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Compliance and Regulatory Reforms

Healthcare is continuously evolving due to public needs, market demands and regulatory reforms. The primary focus is to provide quality of care while lowering the healthcare cost. Healthcare organizations must be compliant with the reforms made by the regulatory entities. LTI has frameworks and range of tools to swiftly address critical business challenges arising amid mergers and acquisitions, changes to healthcare regulations, data privacy and changing market conditions.

LTI’s experience in healthcare compliance and regulatory changes has been with multiple US based insurers providing; health plans to individuals, Medicare eligible members and workers compensation insurance. LTI’s proven experience in past has been in the migration of ICD-9 codes to ICD-10 codes, neutrality testing, HIPAA 4010 to 5010 EDI map changes prior to the regulatory cut-off date.

LTI was also engaged in a GDPR compliance assessment of member PII privacy breach for an east coast large Health Insurance company where LTI has leveraged in-house automated solution and ready-to-use toolkit to analyze the DPIA reports and create an implementation roadmap.
LTI was recognized as a “Leader” for GDPR Services in Everest Group’s PEAK MatrixTM Assessment 2018 and positioned as a “Leader” for GDPR Services in NelsonHall NEAT 2018

Services Offered

  • Accelerated assessments using Maturity Analyzer along with ready-to-use healthcare specific templates, checklist and process maps
  • Rapid implementation using an effective data lineage solution, robust Consumer Rights and Consent Management solution
  • Intelligent reporting through real-time dashboards for PII data breach prevention and monitoring, using predictive analytics
  • Automated data discovery, classification and labeling for Privacy Regulations of GDPR, CCPA, NYDFS, PIPEDA using LTI’s Private Eye solution

Key Features

  • Consumer data search in multiple data sources based on a combination of parameters
  • Index search for faster results without storing any data
  • Ability to scan structured and un-structured data on-premise and on-cloud
  • AI ML engine to identify, learn key attributes and deliver automated actions

Business Benefits

  • Reduced organizational and individual risk of information theft and legal obligations
  • Uncovers compliant data elements for adhering to data security and exchange standards to enable better decisions
  • Automate generation of reports and enable data exchange for regulatory compliance
  • Delivered analytical insights and breach prevention of personal identifiable information

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    Our Success Stories

    Employee Benefit platform

    LTI developed cloud-based Employee Benefit Platform for a Life & Health Insurance Broker

    Event Based Intelligence

    LTI developed complex algorithm and Event-based Intelligence for Major US-Based Hospital

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    Health & Wellness Platform Implementation for Singapore-based Life Insurance Company

    Intelligent Automation

    LTI implemented Intelligent Automation for US-based Healthcare Organization

    Workflow Implementation

    Workflow Implementation for Life & Health Insurance Company

    Application Maintenance

    Application & Infrastructure Maintenance for US-based Medicare Health Insurance Organization