Healthcare
Healthcare clients transitioning to a fee-for-value model rely on Teknip Technologies's services to deliver cost-effective, high-quality care. Our expertise spans the entire healthcare value chain, from Health and Human Services (HHS) to care delivery systems and Pharmacy Benefit Management (PBM). By integrating advanced technologies and innovative commercial models, we enhance patient outcomes while reducing costs. Our solutions drive efficiency across healthcare operations, ensuring regulatory compliance and scalability. With a comprehensive understanding of healthcare ecosystems, we empower clients to achieve sustainable growth. Teknip Technologies’s holistic approach positions us as a trusted partner in transforming healthcare delivery.
Empowering state agencies with a modern Medicaid Enterprise Solution (MES)
Teknip Technologies Enterprise Medicaid as a Service (Teknip Technologies EMaaS®) offers state Medicaid agencies unparalleled benefits, ensuring a future-proof, flexible, and scalable solution. Designed to replace outdated legacy systems, Teknip Technologies EMaaS® provides a comprehensive and modern Medicaid Enterprise System (MES).
Our cloud-hosted platform guarantees low cost of ownership and high accessibility, making it a cost-effective choice for agencies. Teknip Technologies EMaaS® emphasizes configuration over complex coding, enabling rapid responses to evolving requirements with ease. Its loosely coupled architecture allows agencies to select and integrate modules that best fit their specific ecosystem, enhancing operational flexibility. Aligned with the expectations of the Centers for Medicaid and Medicare Services (CMS) and compliant with the Medicaid Information Technology Architecture (MITA) framework, Teknip Technologies EMaaS® is built to meet stringent regulatory standards. Additionally, its hyper-scalable design and real-time disaster recovery capabilities ensure robust performance and resilience. Teknip Technologies EMaaS® is the definitive solution for transforming Medicaid administration through innovation and efficiency.
Comprehensive Solution For Medicare Advantage Market
Teknip Technologies has been providing quick, reliable and cost-effective end-to-end support to managed care organization throughout the United States. With the expertise of working with over 100+ plans, Teknip Technologies solutions provide seamless member experience to Medicare Advantage Plans, Part D, Cost Plans, Duals and Special Need Plans.
We offer a variety of services for plans that need help in managing costs, improve profitability, and assure compliance with regulatory requirements and guidelines.
Medicare Advantage solution is the third largest party submitter to CMS (Centres for Medicare & Medicaid Services). It also has around 8 million encounter submissions, with more than 1.7 million RAPS submissions on a monthly basis and a revenue reconciliation of more than USD1 billion on a monthly basis.
Healthcare Business Process Solutions
Teknip Technologies’s Healthcare Business Process solutions for providers and payers improve real-time customer responsiveness, meet regulatory compliance and provide cost competitiveness. We use our 7+ years of experience working with leading US Payers, health systems and Medicaid agencies to drive business process efficiency and accelerate growth.
Our Provider services include:
- EMR Clinical and IT Helpdesk (Epic, Cerner, AllScripts, Meditech and others)
- Revenue Cycle Management - Patient Access Management and ICD-9, ICD-10 Medical Coding
- Clinical Documentation Improvement (CDI)
- AR, Denials Management
- Patient Accounting and Contact Center
- Corporate Business Services - Finance and Accounting, Human resources
- 3D Imaging Reconstruction - HIPAA Compliant Global Radiology Support Center
Our Payer services include:
- Claims Administration Services
- Provider and Member Contact Center Services
- Premium Billing & Reconciliation
- Care Management - Utilization managements, Case management and Medical management
- Integrated Behavioral - Clinical program "feet on street" services
- Integrated Behavioral - Clinical program "feet on street" services
- Mailroom and fulfilment services including imaging, data entry, scanning, EOB, Check, correspondence printing
- Fraud, Waste and Abuse (FWA) Program Integrity services