Compliance experience
HIPAA, GDPR, NCPDP, FDA, ONC, MDR, SAMHSA, IVDR, MACRA, MIPS, CEHRT, SAFER and HTI-1.
For hospitals, clinics, and care organizations
Healthcare Provider Solutions
Enrich care delivery and boost profits with healthcare IT that fits a clinical setting, from the chart to the claim.
EHR and RCM
HL7 and FHIR
HIPAA and ONC
Workflow automation
What this covers
Healthcare IT built around how providers actually work
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.
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
From clinic to multi-facility
The provider journey, and the solutions that move it
In a healthcare provider’s journey from a small clinic to a multi-facility clinic, technology can make every step easier. Here is the full path, mapped to the work that supports value-based care.
Stand up the practice
Credentialing
The journey starts with credentialing. When a provider has to get a contract with a payer, certification, background, and malpractice insurance need to be shared. Automating this step saves a tremendous amount of time. Nalashaa offers that automation with RPA.
Building the system
Next is to build or buy systems for the patient health record, revenue cycle, and operations. Nalashaa helps providers implement systems they choose to buy, or build new ones, through product engineering and implementation services.
Migrating data
After implementation comes migration from past systems or sources. As part of its provider solutions, Nalashaa uses interoperability standards and custom extraction to move that information.
Connect and deliver care
Integrating with partners
Once historical data is in, the next need is integration with clearinghouses, eRx providers, revenue cycle systems, and other third parties. That takes HL7, EDI, FHIR, and related standards. Nalashaa implements them.
Appointment scheduling
Providers then use the systems to create care services: scheduling, registration, and eligibility checks. Those steps take a lot of manual effort. RPA can take that work off the front desk.
Care delivery
A large share of resources goes to care on site or in a remote setting such as an SNF or a patient-centered medical home. Nalashaa helps by automating those processes and keeping information transfer compliant.
Get paid and stay connected
Revenue cycle management
Getting the right reimbursement means working the claims lifecycle. That effort is highly manual, error prone, and directly affects profitability. RPA can automate the process so the investment pays back.
Data sharing
To operate in the ecosystem, providers regularly share data with payers, patients, family members, referral specialists, suppliers, and government entities. That happens by integrating provider systems with partners through interoperability standards.
Workforce optimization
As skilled staff get harder to hire, productivity matters more. Facilities juggle clinical, financial, and operational work. Nalashaa streamlines those processes through automation so teams respond faster and make fewer errors.
See clearly and stay current
Reporting and analytics
A facility generates data across every process. Making sense of it means connecting silos. Nalashaa aggregates sources and builds the reports and dashboards that guide decisions.
Compliance
Alongside value-based care and the revenue cycle, providers must meet clinical quality and financial practice rules. CMS put those measures in place so patients and the right parties can access information when they need it.
Modernization
Over time, providers add systems or move off ones that no longer fit. They may build something new or implement an off-the-shelf product. Nalashaa helps navigate that through custom software development.
Looking for a solution for one of these stages?
Click for queriesWhat we deliver
Healthcare technology solutions for providers
Possibilities vary with your context. This is a starter’s kit.
HIT development and modernization
Off-the-shelf solutions are a quick start, and they are seldom complete. If you have custom needs, we can turn those into a working solution.
- EHR, care coordination, revenue cycle, wellness, PHM, and more
- Care gap closure, claims management, patient engagement
Interoperability
Whether it is FHIR and USCDI or HL7, EDI, IHE, and the rest, we can maintain the interoperability infrastructure you have or build a new one.
- HL7, EDI, FHIR, CCDA, IHE, NCPDP, DICOM
- Point-to-point 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
- Shorter waits, fewer no-shows, closed care gaps, fewer denials, lower cost, and more consistent service
CRM for healthcare
A streamlined way to keep track of patients through the healthcare journey. Event-driven, exception-based management keeps attention on what is important and urgent.
- Enterprise integration, CRM, workflow charting, analytics-powered tuning
- Patient journey tracking, and personalization in campaigns, outreach, and engagement
Make sense of your data
For providers seeking better data capabilities, whether replacing a commercial system or improving what you already run, we can take you through that journey.
- ETL, integration, data governance, visualization, AI, and ML
- Asset utilization, timely interventions, report rationalization, PMPM trends
Experience and engagement
We craft solutions that are intuitive enough to be adopted and immersive enough to keep people engaged. Patients are the obvious audience. Providers should be too.
- Mobile apps, portals, wearables, IoT
- Medication adherence, education, engagement, and physical, mental, and social wellness
What provider IT services change
IT services for healthcare have been helping provider organizations across the US. Here is a brief overview of what that looks like.
Custom solutions curated for your specific need
Information paths that connect the ecosystem
A smoother patient and provider journey through automation
Immersive engagement for patients and care teams
Let’s partner to raise the efficiency and quality of care delivery
Connect with usRegulatory context
Healthcare regulatory history
A timeline of the changes that still shape provider technology.
Americans with Disabilities Act (ADA), July 26, 1990
The ADA prohibited discrimination against people with disabilities and required healthcare providers to make accommodations so people have equal access to care.
HIPAA, August 21, 1996
HIPAA established national standards for the privacy and security of electronic protected health information.
FDA Modernization Act (FDAMA), November 21, 1997
FDAMA authorized electronic signatures in clinical trials and required the FDA to develop guidance for electronic regulatory submissions.
Medicare Modernization Act, December 8, 2003
The MMA created the Part D prescription drug benefit and mandated adoption of electronic prescribing.
National Provider Identifier rule, 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, February 17, 2009
HITECH funded EHR implementation and created new privacy and security requirements for ePHI.
Affordable Care Act, March 23, 2010
The ACA included health IT provisions such as the Center for Medicare and Medicaid Innovation and the Office of the National Coordinator for Health IT.
ONC Health IT Certification Program, 2010 and ongoing
The program certifies EHRs and other health IT products and services for compliance with regulatory standards.
CMS Promoting Interoperability Program, 2011 and ongoing
Formerly the Medicare and Medicaid EHR Incentive Programs.
Medicare and Medicaid EHR Incentive Programs, July 28, 2010
The incentive programs encouraged eligible professionals and hospitals to adopt and meaningfully use EHRs.
FDA Safety and Innovation Act, July 9, 2012
FDASIA included a voluntary program for the safety and effectiveness of health IT and a health IT safety center.
MACRA, April 16, 2015
MACRA replaced the Medicare Sustainable Growth Rate formula and established a payment system that rewards quality and value.
21st Century Cures Act, December 13, 2016
The act covers interoperability standards and a trusted exchange framework for health IT.
Cybersecurity Information Sharing Act, December 18, 2015
CISA encourages private-sector companies to share cybersecurity threat information with the government.
GDPR, May 25, 2018
Not specific to healthcare, the GDPR strengthened data protection for EU citizens, including healthcare data.
2021
Patient Access API and Provider Directory API.
2022
No Surprises Act, TEFCA Common Agreement v1.0, Payer-to-Payer API, and Transparency in Coverage disclosure to the public.
2023
Transparency in Coverage disclosure to enrollees v1, Provider Access API, mandatory implementation guides, DRLS API, PAS API, and TEFCA FHIR Common Agreement v1.1.
Looking ahead from 2024
Transparency in Coverage disclosure to enrollees v2, and TEFCA FHIR mandatory Common Agreement v2.0.
Why Nalashaa
What makes Nalashaa one of the healthcare IT companies providers call
Lower total cost
Quantifiable results
Global teams for round-the-clock support
Data security controls in place
Success stories
Why providers and HIT teams stay with us
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 DafoMichigan, 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.
BestNotesIdaho, 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.
MummsLouisiana, USA
We have been able to task the team with complicated projects that our senior development team did not have the bandwidth to tackle. The Nalashaa team takes time to understand the request and gives thought to their estimates.
NetsmartUSA
They deliver accurate software development project estimations from the business requirements. Code reviews provide visibility into their technical ability to write RPG and Java code that conforms to standards. They have become an indispensable part of our software development team.
ABC FinancialUSA
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 we are going to see tremendous ROI on our RPA projects once testing is complete.
Advanced UrologyUSA
Related reading
Top 7 features of pharmacy inventory management
A pharmacy inventory system stores data and organizes how a pharmacy controls stock.
Read more
RPA for anesthesia claim processing
How automation took the manual work out of anesthesia claims for a provider organization.
Read more
Healthcare IT challenges and solutions for HIT vendors
The pressures HIT vendors face, and the ways teams stay relevant as the technology moves.
Read more
FHIR R4 integration for a health EHR company
An EHR focused on mental and behavioral health, extended with FHIR so data can move.
Read moreExperience the healthcare ecosystem
Work with us
Talk to a healthcare IT specialist
Planning an integration, modernization, or compliance initiative? We can help you evaluate options before you commit resources. Most first conversations focus on your current workflows and priorities.
Free consultation
No obligation. If we are not the right fit, we will say so.
Frequently asked questions
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.
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.
What coding systems 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., HIPAA requires healthcare organizations to use industry-standard coding systems to facilitate the exchange of information.
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.