Health plans need solutions that can deliver value quickly. Avior’s BenchMark solutions are SaaS-based, can be deployed rapidly and provide significant cost savings. With and extensive library of tools designed for healthcare, BenchMark ensures that compliance programs can be automated quickly and start delivering results immediately.
Avior’s in-depth knowledge of the healthcare industry lead us to create solutions that automate program management for key compliance areas including ICD-10, Provider Network Management, Vendor Risk Management, and IT Security and Privacy. Avior allows insurers to more effectively deal with a myriad of regulations and mandates including:
ICD-10: Ensuring readiness for ICD-10 is a significant effort for all healthcare organizations. The success of your program depends on the readiness of your affiliates, vendors and trading partners to transact with the new ICD-10 codes. You must engage thousands of healthcare providers, vendors, trading partners and clearinghouses to determine their readiness, identify and resolve risks and manage the testing process. Our ICD-10 Solution Pack is the industry’s leading solution to reduce cost and deliver better information on ICD-10 readiness.
Health care Portability and Accountability Act (HIPAA) imposes rigorous privacy and security regulation on the healthcare industry. Increased enforcements and new audit programs increase the risk of non compliance.
Health Information Technology for Economic and Clinical Health Act (HITECH Act) extends the Privacy and Security Provisions of HIPAA to business associates of covered entities. This includes the extension of newly updated civil and criminal penalties to business associates. Healthcare payers must now monitor their vendors and other business associates for compliance. HITECH provisions include data breach notification requirements for healthcare data breaches.
Centers for Medicare and Medicaid Services (CMS) Security Audits require regulated entities to conduct formal assessments of the security of HIPAA regulated data including affiliates, vendors and other business associates.