At Naviquis, we’re revolutionizing payment integrity and network engagement for third-party administrators (TPAs) and health plans. Here’s how we help you stay ahead: ?? PAYMENT INTEGRITY PLATFORM Harnessing AI-powered fraud, waste, and abuse (FWA) detection, our platform operates post-adjudication and pre-payment to flag and prevent fraudulent claims before payments are issued. The result? Protected financial integrity, reduced costs, and instant ROI, all while driving client savings, TPA revenue, and provider satisfaction. ?? MEMBER/PROVIDER ENGAGEMENT Communication is key! Our automated, real-time system enhances provider relationships through transparent updates on unpaid claims, credentialing, and licensing. Say goodbye to abrasion and hello to stronger, more engaged networks. Let’s secure your future together. Contact us today to learn more! https://www.naviquis.com/ #Naviquis #PaymentIntegrity #AI #HealthcareSolutions #FraudPrevention #ProviderEngagement #Innovation
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Asembia starts Monday! Talk to our experts to learn about the right tools and data insights that can help you overcome barriers to market access. Schedule a meeting to learn more: https://lnkd.in/e2ycff3v #patients #payers #providers #Asembia24 #MarketAccess PRECISIONvalue PRECISIONxtract PRECISIONadvisors
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Uncover Hidden Savings Navigating healthcare billing complexities? Our advanced FWA detection software uses analytics and machine learning to identify and prevent fraud, waste, and abuse, safeguarding your finances and ensuring regulatory compliance. Learn more about our fraud detection software: https://lnkd.in/gRFdWHUt #Healthcare #FWA #Compliance #Innovation #PaymentIntegrityHealthcare #TPAs #Payors #Naviquis
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Ensure successful billing with these tips. Submit claims promptly, follow up, audit regularly, and train staff on regulations. Need assistance? Contact us! #HomeHealth #Hospice #ClaimsRevenueManagement #Collections #icd10Codingservices #CashPosting #OASIS #RCD #ReviewChoiceDemonstration #PCR #Preclaimsreview #Validations #oasisQA
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Ensure successful billing with these tips. Submit claims promptly, follow up, audit regularly, and train staff on regulations. Need assistance? Contact us! #HomeHealth #Hospice #ClaimsRevenueManagement #Collections #icd10Codingservices #CashPosting #OASIS #RCD #ReviewChoiceDemonstration #PCR #Preclaimsreview #Validations #oasisQA
Ensure successful billing with these tips. Submit claims promptly, follow up, audit regularly, and train staff on regulations. Need assistance? Contact us! #HomeHealth #Hospice #ClaimsRevenueManagement #Collections #icd10Codingservices #CashPosting #OASIS #RCD #ReviewChoiceDemonstration #PCR #Preclaimsreview #Validations #oasisQA
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?? Can I use the Parashift IDP Platform to process sensitive business documents? Banks, insurance companies, and healthcare providers trust Parashift to process their sensitive data. Our IDP platform is designed to process sensitive documents with top-tier security and compliance. Want to know how Parashift ensures your data stays safe? ?? Read the full article here: https://hubs.ly/Q02PF_110 #IntelligentDocmentProcessing #DataSecurity #IDP #DocumentProcessing #Compliance #Parashift
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Discussing the challenges around Personal Data in a Fintech space and how the tech team can help us in implementation of guidelines to protect personal data. It was a very insightful discussion. Thank you DPO Club for hosting this. #Privacy #DPDPA
?? Successful Event Recap! ?? DPO Club in collaboration with Indian Financial Forum and Tsaaro Consulting successfully conducted a Roundtable for Fintech on "How to tackle DPDPA with the Tech Team?" held on June 6, 2024. ? A big thank you to all the participants for their active involvement and valuable insights during our roundtable. ? The roundtable was attended by prominent fintech leaders across India. Together, we delved into the harmonization of RBI Regulations & DPDPA Guidelines and explored strategies and safeguards for optimizing PII data usage by tech teams. Your contributions truly elevated the success of the roundtable! ? Special thanks to our collaborators Amar Kewlani from Tsaaro Consulting ?????? ????????? Abhishek Varshney from the Indian Financial Forum for their support. ? Stay tuned for more updates and upcoming events. Together, we are building a stronger, more compliant fintech ecosystem. ? #Roundtable #Fintech #DPDPA #DataPrivacy #TechTeam #Compliance #DataProtection #DPOClub #TsaaroConsulting #IndianFinancialForum #EventSuccess #ThankYou
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How MSPs Can Help Your Business Achieve Compliance with Industry Regulations Businesses are under immense pressure to stay competitive while adhering to an array of industry regulations. Whether it's healthcare, finance, or retail, compliance with these regulations is paramount. Managed Service Providers (MSPs) like trueITpros play a crucial role in helping businesses navigate the complex world of regulatory compliance. Understanding Regulatory Compliance Regulatory compliance means following laws, regulations, guidelines, and specifications relevant to your business. Industries like healthcare and finance face particularly stringent regulations due to the sensitive nature of the data they handle. Common regulatory frameworks include: - HIPAA (Health Insurance Portability and Accountability Act) for healthcare organizations. - GDPR (General Data Protection Regulation) for businesses operating in the European Union. - PCI DSS (Payment Card Industry Data Security Standard) for businesses handling credit card transactions. - SOX (Sarbanes-Oxley Act) for publicly traded companies. By partnering with trueITpros, your business can benefit from tailored compliance assessments, customized policy development, advanced security solutions, continuous monitoring and auditing, incident response planning, employee training programs, and detailed reporting and documentation. Visit www.trueitpros.com today to learn more about how their managed IT services can help your business achieve compliance and thrive in today's competitive landscape. Let's talk! How is your business handling regulatory compliance? Share your thoughts or experiences in the comments below. Let's navigate this complex world together. #Compliance #ITServices #MSP #trueITpros #BusinessGrowth
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?? Tech Treatment for Compliance Under-Reporting ??? Want to be the first to try it? One of the biggest challenges in compliance is under-reporting critical issues like complaints and incidents. For years, Curium has championed a culture of “See Something, Say Something” — and companies working with us have seen incredible results in uncovering critical issues early and preventing serious breaches. ?? However, despite strong cultures and engaged teams, the industry is still falling short. ?? For example, almost 40% of brokers reported no breaches last year, according to IBCCC data. After years of tackling this issue, we believe we've found the solution: ?? An Auto-Detection Tool designed to spot incidents and complaints with a high degree of certainty. Imagine auto-flagging and assessing issues as they arise — enabling you to take action instantly. We’re excited to announce that this tool will be available for Beta testing in the coming weeks. ?? Want to give it a try? Drop us a note! Let’s build a stronger, more compliant insurance industry together. #Compliance #InsuranceBrokers #RegTech #FraudDetection #InsuranceInnovation #RiskManagement #Curium
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?? Draft DPDP Rules, 2025?? The Ministry of Electronics and IT (MeitY) has released the draft Digital Personal Data Protection Rules, 2025, outlining the operational framework under the DPDP Act, 2023. Key highlights: 1?? Consent & Transparency: Data Fiduciaries must provide clear, accessible notices to enable informed consent for personal data processing. 2?? Security Measures: Mandatory safeguards like encryption, access control, and breach response to protect personal data. 3?? Data Principal Rights: Includes access, erasure, and withdrawal of consent, ensuring greater control for individuals over their data. 4?? Consent Managers: Independent entities to facilitate and manage user consents transparently. 5?? Significant Data Fiduciaries: Enhanced obligations, including annual data protection impact assessments and restrictions on cross-border data flow. 6?? Child Data Protection: Stricter rules on processing child data with verifiable parental consent. The draft rules emphasize accountability, transparency, and digital independence. Stakeholders can submit objections or suggestions on the MyGov portal until 18th February 2025. Impact on the insurance sector: 1?? Enhanced Consent Management: Insurers must ensure clear, informed consent for data collection and processing. 2?? Stricter Data Security: Robust data protection measures will be mandatory to prevent breaches and build customer trust. 3?? Child Data Restrictions: Verifiable parental consent will be needed for processing child policyholder data, adding compliance steps. 4?? Cross-Border Data Flow: Restrictions may limit outsourcing or processing customer data abroad, affecting global operations. 5?? Data Principal Rights: Customers can request access, erasure, or correction of their data, increasing operational and compliance challenges. 6?? Impact on Claims Management: Insurers must maintain transparency about how customer data is used during claims and underwriting. 7?? Consent Managers: Introduction of independent consent managers will create new intermediaries in the insurance data chain. 8?? Compliance Costs: Higher compliance requirements may increase administrative and IT costs for insurers. 9?? Customer Trust: Stronger data protection regulations can enhance customer confidence in insurers' handling of personal data. ?? Regulatory Oversight: Significant Data Fiduciaries like large insurers may face annual data audits and stricter reporting standards. #DigitalIndia #DataPrivacy #DPDP2025 #TechPolicy #DataProtection
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Happy Dussehra! ?? Just like Lord Ram’s triumph over Ravan, you can conquer onboarding challenges with ease. This Dussehra, trust Anurtech for seamless, secure, and fast customer verification and onboarding journeys. #Anurtech #OnboardingSimplified #Dussehra2024 #FestivalOfVictory #PIVC #KYC #eKYC #BFSI #Finance #UserExperience #AI #DigitalTransformation #Insurance #TechSolutions
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