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Healthcare
Hear the heartbeat of productivity
 
Given the extent of federal and state regulation in healthcare, payers and providers continuously face challenges to adapt their IT systems to comply with regulations within the stipulated time. Cognizant provides Regulatory Compliance Services supported by proven assessment and remediation methodologies:
 
  • Medicare Modernization Act (MMA) Services
    MMA enhances the Medicare program by bringing prescription drug benefits to the eligible population. The impact of the act would be felt across the whole spectrum of players in the healthcare industry. In particular, health plans, providers, and employer sponsored health programs would be deeply affected.

    Cognizant has a comprehensive questionnaire-based assessment and subsequent remediation approach for meeting the MMA requirements of its clients.
 
  • HIPAA Compliance Services
    HIPAA calls for simplification of administrative procedures and mandates healthcare organizations to implement standard formats for various transactions. Cognizant has a proprietary two-phase compliance methodology with Compliance Assessment and Remediation. The framework increases the go-to-market speed.

    Cognizant has a dedicated HIPAA competency center. Cognizant provides the following HIPAA Compliance Services:
    • HIPAA Program Management
    • Gap Analysis and Risk Assessment
    • HIPAA Remediation Planning and Implementation
    • HIPAA Education and Awareness (including a Web-based training tool HIPAA@Net)
    • Custom Gateway Solutions
    • HIPAA Compliance Testing
    • Post-implementation Support and Compliance Monitoring
    • National Provider Identifier (NPI) Services

      • NPI compliance roadmap and assessment
      • NPI compliance execution
      • Flexible approach depending on health plan scenario
 
  • SSN Remediation
    • Program Management
    • Impact Assessment and Remediation Planning
    • Phased Remediation
Cognizant is the preferred partner for 6 of the top 10 health plans in the U.S.