Health Care, Life Sciences, Pharma & Biotech

Health care is changing constantly. Reforms are adding the complexity to payers, providers and members. All patient centric, payer centric and provider centric models are undergoing massive sea change because of the advent of new regulations, reforms, mobile technology and “health care any where” concepts impacting the industry economies. These are commanding a change in the healthcare processes and making the operations cumbersome. Hence, dependency on Information technology increased by multi fold. Technology is calling for digital transformation. Cutting costs of Health care & Drug development, Clinical Trials is not an easy achievement. Today global healthcare organizations are grappled with increasing regulatory and legal hurdles.

Regulations like PPACA, Sustainable growth rate, reduction in Medicare and Medicaid funding to the tune of $450 billion over the next 7 years are not offering easy transformation and profits for providers. Provider groups are moving non-core activities to specialized organizations. Some of the very significant sector influencing opportunities here can be controlling the cash flow management and improving up on operational efficiency via programs and projects that align various matrices of this sector while influencing and addressing regulatory challenges, operational cost containment, increasing productivity and efficiency, scalability etc. core competencies.

eKriya’s consultants offer expertise in Revenue Cycle Management services and help our clients decrease A/R days and claims denials, accelerate cash flow and savings, eliminate regulatory compliance headaches, integrate your back office functions efficiently, ultimately leading to better customer services and creating a competitive advantage in the sector. Our healthcare team of consultants applies the best healthcare practices around the globe and employs finest resources including, technology, people and processes to help client achieve maximum result for the clients.

eKriya believes that latest digital technology intervention is the key and has very critical role in overall streamlining of operations. Our teams offer techno functional solutions that utilize emerging technologies and transforming business processes to deliver optimal results and are experienced in managing robust data interfaces with hundreds of payers for claims information, frequent contact and collaboration with US payers reduce the complexity of claims resulting in excellent A/R resolution rates.

eKriya’s clients leverage the strategic advantage of our BPO model through every step of the business process and technology transformation including training, installation, deployment, continued support, and 24/7 customer care.

Current era regulations demand continuous compliance which mandates the customization of business processes. EHR and EMR usage offers more state and federal benefits to providers. But, providers are not fully equipped with necessary technologies to tackle HIE, HL7, HIPAA, PPACA, EHR, EMR.

Compliance with requirements like CGMP, CFR Part 11, ICD9 to ICD10, Meaningful Use stage 1,2 and 3 constantly keeping payers and providers on toes. More and more challenges are piling up. American Patient Protection and Affordable Care Act (PPACA), HIEs, HIX make providers rethink about their patients engagement and retention strategies. Hence the need for providers to be more proactive and competitive in care management space. Insurance Payers need prevention strategies for fraudulent claims submission and non compliance from billing providers. Life Sciences and Pharma sectors are facing patent wars, high priced drug failures or withdrawals along with rising R&D, clinical trails costs.

eKriya’s experienced consultants dig out deep rooted meaningful insights and never loose focus on this paradigm shift. eKriya’s experts empower clients to offer qualitative accessibility of care and digital wellness to their members with high ROI yielding next generation solutions at every milestone of their program road maps aimed at winning their end subscribers, members. Our consultants having worked with several leading insurance companies, payers, providers, CROs and third party administrators enable our clients to create tailored solutions that reduce administration overheads, improve member and customer satisfaction, and provide flexibility to change with regulatory and market developments.

Our business processes, analytics, technology tools and services employed by our experts adapt six-sigma based methodologies combined with a global delivery model, help clients deliver outstanding results to their customers and members and exceed benchmarks in the industry while realizing significant cost savings.

As part of our corporate commitments SMART analytics with meaningful insights offering actionable intelligence becomes a mandatory standard offering to our customers in this vertical. We have made sure our alliances have passed the stringent quality standards and measures and follow ISO 9001-2000 certified processes, keeping the best interest of our clients. Healthcare Informatics broadly adheres to the below framework.

  • Data AcquisitionCollection and storage of data from various sources such as instruments, manual data entry, and  system generated data, focusing on the right acquisition method for each source
  • Data ManagementData updates and data consistency, data security, change control and audit, data governance, data integrity, data quality, Mapping & Integration—Migration of data, data integration & harmonization of information from multiple data sources
  • Analysis—statistical analysis, data mining, etc..
  • Reportingdecision support, business intelligence, dashboards & balanced score cards
  • Reduce [TCO] Total Cost of Ownership of legacy business systems, processes and IT services and migration to newer low cost systems.
  • Speedup Go-To Market Time and response to market demand and supply requirements.
  • Continuous Momentum Drive of multi-faceted digital transformation. Increase in Churn, Inventory Turns, demand supply balance, logistics, on-Time delivery.

Some of the key focus areas in this space are mentioned below.

  • >> Innovative Digitized Transformation for faster new services introduction e.g. new wellness programs, medical devices, clinical products [NPI]. >> Adaptation of smarter technologies around our processes and performance linked pricing.
  • >> Improve Return on Investment [ROI], Profitability with better margins for disease management, wellness programs etc..
  • >> Control Costs and Optimize procurement of medical devices lead times leading to faster growth. Collaborative Optimization. Beyond Enterprise Collaboration [SMAC] with suppliers, customers, employees, competitors.
  • >> Value Added Pursuit for Excellence tapping competitive market intelligence using informed decisions offering meaningful insights for utilization, clinical, financial benchmarks.
  • >> Infuse Agility. Enhance Ingenuity. Increase Efficiency in disease or wellness management programs, life sciences R&D.
  • >> Ensure Provider Compliance. Harness Synergies & Expectations e.g. investigative, corrective actions, audits against fraudulent claims analytic processes.
  • >> Achieve greater accuracy in health care information exchange based pricing models for patients, members, subscribers leveraging profiling and directories and data sharing, application services to implement & test claims based management solutions
  • >> Optimize, inter-operable data sharing services to patient, provider and business layer delivery mechanisms from industry partners.
  • >> Improve R&D effectiveness and reduce time-to-market for medical devices, pharmacy products, over the counter drugs and health care services.
  • >> Make informed decisions based on clinical outcomes, measures, quality and utilization for Disease Management, Care Management & Wellness Management programs and for Episode Treatment Groupings [ETG], Episode Risk Groupings [ERG], Risk Stratifications.
  • >> Data integration between payers, providers, HIEs, ACOs,  Aggregation of claims, encounter, ETG, ERG, membership and demographics.
  • >> Facilitate Sustainable, Measurable, Adaptable, Reliable and Transformational business and IT services & solutions addressing sector challenges.
  • eKriya offers extensively talented health care staff at all levels. Our teams provide reliable business programs and projects management as well as complex technical solutions leveraging deep dive analytics at various stages. eKriya’s associates offer a wide of range of skills, years of experience in this vertical.
  • >> End-to-end data management: EDW, EBI, ETL, Data mapping, indexing storage and retrieval of various sources of data such as facilities, medical and pharmacy claims with drug and formulary data sources, encounters, episode treatment risk groupings, ancillary services data, utilization and quality measures & metrics based data, ICD9s, ICD10s, CPT Codes, Revenue codes and associated conversions, eligible and books of business based membership data,  actuary, fee and pricing data, lab tests and results, insurance claims, appeals, approvals and denials, etc. data sources.
  • Business Processes, Data Analytics and Decision Support: Data analytics for identifying opportunities and threats, Providers Fraud analytics, Custom dashboards with balanced scorecards reflecting actionable intelligence and alerts. eKriya’s experts enrich clients analytical excellence in leveraging years of deep domain expertise, extended onsite/offsite business process applications’ shared and outsourced service mechanisms, medical and pharma claims management targeted at higher operational efficacy and efficiency.
  • >> Integrate and optimize disparate data sources internal/external to the organization via federated, hybrid business architecture models. 
  • Integrating eligibility, membership, medical claims, pharmacy claims, GxP validated disparate data sources and generating sophisticated, composite performance measures via statistical sampling cohorts, models, analysis and algorithms.
  • Enterprise wide data warehousing and Clinical Insights via Enterprise business intelligence solutions using  SAS Enterprise Business Intelligence & Data Integration, OBIEE, SAP BoBJ, SPSS, SAP HANA + HCP, WinNonlin, IBM Congnos, MicroStrategy, Tableu, Qlikview, Spotfire etc…
  • >> Performance and financial analytics, dashboards & reporting, end-to-end testing, statistical analytics using SAS, SAP, Oracle main stream technologies.
Subscriber / Member / Patient Services
  • Member/ Subscriber/ Patient enrollment, engagement, care and retention into wellness, care, rehabilitation programs. Improve quality, healthcare utilization rates and disease management and wellness management associated KPIs.
  • Single version of truthful view of  health and wellness activity data. Member centric information management.
  • Reduction in outpatient physician office visits, health care costs. Enhance Standard Operating Procedures, Policy generation.
  • Increase patient engagement and convenience while enabling more efficient tools for clinicians by using mobile technologies to provide remote monitoring choices. Conform to the tough and ever changing regulatory and reporting norms.
  • Enhanced subscriber / member / patient wellness and care and safety through near real-time, remote monitoring of vital signs and Internet of Things based automated alerts. Continuous momentum of multi-faceted digital transformation of health care business processes.
  • Improve customer/patient acquisition and retention rates, life time value (for drug and medical device uptake and clinical trials).
  • Decrease the overall cost of healthcare by reducing fraudulent medical tests, procedures. Improving Operational efficiency and quality of care and customer loyal subscriptions.
  • Optimized, results boosting drug formulary, medical device pricing models. Strategically managed business objectives/outcomes oriented collaboration with wellness and care teams supported by actionable intelligence.
Medical Billing, Coding & Claims Administration
  • >> Medical Billing: Scanning & Indexing, Eligibility, Demographics Entry, Charge, Entry Claims Submission, EFT/ERA Processing, Payment Posting, Adjustments, Denials Capture
  • >> Medical Coding: ICD9 & ICD10, HCPCS, Coding Audits, Coding Denials, HCC/Chart Review.
  • >> Claims data administration: Claims data capturing, verification and digitization, Claims pre adjudication and adjudication, Claims processing and editing, Claims repricing and auditing.
  • >> Accounts Receivables: Status, Denial Management, Appeals & Resolution, Eligibility, Old A/R, Pre-Cert, Patient, Insurance, Credit Balance & Refunds.
Clinical Trials & Biostatistics

Clinical Trials & Data Management in this space plays pivotal role and customers face major challenges in Data Modeling, Profiling, Quality & Consistency & Reliability of Analytics while ensuring low costs, expected medium to high ROI with relevant regulatory compliance during clinical trials process, in this sector.  Biostatistics reflect end to end spectrum of a drug compound from efficiency, efficacy, safety perspectives. Globally, leveraging our strategic alliances and being abreast of latest technology in clinical applications and infrastructure thru our reliable medical, life sciences fields associated academics, Research & Development partnerships our services currently spanned across Americas, Europe and Asia Pacific regions.…click here for eKriya’s offerings…


Infuse Agility. Enhance Ingenuity. 
Increase Efficiency. Innovate Digital Transformation. 
Collaborative Optimization. 
Continuous Momentum Drive. 
Reduce [TCO] Total Cost of Ownership. 
Speedup Go-To Market Time. 
Improve Return on Investment [ROI]. 
Harness Synergies & Expectations.

Pursuit for Value Added, Excellence. 
Facilitate Sustainable, Measurable, Adaptable, 
Reliable & Transformational Services & Solutions.

Strategic Capabilities for Global Markets

In 21st Century, markets of all verticals globally, are transforming and adapting to daily complex changing needs. Advent of Internet of Things has opened up new online market avenues. Gap between demand from end consumers and supply from enterprises with products and services is experiencing widening imbalance, across world markets. When underlying business processes of an enterprise are reverse engineered / restructured and related SLAs are tightened to meet the emerging demands and new opportunities, balanced levels between supply and demand can be reestablished.
eKriya‘s teams of domain experts, program managers, solution architects, developers, top notch technical consultants use best practices, with deep industry and sector’s line of business specific expertise, empowering the clients move towards Digital Transformation, across the industry verticals, globally.
eKriya‘s systems integration design development services help clients enhance value of processes and drive the transformation to next levels.
eKriya‘s talented professionals help clients design, develop and integrate the systems and applications that best run their business. As an end-to-end IT services provider, our consultants offer deep domain specific expertise in all facets of clients’ business and technology environments, enabling us consult, implement and manage solutions.
eKriya‘s techno-functional services are complemented by best-fit global delivery models per client needs to provide the required combination of value and expertise.

Through our associates’ decades of experience in bringing together and optimizing systems and applications, eKriya provides specialized solutions expertise in the following practice areas and services such as,

  • Enterprise Performance Management servicesEnterprise Business Data Analysis services, Enterprise SMO/PMO Mgmt. Consulting services, Business Intelligence services – helping organizations harness the power of big data and customer analytics to drive business value.
  • End to End Data Management services – ensuring data availability, the efficient response to end user requests, and the adaptation to a constantly growing infrastructure,
  • Clinical Research Operations– full-fledged Functional Services ProviderClinical Trials data management systems for healthcare, life sciences, Pharma, Biotech sectors,
  • Enterprise Application Integration services – providing effective integration of applications to support business processes and achieve business results,
  • Enterprise Architecture services – orchestrating and aligning people, processes and technology infrastructures to improve the performance of an enterprise’s architecture functions,
  • Enterprise Content Management services– making pertinent data more accessible across the enterprise to improve performance and productivity and to reduce cost and risk,
  • Enterprise Resource Planning services– helping clients get the most from their ERP investments such as Oracle and SAP,
  • Geo-spatial services, Information Security services – implementing proactive, business-aligned enterprise security strategies that improve risk management, productivity, data integrity and compliance,
  • SMART IOE, IOT, Data Science, ML, M2M, M2p, P2P, BIG Data, Social Mobile Analytical Cloud Computing – increasing productivity, improving service access and building customer loyalty through enterprise mobility solutions.

Please visit the link eKriya’s capabilities:

Capabilities: eKriya‘s Sources supports customers’ business and IT units with a mix of staffing and human resources functions as collateral services. eKriya‘s enterprise level capabilities broadly encompass the following business and IT services & practice areas.

  • Strategic Business & Technology Management Consulting, Business Case studies, Assessment Services |
  • Programs, Portfolios, Projects [PMO] Management Services |
  • Business Analysis, Processes Reverse Engg., Requirements, Communication & Change Management Services |
  • 3rd party Vendors, Products, Staffing & Resources Management Services |
  • Enterprise Information Systems Analysis, Architecture, Design & Engineering Services |
  • Applications Design, Development, Deployment & Maintenance [Desktop /  Web / Mobile] Services |
  • SMART IOE, IOT, BIG Data Science, ML, M2M, M2p, P2P, BIG Data, Social Mobile Analytical Cloud Computing, Relational database, OLAP, OLTP , Data warehouse, marts, cubes – Design, Dev., Administration & Maintenance
  • Functional & Technical Quality Analysis & Testing Services|
  • Database Development, Administration & Maintenance Services |
  • Business Intelligence & data warehouse Management Services |
  • Exec. Reporting, Balanced Scorecards, Dashboards, Statistical Analysis Services |
  • Managed IT Applications [On-premise / Remote / Cloud] Services |
  • Legacy Migration, Modernization & Sustainability Services.
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