Healthcare Provider Solutions | Nalashaa Healthcare
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Healthcare provider solutions is a term which collectively defines a wide range of products and services that are designed to help healthcare providers improve the quality of care, streamline their operations, and manage costs.

Nalashaa’s experience with developing custom healthcare provider IT solutions that resonate with a clinical setting’s context is the catalyst that supplements your growth into a well-connected care facility. A synergized ecosystem enabling effective utilization management, remote patient care, and impactful patient outreach through interoperable HIT systems can help you get your mojo back.

Why choose Nalashaa

From experience, we have noticed that often HIT organizations miss out on a few things that should be implicit expectations from healthcare software development companies as their partner

400+

Healthcare Software Developed

13Yrs+

Experience in Healthcare

15M+

Unique patients touched

25K+

Clinics using our Solution

8M+

Man-hours in software development

Compliance Experience

HIPAA, GDPR, NCPDP, FDA, ONC, MDR, SAMHSA, IVDR, MACRA, MIPS, CEHRT, SAFER and HTI-1.

Standards Proficiency

HL7, ICD-10, LOINC, CPT, XDS/XDS-I, FHIR, DICOM, Blue Button+, CDA, and CCD.

ISO certifications

ISO 9001:2015

ISO 27001:2013

Healthcare Provider’s journey and The Solutions  

In a Healthcare provider’s journey from a small clinic to a multi-facility clinic, technology can make every step easier. Here we have covered the entire provider journey and mapped out the healthcare provider solutions that will act as a catalyst for imparting value-based care.  

1

Credentialing

The journey of a provider starts with credentialing. When a provider has to get a contract with a payer certain information such as the certification of the provider background, malpractice insurance etc. needs to be shared as part of this process. Automating this step can save tremendous amount of time for providers. Nalashaa offers automation services using RPA as the technology.

2

Building the system

The second step is to either build or buy a system or a set of systems in order to manage the patient health record, revenue cycle and operational aspects of the practice. Nalashaa helps providers either implement systems that they choose to buy or build new ones. Its product engineering services and implementation services aligned with this need of the providers.

3

Migrating of data

The next step after the implementation of these systems is the migration of data from any past systems or sources that the provider may have used. As part its provider solutions, Nalashaa makes use of interoperability standards and custom ways of extracting information from existing sources.

4

Integrating with Partners

After the systems have the data from historical sources, the next need is to integrate with partners such as clearing houses, eRx prescription providers, revenue cycle systems, and other third-party systems. This requires intricate knowledge of various interoperability standards such as HL7, EDI, FHIR, etc. Nalashaa has extensive knowledge and the experience required to implement these standards.

5

Appointment Scheduling

Once the systems have been integrated the provider starts using these in order to create care services for the patient population. This involves steps such as appointment scheduling, registration check, ineligibility checks and so on. It takes tremendous amount of manual effort. Healthcare Providers can overcome this by automating these different workflows using RPA.

6

Care delivery

Huge amount of resources are used by the providers to deliver care to the patient either within their premises or in a remote facility such as an SNF or a patient centered medical home. The considerations for care delivery differ depending on each of these settings. Nalashaa helps providers address these challenges by automating these processes and by making the information transfers comply with regulations.

7

Revenue Cycle management

Every provider organization has to go through tremendous amounts of effort to get the right reimbursements from the payers. This involves processes related to the claims management lifecycle. This entire effort is highly manual, error prone and has a vast amount of impact on the profitability of the provider. RPA can help providers automate this process in order to maximize their investments.

8

Data Sharing

The second step is to either build or buy a system or a set of systems in order to manage the patient health record, revenue cycle and operational aspects of the practice. Nalashaa helps providers either implement systems that they choose to buy or build new ones. Its product engineering services and implementation services aligned with this need of the providers.

9

Workforce optimization

Along with delivering value-based care to patients and implementing the revenue cycle, providers need to adhere to certain compliances. These are placed within the categories: clinical quality and financial practices. These regulatory measures have been put in place by the CMS to ensure that patients and the right interested parties have access to patient information whenever needed.

10

Reporting and analytics

Vast amounts of data is generated across the different processes within a provider facility. In order to make sense of the information it is important to connect silos of data and draw meaningful insights. Nalashaa helps achieve this by aggregating data from various sources and building meaningful reports and dashboards that guide provider decision-making.

11

Compliance

Along with delivering value-based care to patients and implementing the revenue cycle, providers need to adhere to certain compliances. These are placed within the categories: clinical quality and financial practices. These regulatory measures have been put in place by the CMS to ensure that patients and the right interested parties have access to patient information whenever needed. 

12

Modernization

Finally, often with time providers feel the need to add new systems to their landscape or migrate away from existing systems which are no longer relevant. In such a situation either the providers look towards developing a new solution on their own or implementing an off-the-shelf solution. Nalashaa helps providers navigate through these via custom software development services.
1

Credentialing

The journey of a provider starts with credentialing where they have to get certain information about background, malpractice insurance etc., from the payer. Automating this step can save tremendous amount of time for providers. Nalashaa offers automation services using RPA as the technology.

2

Building the system

The second step is to acquire or create systems to handle the patient's health record, revenue cycle, and operational aspects of the practice. Nalashaa assists providers in implementing chosen systems or developing new ones through its product engineering and implementation services.

3

Migrating of data

The next step after the implementation of these systems is to migrate data from any previous systems used by the provider. Nalashaa utilizes interoperability standards and custom ways to extract information as part of its provider solutions.

4

Integrating with Partners

The next process in the queue is to integrate with partners like clearing houses, eRx prescription providers, and revenue cycle systems. This demands expertise in interoperability standards like HL7, EDI, FHIR. Nalashaa possesses the necessary knowledge and experience to implement these standards.

5

Appointment Scheduling

Providers using these systems include tasks like appointment scheduling, registration checks, and eligibility verification, which often require significant manual effort. Healthcare providers can streamline these workflows by implementing RPA.

6

Care delivery

Providers devote lots of resources to delivering care to patients, either on-site or in remote facilities like SNFs or patient-centered medical homes. Nalashaa supports providers in addressing these challenges by automating processes and ensuring compliant information transfers.

7

Revenue Cycle management

Getting the right imbursement from the payers comes with lots of back-and-forth action which involves manual and error-prone processes throughout the claims management lifecycle. This labor-intensive task significantly affects provider profitability. Implementing RPA can automate these processes and optimize provider investments.

8

Data Sharing

In order to operate in the ecosystem, Providers must regularly share data with various partners like payers, patients, family members, referral specialists, suppliers, and government entities. This can be achieved by integrating provider systems with that of their partners using interoperability standards.

9

Workforce optimization

As skilled technical staff becomes scarce, there's a growing need to enhance provider workforce productivity. Healthcare facilities juggle various processes like clinical, financial, and operational tasks. Nalashaa streamlines these processes through automation to boost responsiveness, prompt actions, and minimize errors.

10

Reporting and analytics

Vast amounts of data are generated across the different processes within a provider facility. In order to make sense of the information it is important to connect silos of data and draw meaningful insights. Nalashaa helps by aggregating data from various sources and building meaningful reports and dashboards that guide provider decision-making.

11

Compliance

In addition to providing value-based care and managing the revenue cycle, providers must comply with regulations in clinical quality and financial practices set by CMS. These measures ensure that patient information is accessible to the necessary parties when required.  

12

Modernization

Finally, providers may need to integrate new systems or transition away from outdated ones when necessary. They can choose to develop a new solution internally or adopt an existing off-the-shelf solution. Nalashaa offers custom software development services to assist providers in managing these transitions effectively.

Are you currently looking for a solution
for any of the above stages?

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The Healthcare Technology Solutions for Providers in Our Arsenel

While possibilities and specificity may vary with your context, below is a starter’s kit.

HIT Development/Modernization

While off-the-shelf solutions are a quick start, they are seldom complete. If you have custom needs, we can help you realize those into a solution.

  • EHR, Care coordination, Revenue Cycle, Wellness, PHM and more...
  • Care gap closure, Claims management, Patient engagement etc.

Interoperability

Whether it's FHIR/USCDI or the good old HL7, EDI, IHE and the like, we can help you maintain your interoperability infrastructure or build a new one.

  • HL7, EDI, FHIR, CCDA, IHE, NCPDP, DICOM
  • PTP interfaces, FHIR servers, e-Notifications, State Registries, HINs

Healthcare Automation

Using software bots, we automate administrative, clinical and financial workflows to reduce compliance risk and manual labor.

  • Robotic Process Automation, Intelligent chatbots, IoT, Remote Patient Monitoring
  • Reduce {Wait-time, No-shows, Care-gaps, Denials, Patient risk, Cost}, Improve (Customer service, Process consistency, Responsiveness)

CRM For Healthcare

A streamlined, non-programmatic way for you to keep track of ALL your patients through their healthcare journey. Event-driven, Exception-based management enables focus on what’s important and urgent.

  • Enterprise integration, CRM, Business workflow charting, Analytics-powered tuning
  • Patient Journey tracking, Personalization in (Marketing Campaigns, Outreach, Engagement)

Make Sense of Your Data

For providers seeking better data capabilities—whether replacing a commercial off-the-shelf solution or improving existing systems, we can help you through that journey.

  • ETL, Integration, Data Governance, Visualization, AI, ML
  • Effective asset utilization, timely interventions, Report rationalization, PMPM trends

Experience and Engagement

We craft solutions that are intuitive for better adoption and immersive for promoting engagement. While patients are the obvious targets, providers ought to be a catchment of interest too.

  • Mobile Apps, Portals, Wearables, IoT
  • Medication adherence, Education, Engagement, Wellness (Physical, Mental, Social)

Healthcare Provider Solutions

IT services for healthcare have been helping provider organizations all over US. Here is a brief overview of what it can do for you.

Custom solutions curated for you specific need 

Seamless information highways connecting the ecosystem  

Improved patient-provider journey utilizing automation  

Offer immersive engagement through 

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and quality of healthcare delivery

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Healthcare regulatory history : The timeline of the changes.

Americans with Disabilities Act (ADA) of 1990 - July 26, 1990
The ADA prohibited discrimination against people with disabilities and required that healthcare providers make accommodations to ensure equal access to healthcare services.
Health Insurance Portability and Accountability Act (HIPAA) of 1996 - August 21, 1996
HIPAA established national standards for the privacy and security of electronic protected health information (ePHI).
Food and Drug Administration Modernization Act (FDAMA) of 1997 - November 21, 1997
The FDAMA authorized the use of electronic signatures in clinical trials and required the FDA to develop guidance for electronic submissions of regulatory information.
Medicare Modernization Act (MMA) of 2003 - December 8, 2003
MMA created a new Part D benefit for prescription drugs and mandated the adoption of electronic prescribing (ePrescribing) systems.
National Provider Identifier (NPI) Rule of 2004 - May 23, 2005
The NPI Rule established a unique identifier for healthcare providers to use in transactions with health plans and other entities.
HITECH Act of 2009 - February 17, 2009
The HITECH Act provided funding for the implementation of EHRs and created new privacy and security requirements for ePHI.
Patient Protection and Affordable Care Act (ACA) of 2010 - March 23, 2010
The ACA included provisions related to health IT, such as the creation of the Center for Medicare and Medicaid Innovation (CMMI) and the establishment of the Office of the National Coordinator for Health Information Technology (ONC).
Office of the National Coordinator for Health Information Technology (ONC) Health IT Certification Program - 2010 (ongoing)
The program certifies EHRs and other health IT products and services for compliance with regulatory standards.
Centers for Medicare & Medicaid Services (CMS) Promoting Interoperability Program - 2011 (ongoing)
The program formerly known as the Medicare and Medicaid EHR Incentive Programs
Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs of 2011 - July 28, 2010
The incentive programs encouraged the adoption and meaningful use of EHRs by eligible professionals and hospitals.
FDA Safety and Innovation Act (FDASIA) of 2012 - July 9, 2012
FDASIA included provisions related to health IT, such as the creation of a voluntary program for the safety and effectiveness of health IT and the establishment of a health IT safety center.
Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 - April 16, 2015
MACRA replaced the Medicare Sustainable Growth Rate (SGR) formula and established a new payment system for Medicare clinicians that rewards quality and value.
21st Century Cures Act of 2016 - December 13, 2016
The act includes provisions related to health IT, such as the development of interoperability standards and the establishment of a trusted exchange framework.
General Data Protection Regulation (GDPR) of 2018 - May 25, 2018
While not specific to healthcare, the GDPR strengthened data protection regulations for all EU citizens, including healthcare data.
Cybersecurity Information Sharing Act (CISA) of 2015 - December 18, 2015
CISA encourages private sector companies to share cybersecurity threat information with the government.
2021
Patient access API, Provider directory API
2022
No surprise act, tefca common agreement v1.0, Payer to payer API, TIC disclosure to public
2023
TIC-Disclosure to enrollees v1, Provider access API Mandatory IGs DRLS API, PAS API, TEFCA FHIR common agreement V1.1
Future prediction 2024
TiC Disclosure to enrollees V2, TEFCA FHIR Mandatory Common agreement V2.0

What makes Nalashaa one of the top healthcare IT solution companies in US?

Lower TCO

Quantifiable Results

Globalized teams for 24X7 support

Data security controls put in place

Experience Healthcare Ecosystem

Success Stories!

Here is why we are one of the most trusted solutions partners in the US healthcare industry


I turned to Nalashaa Solutions to help out with the Design and Programming. It was the best decision I could have made. The Nalashaa team did an Outstanding job, and the product is now about to launch. Thank You

Cascade Dafo
Michigan, USA

Nalashaa has become a part of our business strategy not only because of the domain expertise they have but also because of the flexibility they have demonstrated and the ease of conducting business with them.

BestNotes
Idaho, USA

Nalashaa has been instrumental in helping us adapt to our changing business needs, with their breadth of technology expertise from Java, Open Source, front-end and back-end technologies coupled with flexible engagement models.

Mumms
Louisiana, USA

We have been able to task the team with complicated projects that our senior development team did not have the band-width to tackle. Nalashaa team takes their time to understand the project request and does give thought to their project estimates.

Netsmart
USA

They deliver accurate software development project estimations from the business requirements. Code reviews provide visibility into their technical ability to write RPG/Java code that conforms to standards. They have become an indispensable part of our software development team.

ABC Financial
USA

We were blown away by their level of responsiveness, and professionalism. We also appreciate their willingness to engage with us during our usual business hours despite the time difference. We know that we are going to see tremendous ROI on our RPA projects once we complete the testing.

Advanced Urology
USA

I turned to Nalashaa Solutions to help out with the Design and Programming. It was the best decision I could have made. The Nalashaa team did an Outstanding job, and the product is now about to launch. Thank You

Cascade Dafo
Michigan, USA

Nalashaa has become a part of our business strategy not only because of the domain expertise they have but also because of the flexibility they have demonstrated and the ease of conducting business with them.

BestNotes
Idaho, USA

Nalashaa has been instrumental in helping us adapt to our changing business needs, with their breadth of technology expertise from Java, Open Source, front-end and back-end technologies coupled with flexible engagement models.

Mumms
Louisiana, USA

We have been able to task the team with complicated projects that our senior development team did not have the band-width to tackle. Nalashaa team takes their time to understand the project request and does give thought to their project estimates.

Netsmart
USA

They deliver accurate software development project estimations from the business requirements. Code reviews provide visibility into their technical ability to write RPG/Java code that conforms to standards. They have become an indispensable part of our software development team.

ABC Financial
USA

We were blown away by their level of responsiveness, and professionalism. We also appreciate their willingness to engage with us during our usual business hours despite the time difference. We know that we are going to see tremendous ROI on our RPA projects once we complete the testing.

Advanced Urology
USA

Want to know more? Reach out to Us

We develop impactful  healthcare IT solutions for providers that makes a lots difference

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Frequently Asked Questions

1. How can technology help hospitals? 

Technology or healthcare provider solutions can aid providers through electronic health records, telemedicine, medical imaging, mobile apps, patient portals, and clinical decision support systems.

2. What software systems do hospitals use?

Hospitals use several software systems to manage different aspects of their operations, including EHRs for patient data management, CDSS for treatment recommendations, PACS for medical imaging, LIS for lab test results management, and PIS for medication management. They also utilize RCM software for billing and financial management, and specialized software for scheduling, inventory management, and patient engagement. The specific software used may vary based on factors like the hospital's size, location, and specific needs.

3. What coding system are used in healthcare?

Healthcare coding systems are used to identify and classify diseases, treatments, and other medical information. They are composed of alphanumeric codes that can be used to standardize the classification of medical information. The most common coding systems include the International Classification of Diseases (ICD) and the Current Procedural Terminology (CPT). In the U.S., the Health Insurance Portability and Accountability Act (HIPAA) requires healthcare organizations to use industry-standard coding systems to facilitate the exchange of information.

4. What are 5 common technological devices used in healthcare?

Common technological devices used in healthcare include smartphones and tablets for mobile access to patient data and medical references, wearable devices for remote patient monitoring and health tracking, infusion pumps for accurate delivery of fluids and medication, medical imaging devices such as X-ray and MRI machines, and electronic health records (EHRs) for managing patient data electronically.

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