AIT team is passionate about improving healthcare through the strategic use of technology. By taking an integrated view of the healthcare industry, we help our clients quickly address the demands of today's regulatory and competitive environment. We deliver solutions that help leading players and provider organizations efficiently manage their costs and provide a more valued service to their members and patients.
Our experts have worked in healthcare. They bring a deep understanding of the integrated healthcare industry, at both a strategic and an operational level, to every client engagement. We've used this knowledge to develop a broad range of services to help our clients plan, design, implement, and manage their business-critical initiatives. Recent client engagements have included:
- Hospital Information System (including clients, patients, health record)
- Diagnostic Imaging System
- Pharmacy Data Warehouses
- Claim Processing System
- Benefits Administration Portal
- Sales Force Automation System
- Web Portal / Customer Interface
- Upgrading Legacy Systems.
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Delivering business value through technology-enabled solutions, AIT is committed to delivering the right business results on a fixed-price, fixed-time basis. We leverage our fundamentally different AIT Approach and proven model - which provides the value of offshore development without the associated risk - to design and implement solutions that deliver superior return for our clients' investments.

Our health care information system identifies the algorithms utilized by the healthcare insurance industry and maps all the rules that drive benefit coverage and payer specific clinical and financial rules. This vast experience allows our healthcare management software to perform greater in-depth analysis and research, resulting in increased precision and consistency.
Our medical management software establishes industry specific standards and guidelines for coding, pricing, billing, reviewing, auditing and managing medical episodes. We leverage our proprietary database and expertise to provide health care industry comparative pricing tools, claims editing systems, utilization protocols and specialty specific clinical, coding, pricing and reimbursement guidelines.
Artificial intelligence enables our Rules Based Engine to apply sophisticated, clinical and financial based edits to analyze coding relationships by insurance company, employer sponsored benefit plan provision-exclusions-limitations, coverage issues, utilization guidelines and line item information contained in the insurance claim or remittance statement.
We help companies in the healthcare industry:
- Increase workflow efficiencies by analyzing consolidated data from clinical, administrative, and financial areas
- Improve patient care and optimize resource management by tracking and predicting healthcare service utilization
- Meet government legislative controls by delivering measured and accountable patient-centric care metrics
- Monitor and analyze patient diagnosis and condition to facilitate timely and effective clinical decisions
- Control costs, improve contracting decisions, and eliminate waste by closely managing inventory and provider performances
- Increase efficiency and detect fraud by analyzing historical information, and tracking and closely monitoring current claims data
Benefits of AIT Healthcare Solutions using Rainbow:
- Rules based engine tracks, monitors and updates proprietary educational tools to increase individual performance.
- Appeal Tracker
- Identifies collectible items
- Auto corrects coding relationships
- Distributes denied procedures to appropriate collectors
- Performance evaluation per collector
- Fixed cost analysis
- Electronic tickler system
- Comparative analysis of cost vs. performance
- Comparative analysis of cost vs. performance
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Read more about Rainbow
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