IT Assessment Provides Transparency into IT Operations

Healthcare Claims Management IT Assessment

Setting the Stage

When it comes to running critical healthcare systems, a solid IT foundation isn’t optional, it’s required. Poised for organizational growth, Healthcare Claims Management (HCM) recognized the importance of strengthening its IT foundation in supporting business operations and wanted to ensure its IT infrastructure was built in a manner that could handle the growing needs of the business.

Client Challenge:

  • HCM had a desire to strengthen its IT foundation – ensuring its IT infrastructure was built to handle the growing needs of the business.

Solution:

  • HCM underwent an IT Assessment to gain more in-depth visibility into its technology and current challenges.

Impact:

  • The HCM leadership team is now confident that the technology supporting the business follows best practices and is meeting the needs of the business as it grows.
IT Consulting

Contact Us

Case Study Contact Us Form Template

Problem

An essential component of the business, HCM’s in-house IT Director was responsible for everything from 24/7/365 day-to-day IT operations, to software and hardware implementation, to over-arching technology strategy for the organization. As a result, HCM decided to seek outside assistance to establish redundancy of personnel, modernize business continuity, create better executive-level visibility into IT operations, and enhance the value its IT department delivers to the business.

Upon referral, HCM reached out to KSM Consulting (KSMC) as the first step in improving its long-term IT planning.

About Healthcare Claims Management

Since 2000, HCM has been a trusted and reliable provider of revenue cycle management in the US healthcare system. HCM’s primary focus is to provide tailored solutions for today’s complex revenue cycle challenges.

Initial Pain Points for HCM

  • Redundancy in Staff
  • Business Continuity
  • Cybersecurity and HIPAA Compliance
  • Lack of Visibility into IT Operations

Solution

Seeking a baseline related to its IT organization, KSMC recommended that HCM undergo an IT Assessment to gain more in-depth visibility into its technology and current challenges. The outcome was an IT roadmap that addressed current critical needs as well as long-term value-add projects.

Over the course of eight weeks, the KSMC team completed a review of HCM’s IT practices and infrastructure. As part of the IT Assessment, the KSMC team:

  • Assessed and documented HCM’s current state including both business and IT operations;
  • Benchmarked HCM’s technology, considering industry compliance requirements such as HIPAA and PCI;
  • Provided recommendations on how to bring business strategy and the IT organization into alignment; and
  • Developed an implementation plan that included prioritization, parties involved, and estimated costs for each initiative.

“KSMC laid out in layman’s terms where our business stood from an IT perspective including clear insight into our current position, what was working, what would be nice but not necessary today, what our critical shortcomings were, and more. Equipped with that information, we were able to make confident decisions related to technology as well as know we’re spending money effectively,” stated Jeremiah Pastrick, VP of Corporate Development at HCM.

With information from the IT Assessment in hand, HCM contracted with KSMC to work alongside its IT staff and rebuild the foundational components of its technology stack and eliminate future issues – all while maintaining seamless business continuity for HCM and its clients.

“We decided to work with KSMC and continue to work with KSMC because they don’t look at IT in a vacuum. They understand how it integrates into the larger purpose, budget, and objectives of our organization,” stated Pastrick.

“What sold me on KSMC was the people. They were people I could trust and people that understood what we were trying to accomplish as a business.””

Jeremiah Pastrick
Healthcare Claims Management, VP of Corporate Development

Impact

With an organization-wide understanding of HCM’s IT environment, the HCM leadership team can focus on strategic initiatives with one less day-to-day fear.

“We are more confident than ever about our business continuity and our IT Director can actually take a vacation now. That is a great feeling and I’m sure our IT Director would agree,” stated Pastrick.

Following the IT Assessment, HCM engaged the KSMC team on several initiatives that brought further stability to its IT infrastructure and significantly bolstered its business continuity posture. Projects have included the completion of a Sophos antivirus implementation, VMWare virtualization upgrade, Veeam backup stabilization, Endpoint Management implementation, and Fortinet firewall refresh.

Continuing to partner with KSMC, the HCM team’s IT strategic plan includes activities such as a complete HP network upgrade, server consolidation, cybersecurity and HIPAA deep dive, and beyond. Relying on KSMC as its IT managed services provider, HCM trusts KSMC to step in and assist its internal IT team on a regular basis ensuring a productive work environment.

“KSMC helped us to create an IT plan that integrated with our business and would allow us to operate better, make us more profitable, deliver more services, and better deliver services to our clients,” stated Pastrick.

The HCM leadership team is confident that the technology supporting the business follows best practices and is in compliance with its industry-specific requirements related to cybersecurity such as HIPAA and PCI. But more importantly, the leadership team is confident that its technology is meeting the needs of the business as it continues to grow.