De-Envelope and Transformation nodes for IBM Integration Bus
6. Solutions to Accelerate Compliance with Affordable Care Act (ACA) Mandates and HIPAA Standards 6
Integration
IBM Standards Processing Engine for Healthcare Payers Solution seamless integrates with IBM
Integration Bus and WebSphere Transformation Extender. For integration with WebSphere
Transformation Extender, the user needs to install SPE Core and WebSphere Transformation Extender
Healthcare Pack. The user should be able to configure WebSphere Transformation Extender SPE
adapter to invoke De-Envelope, Transform, and Envelope functions. A Response schema (response.xsd)
is provided in the WebSphere Transformation Extender root install directory. The schema represents the
response received from the SPE Adapter. It has information about Status, Process Parameters,
Documents, Correlations, and more.
For IBM Integration Bus, the SPE core install will deploy the artifacts to be integrated with IBM Integration
Bus Toolkit and the runtime environment. Three nodes show up in the IBM Integration Bus Toolkit
(De-Envelope, Envelope, and Transform). A script file installed in the IBM Integration Bus MQSI profiles
directory to integrate SPE run time environment with IBM Integration Bus. SPE Patterns are also installed
for the IBM Integration Bus users to jump start the SPE flow development. ESQL can be used to access
Status, Process Parameters, Documents, and Correlations information generated from SPE. The
information is stored in the IBM Integration Bus Local Environment.
Figure 4 shows the general flow for SPE.
Figure 4. SPE flow diagram
7. Solutions to Accelerate Compliance with Affordable Care Act (ACA) Mandates and HIPAA Standards 7
Supported platforms
For more information, see "Detailed hardware and software requirements for IBM Standards Processing
Engine Solution for Healthcare Payers" solution offerings at the following website:
http://www-03.ibm.com/software/products/en/standards-processing-engine
Ordering information
Ordering information is shown in Table 1.
Table 1. Ordering part numbers and feature codes
Program name PID number Charge unit description
IBM Standards Processing Engine Solution
for Healthcare Payers
5725-P51
IBM Standards Processing Engine Solution
for Supply Chain EDI
5727-P52
IBM Standards Processing Engine Pack for
Healthcare Payers
5727-P53
IBM Standards Processing Engine Pack for
Supply Chain EDI
5727-P54
Related information
For more information, visit the IBM Standards Processing Engine website:
http://www-03.ibm.com/software/products/en/standards-processing-engine
9. Solutions to Accelerate Compliance with Affordable Care Act (ACA) Mandates and HIPAA Standards 9
This document was created or updated on November 20, 2014.
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