Healthcare Services

The healthcare industry around the world faces significant challenges to improve quality with fewer resources. There are higher challenges due to rising healthcare cost, shortage of skilled labor, increased regulations, accelerating technology costs and diminishing profit margins. These are compounded by rising R&D costs, pipeline failures, Patent expiry, etc.

ZIETA, with its acknowledged experience in the Healthcare and Life Sciences industry, offers solutions in the following areas:

  • Data Integration
  • Data Analytics Services
  • Clinical Data Design and Management
  • Payer and Provider Services
ZIETA offers comprehensive solutions to tackle cost control, manage regulations in an efficient way and is extremely competitive in newer technology implementations, thereby helping obtain a better ROI and higher profit margins.
Data Integration Top

Data is highly scattered in the healthcare industry, typically:

  • Pharmacy Claims
  • Facilities
  • Professional Services
  • Encounter Data
  • Membership Data
  • Lab Data
  • Ancillary Data
  • Formulary Data
  • Medical Care Quality Measures
  • Industry Subscription Data (provided by Client)
        • Drug Pricing Files
        • Provider Files
        • Pharmacy Files
        • Disease Information
        • Clinical Algorithms
        • Diagnosis Codes and Information
        • Procedure Codes and Information

Accessing these data sets together is an essential need in the industry. ZIETA provides data integration services, to link and match disparate data sources. We help clients bring together data from transaction processing systems and other sources for a single version of the truth. ZIETA integrates data from a comprehensive list of separate data sources including legacy systems, operational data stores, and/or data warehouses.

Our Professional Services team’s proven approach ensures cost-effective, rapid implementation of your data integration solution and provides key performance measurements specific to your business. Our solutions are highly customizable and provide flexibility, scalability, and high performance, meeting both current and future needs.

Data Analytics Services Top

In today’s competitive environment, data is power. The knowledge about the market, the patients, and the usage, can give a lot more access and ease for penetrating into the marketplace. This, in turn, would help in increased revenues, setting the right price and substantial control over the increased profit margins.

ZIETA provides methodological and analytical expertise to ensure optimal study design, statistical analysis, interpretation and reporting of Outcomes Research or clinical trials. It also enables you to operate side by side with CDM and clinical research to ensure quality, validity and integrity of the results.

Statistical Services

  • Statistical analysis plan design
  • Sample size calculations
  • Randomization schedule design
  • Interim analysis
  • Exploratory analysis and statistical modeling for efficacy and safety evaluation of drugs
  • Statistical support for publications and post marketing analysis
  • Integrated analysis of efficacy and safety

SAS Programming Services

  • Creation of analysis database
  • Edit checks and database clean-up
  • Program summary tables, listings and graphs

Outcome Analysis:

  • Assumptions
  • Calculation logic
  • Design and Develop methodologies based on study
  • Report layout/design
  • Cost of illness to help drive acceptance for new therapies
  • Reimbursement amount, denials and outcomes by payer type and plan
  • Comparative persistency, compliance and related costs/outcomes
  • Cost effectiveness of different practice patterns, treatments and brands
  • Design cohort studies and evaluate the effectiveness of treatments and client instituted programs
  • Generate customized reports to represent budget impact of various disease and interventions
  • Drug utilization reviews to support formulary decision making
Clinical Data Design and Management Top

Consistent, high-quality data is Mantra for clinical data management, but we don’t sacrifice the timeline or budget either. ZIETA’s dedicated data team leads help you generate data that meet our rigorous standards. ZIETA’s goal is to transform raw data into consistent, accurate, reliable and meaningful trial output in full compliance with the regulatory guidelines. ZIETA assures to reduce the time between Last Patient Last Visit and the database lock while meeting the quality standards.

Our clinical data management team produces results that are:

  • Accurate
  • Accessible
  • Reproducible
  • Source-verified
  • Timely and cost-efficient
  • Case report form (CRF) design
  • Database design and study setup
  • Data entry and verification – from different sources like Paper, Fax, Phone etc
  • Data validation and query resolution:
  • Database integration across protocols, including integration of legacy data and standardizing for data validation
PAYER and PROVIDER Services Top

ZIETA has been working with leading US healthcare companies and has created tested processes in claims processing and customer support services in the payer market. Apart from deep domain expertise, ZIETA has well-equipped processes to handle complex and high dollar value claims. The teams have capabilities in solving physician and member queries, with adherence to utmost quality standards.

ZIETA also helps payer organizations to manage efficient and cost effective network of providers by rendering services around credentialing and benchmarking.

Claims Processing Service

  • Claims adjudication
  • Premium administration
  • Policy administration
  • Enrollment services

Provider Services

  • Scheduling
  • Pre-registration
  • Insurance verification
  • Charge, capture and entry
  • Claims submission
  • Payer, individual follow-up
  • Denial and appeal management
  • Payment posting
  • Management reporting
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