Align IT Services with Business Requirements with ITSM

by

cruz zachary

Today businesses largely depend on Information Technology (IT) for its survival. Technology plays a crucial role in providing the much needed help and necessary support to fulfill and satisfy the various requirements of the businesses. The technological advancements coupled with growing demand for improved productivity and enhanced quality have led to this incredible relationship between businesses and IT. As a result, this dependency has increased over the years.

For the smooth functioning of any form of business, management of technology is highly essential. Since business requirements are in a constant state of flux, there is the need to optimize IT services to satisfy the ever-changing business requirements. However, it is not as easy as it sounds, as management of IT is a very complex process. Though all enterprises and organizations make use of technology for carrying out its various activities, they hit the wall when it comes to its management. However, management of technology is something that the enterprises and organizations must accomplish at any cost since without which it would be difficult for enterprises not only to satisfy its fluctuating requirements but also ensuring customer satisfaction. As companies and enterprises realized the importance of building customer relationship for their businesses, there occurred a shift of focus from technology to the quality of services. However, to provide quality services, the only possible way was management of technology. This led to the concept of IT Service Management (ITSM). ITSM is a process-based discipline that details the IT Infrastructure Library (ITIL) documented best practices to allocate improved IT services to fulfill business requirements. And in that sense, it can be grouped in the category of other process improvement frameworks and methodologies such as CMMI, TQM, Six Sigma, business process management and so on. The intention behind implementing ITSM is to align the IT department and its IT services with the business requirements. Implementation of IT Service Management process consists of five stages and they are — Assessment It involves the evaluation of the current state of IT infrastructure — Architect and Design It involves designing of the future desired state of the IT infrastructure — Planning Develop plans in order to achieve the future desired state of the IT infrastructure — Implementation Implement the plans to realize the future desired state of IT infrastructure — Support Provide all the necessary support to maintain and even improve the future desired state of the IT Companies and organizations can seek the help of leading solution providers in implementing ITSM processes successfully anywhere and anytime using effective IT Service Management tools.

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By Daljeet Sidhu

The 2003 Health Insurance Portability and Accountability Act (HIPAA) privacy rules mandate the behavior of health care providers towards the flow of health information. HIPAA advocates electronic submission of bills, and has been instrumental in bringing about a great change in medical billing practices. Electronic billing enables medical providers to get more returns in less time.

HIPAA compels health care providers to improve their administrative processes. An increasing number of medical providers are turning to third party medical billing providers to implement the new standards. Medical billing providers are experts in HIPAA compliance and industry best practices. Hiring a billing service saves medical providers the trouble of learning a new system while reaping the immediate benefits of an improved revenue management cycle.

Advantages of electronic claim filing

Medical billing providers file claims electronically for their clients. There are many advantages to this:

* An online records management system reduces the chances of errors in the forms, radically increasing the collections.

* Filing claims electronically is fast as the interface is data intuitive.

* Managing and tracking electronic claims is easy.

* Electronic claims are processed and paid in less than 21 days. Manual submission and payment of claims takes 90 days on an average.

* Unpaid claims are reduced by almost 60%.

* Filing claims electronically saves cost. The cost of filing a claim electronically is half the cost of paper submission, and the cost of reviewing an electronic claim is one third of the manual process.

All these advantages are making more and more health care providers take to electronic submission of claims. More than 75% of the medical claims submitted are electronic.

Medical billing services and HIPAA compliance

HIPAA requires health care providers to implement security procedures to meet government regulations and ensure the faith of patients. Medical practitioners should work only with professional medical billing providers who are experts in HIPAA compliance. Before signing up your potential billing partner, ask the following questions:

* What processes are in place to ensure HIPAA compliance?

* Is the billing provider’s staff trained in HIPAA compliance?

* Does the staff appreciate the difference HIPAA compliance brings to billing services?

* How is the security of health information assured?

* Which medical billing software does the billing provider use?

* Does the medical billing software incorporate all the critical HIPAA-related requirements?

* Is the billing provider’s software compatible with your records management application?

* Does the billing provider offer comprehensive patient records management services?

HIPAA has enforced standardization of billing transactions. While this was initially perceived as a needless time-consuming procedure, HIPAA has helped the medical industry increase revenue by billions of dollars. Administrative efficiency and effective record management systems help health care providers reduce time to payments and improve their bottom line dramatically.

Electronic claim filing has infused a new life into health care practices that are often troubled with low cash flow. Medical billing providers ensure HIPAA compliance for your practice, make your revenue management cycle more effective, improve cash flows and streamline the billing process. Before you hire a billing provider, compare multiple quotes for the best deal.

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