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iSpace is a global services company focused on Information Technology and Business Process solutions.
Our solutions are centered in four areas - Consulting, Outsourcing, Software Products, and Staffing. Our team of seasoned professionals based in the United States and India focus on providing results, driving innovation and affecting outcomes. Our clients have come to rely on our expertise, our commitment to quality, customer service and our innovative approach to problem solving to help create sustainable value for their customers and shareholders.
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Nature of Business

Service Provider

MSP Reporting Solution

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Section 111 of the MMSEA (Medicare, Medicaid and SCHIP Extension Act of 2007) will require the providers of group health plans, liability insurance (including self-insurance), no fault insurance and workers’ compensation insurance to determine the Medicare-entitlement of all claimants and report certain information about those claims to the Secretary of Health and Human Services. With the objective of assisting the Secretary with coordinating benefits and uncovering potential reimbursement claims, this recent legislation reinforces the intent of ensuring Medicare is treated as the payer of last resort. The penalty for non-compliance is $1,000 per day for each day the responsible party is out of compliance. This penalty is in addition to other fines that defendants can be fined if Medicare’s reimbursement claim is ignored in any settlement. The new rules will apply to settlements on or after Jan 1, 2009 for group health plans and on or after July 1, 2009 for liability insurance (including self-insurance), no fault insurance and workers’ compensation insurance. For more information about Section 111 reporting, please visit https://www.cms.gov/MandatoryInsRep.

iSpace currently works with multiple clients and helps them through the process of complying with MMSEA Section 111 mandatory reporting. iSpace consulting practice works with clients from registration all the way through reporting. iSpace has subject matter experts that can guide and help your company become compliant. iSpace has developed a proprietary reporting platform which helps its client meet the requirements of MSP reporting. For more information about how we can assist you, please review the following links or contact us via the Request for Information & Demo.

  • iSpace MSP Reporting Services
  • iSpace MSP Application Features & Functionality

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Provider Analytics

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Healthcare Providers today operate in an increasingly complex environment with rising competition and stringent regulations. With the ever-growing demands of regulatory and technology changes, soaring costs, payments driven by performance, it is becoming increasingly imperative for the Providers to deliver better outcomes with a lower cost structure. Hospitals gather increasing volume of data but lack sufficient resources and time to convert this data into actionable intelligence. Consequently, Hospitals today face a growing gap between their need for accurate information and their ability to present structured data in an easily understandable and meaningful format to make informed decisions. iSpace provides best of breed data analytics and decision support solutions across multiple industries.

Customers find iSpace analytics easy to implement and use, delivering high impact to the business with low associated risk. Our team of technology and industry experts help maximize the value and power of customer data through insightful, customized business intelligence and analytical tools. Articulating your business needs, our analytics team uses advanced technologies along with proven techniques and processes to extract, collect, classify, analyze, interpret and deliver actionable intelligence to provide better perspective and insights for decision making. As part of our BI and Analytics service offering, we provide a robust and scalable technology platform, specific products that address different analytical needs and consulting services to our customers

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Financial Analysis

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  • DRG Cost Analytics
  • Revenue Cycle Intelligence
  • Supply Chain Manager
  • Hospital Performa nce Scorecard
  • Market Growth optimization

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Operational Analytics

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  • Hospital Operations Dashboard
  • Service Line Intelligence
  • Productivity Analytics
  • Hospital Capacity & Utilization Intelligence
  • Patient Throughput optimization
  • Patient Satisfaction Analytics
  • Employee Satisfaction Analytics

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  • Core Measure Analytics
  • Physician Performance Score cards
  • Patient Care Analytics
  • Pay for Performance Manager

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Healthcare Service

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Growing service demands, thin operating margins, changing regulatory landscape and intense competition continue to challenge Hospitals, Providers and Health Systems. Ineffective revenue cycle management can cost a hospital up to three percent of annual net revenues. With the current trend of high deductible health plans, the ability for the healthcare provider to accurately estimate the patient portion of billable charges has an impact on receivables. Compliance & internal controls play a vital part in reducing the risk associated with heightened scrutiny from governmental bodies challenging the Medicare and Medicaid coding and billing practices of health care providers.

Rising healthcare costs coupled with the possibility of 10.6% cut in claims payouts by Center for Medicare and Medicaid Servicers "CMS" post 2009 pose challenges to the Healthcare industry to cut cost, increase revenue and stay profitable. Rising healthcare costs have resulted in focus on preventive care and disease management. Providers are now facing new challenges of manpower management, shortage of skilled resources, reporting and implementing management programs.

For Healthcare Providers, iSpace provides the following suite of services:

  • Revenue Cycle Management Services
  • Clinical Analytics
  • Physician Profiling
  • Cost Analytics

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Healthcare Service

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In an increasingly competitive market, your company's survival depends on optimization and driving operational, technological and cost improvements. Long term success depends on thriving in a consumer focused environment. iSpace can help achieve both your short term and long term goals by delivering a powerful combination of business and information technology capabilities to create value for your end consumer.

iSpace was one of the first to apply lean manufacturing techniques to the benefit administration process that helped to bring about measurable and sustainable results oriented transformation to health plans. Through the combination of right people, process and technology, iSpace is committed to help clients transform from a fragmented model to a holistic system that supports consumer well-being and positive results.

Our services address the following critical processes essential for the operation of a health plan:

  • Enrollment :Member enrollment including submissions to CMS and Provider enrollment.
  • Eligibility:Online, offline and phone based eligibility support with real-time systems to streamline the process.
  • Mail Room Services:Complete in-bound & out-bound mailroom handling with online access to images and document management.
  • Front-End Claims Processing and Management:Capturing data from paper and electronic claims and managing duplicates, denials and other front-end edits.
  • Claims Adjudication:Manage the adjudication and resolution of all claims documents including error correction and issue resolution to meet Turnaround Time SLA's.
  • Premium Billing Services:Billing employer groups for employee coverage.
  • Customer & Member Service:Member and customer service via telephone, email or online.
  • PPO – Provider Database Cleansing:Managing the provider data to maintain up-to-date accurate demographic information. This includes call outs, mail outs and email campaigns.
  • PPO –Contract Management
  • PPO –Claims Repricing
  • PPO–Savings & Disruption Analysis
  • Credentialing
  • Overpayment Analysis & retrieval
  • Claim Audit, Reconciliation & Recoveries
  • Consumer Driven Health Plans Administration

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Workers Comp Service

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Workers' compensation costs represent approximately 70 percent of every primary casualty dollar paid by employers. And workers' compensation medical losses represent more than half of all total losses. These staggering numbers have prompted 41 states to enact reforms to their workers compensation laws. These laws have not stemmed the rapidly rising costs driven in large part by year on year increase of 15% in medical expenses. The laws, however, have added to the challenges faced by companies involved in funding, delivering, and administrating workers compensation programs. Legacy technology and tighter operational budgets have increased the challenges for companies to keep up with regulatory changes.

The iSpace Risk Insurance practice provides the expertise and services required by third-party administrators, managed care organizations, cost containment companies and pharmacy benefit managers to improve operational process efficiency and achieve administrative savings.

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