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ESRD Coverage Calculation

CMS
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Photo Credit: Howard High School Students
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Transforming Healthcare Data Management: iAdeptive's Innovative Approach

In the healthcare industry, specifically with the Centers for Medicare and Medicaid, precise and timely data management is crucial. iAdeptive takes on this challenge by leveraging its expertise and innovative solutions to address the complexities of data compliance, patient identifiers, and data discrepancies. Through modernization and utilizing cutting-edge technology, we aim to revolutionize healthcare data management, ensuring accuracy, compliance, and ultimately delivering better patient outcomes.
Scope

Challenge

The Centers for Medicare and Medicaid encountered a substantial hurdle in ensuring precise and timely calculations and dissemination of Medicare ESRD coverage periods. This complexity was coupled with the necessity to uphold precise Patient Identifier data throughout multiple systems, all while addressing and rectifying data inconsistencies.
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The
Solution

Business Value

Precision in calculating Medicare ESRD coverage periods and maintaining accurate Patient Identifier data is pivotal for efficient Medicare payment determinations. Beyond facilitating seamless payments, this data is an invaluable resource for tracking Medicare status, analyzing transplant and dialysis activities, and gauging overall Medicare utilization. Enhancing data quality not only fosters better decision-making but also ensures a robust foundation of reliable and actionable data. Additionally, modernizing communication with external data sources elevates the organization’s responsiveness to dynamic shifts in patient care and treatments, propelling healthcare operations towards heightened efficacy and precision.

Key Facts

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Improved Patient Identifiers

Tech Specs

AWS Data Pipelines:

Utilized AWS Data Pipelines, an efficient web service for orchestrating and automating the movement and transformation of data between different AWS services and on-premises data sources. AWS Data Pipelines facilitated seamless data flow and transformation, optimizing the accuracy and efficiency of the ERDS Coverage Calculator. Integration: API Gateway

API Gateway

Integrated with API Gateway, a fully managed service that makes it easy for developers to create, publish, maintain, monitor, and secure APIs at any scale. API Gateway enabled seamless communication with various external data sources, enhancing data exchange and supporting accurate Medicare coverage period calculations.

Conclusion

Empowering ESRD Data Management: iAdeptive's Impactful Rol

iAdeptive’s team played a crucial role in addressing this challenge. The modernized platform has brought improved data quality, efficiency, and compliance with data security standards to the ESRD program. This transformation will significantly benefit our operations and, most importantly, the patients we serve.

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