42
Increased Productivity of Clinical
and Business Operation Teams*
* Averaged Results from Client Use Cases as of 1/1/2024
HIP One Platform
Through the implementation of core business processes such as UM, CM, and Medical Review, the HIP One platform delivers enhanced operational efficiencies while avoiding building point solutions. HIP One further enhances the productivity of clinical and business operation teams in the range of 30-50% by leveraging AI and Gen AI capabilities with built-in security, privacy, and compliance.
Each module in HIP One contains multiple use cases for clinical, operational, and financial efficiencies for payer and provider organizations. Continue on below to learn more about the unique modules within HIP One.
Contact Us
Validate Your Use Case and Talk with a Practice Leader
Key Modules of HIP One
HIP Clinical
The HIP Clinical module is a secure, scalable interoperability solution for clinical decision support, care management, utilization management, and risk adjustment.
Major function areas of the module include:
- Clinical Interoperability
- Clinical Summarization
- Medical Review
Medical Review function from HIP Clinical module
HIP Operations
HIP Operations streamlines and optimizes healthcare processes, such as patient care, administrative tasks, resource management, and financial operations through intelligent data extraction.
Major functions of HIP Operations include:
- Document History
- Medical Bill Review & Worksheet
- Medical Record Request
- Medicare Analytics
Medicare Analytics function from HIP Operations module
HIP Connect
HIP Connect is the platform’s conversational extraction feature, powered by generative AI.
Major functions of HIP Connect include:
- Interactive Document
- Business Intelligence
- Logsifters
Interactive Document function from HIP Connect module
Value to Healthcare Organizations
Increased Revenue
HIP One can scale to increase the volume of claims, documents, and other data that an organization needs, raising the potential revenue opportunity.
Saved Time
HIP One modules use automation and AI tools to speed up manual processes, allowing organization to focus on more strategic priorities.
Improved Accuracy
With audit records and confidence scales, HIP One can ensure better results with the ability to review records.
Secured Data
Using the full protection of Microsoft Azure services and zero-storage on PHI, HIP One allows healthcare data to be safe and secure.
Case Study
Faced with regulatory and business pressures, our client sought a digitally native ROI platform to reduce costs, boost flexibility and revenues while seamlessly integrating across analog processes. In this case study, we demonstate the value that was created for our ROI customer and the technical strategy to make it work using core HIP One technologies.
Try Out the GenAI Website
You can demo our generative AI engine now, on HIP.one. Learn more about the HIP One platform, Genzeon’s services, and much more from the simple to use chat prompt.
Meet with the Genzeon Healthcare Team
As the General Manager of Healthcare, Harsh is responsible for leading the Genzeon healthcare practice. Prior to Genzeon, Harsh has spent 20 years focused on removing inefficiency by utilizing technology, process and business model innovation in healthcare with leadership roles for Fortune 500 companies and SaaS startups, including Aetna, Anthem, and crankfrog. He is dedicated to creating value for our healthcare clients, driving ROI through technology and process innovation.
Vikram Pendli is our Chief Technology Officer (CTO) for Genzeon. He is responsible for Genzeon’s technology strategy and solution architecture initiatives. Vikram’s primary focus is helping clients build a digital roadmap to transform their businesses. As an industry consultant, he has deep expertise in designing, developing, and architecting cloud solutions for Public Clouds (Azure and AWS) and Hybrid Clouds. He has complete exposure to Azure cloud services, including PaaS, IaaS, Storage, Business Analytics, Virtual Networking, Data Analytics, Artificial Intelligence, and Machine Learning.
Prashant leads the Genzeon Intelligent Automation practice. He has 20+ years of experience as a technology leader with 18+ years in the healthcare industry. Prior to joining Genzeon, Prashant spent 15+ years at Anthem where he held multiple leadership roles including leading the Automation COE. Prashant has an MBA from Yale School of Management with a concentration in healthcare.
Global business development and delivery management in Business and Technology Consulting services.
Specialties: Fortune 500 Client relationship management; Experience across multiple industries including Banking and Financial Services; Healthcare; Manufacturing; Entertainment, Automotive. Entrepreneurial experience in Datawarehousing/ BI services.
Transformation Agent/ Change Ambassador; Staunch supporter of Women Empowerment
Specialties: Fortune 500 Client relationship management; Experience across multiple industries including Banking and Financial Services; Healthcare; Manufacturing; Entertainment, Automotive. Entrepreneurial experience in Datawarehousing/ BI services.
Transformation Agent/ Change Ambassador; Staunch supporter of Women Empowerment
With 19+ years of experience managing global delivery models, Pranita specializes in driving digital transformation, managing large-scale transformations, and delivering business process automation for healthcare clients.
Her expertise extends to various areas, including Account Management, Client Engagement, Business Development, Program Management, and Application Development. Pranita excels at navigating all levels of the organization, thanks to her strong interpersonal and communication skills. She's a trusted and strategic partner to Genzeon's clients, helping them grow and manage key accounts by building strong client relationships, delivering value, and driving profitability.
