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Askesis got exactly what they asked Pervasive to deliver:
an embeddable application to meet HIPAA compliance, fast.

"Askesis wanted a quick, accurate way to format our clients' data to meet HIPAA 834, 835 and 837. Pervasive could get us up to speed faster than we could do it on our own, freeing up our resources to do what we do best."

– Devendra Rao
Vice President, Development
Askesis

Executive Summary

Askesis offers software to providers of behavioral health services including community mental health centers, substance abuse clinics, psychiatric hospitals, social service organizations, and other non-profit groups. Their applications – PsychConsult Provider and PsychConsult MCO – deliver clinical and revenue-related functionalities in one system that help their clients optimize the productivity of staff, eliminate unbilled or denied claims that result from administrative errors, and demonstrate favorable outcomes which validate that clinical services are effective at achieving stated goals.

When HIPAA compliance became a requirement, the company looked to Pervasive to provide a cost-effective, quick-hitting solution. Askesis needed an integration engine that could meet data compliance requirements, and could be embedded within the company's applications.

Situation

Askesis has been a Pervasive Alliance Partner since 2002. The company uses Pervasive's embeddable integration engine within their software package. The company requires a partner who offers product reliability and a friendly licensing relationship. And, given the complexity and ever-changing nature of healthcare compliance and regulation, that partner must meet Askesis' need for fast turnaround, if required. "When we needed to meet HL7 compliance, Pervasive helped us. And when we needed to meet HIPAA 834, 835, and 837, we turned to them again," Devendra Rao, Askesis Vice President of Development, stated.

Key Challenges

  • Time. Askesis had less than six months to launch its HIPAA interfaces.
  • Volume. Askesis' clients vary in terms of volume of transactions per reporting period, which can be monthly to weekly, or even daily. Volume can be anywhere from tens of thousands of records to hundreds of thousands of records.
  • Resources. Rao's team needed a HIPAA compliance solution that required neither a lot of time to implement nor a steep learning curve.

Solution

  • Pervasive Data Integrator. Embedded in the Askesis application, PsychConsult, the Pervasive Integration Engine optimizes performance. Pervasive enabled a seamless solution to meet all necessary compliance requirements.

Results

  • Askesis IT professionals didn't lose valuable work time learning HIPAA compliance regulations. Pervasive's integration solution handled the heavy lifting, and the first version of HIPAA transactions was implemented and released within four months. Askesis estimates that without Pervasive, the first version would have taken a year to complete.
  • Pervasive technology allowed Askesis to create a set of modules that could be easily used.
  • Technology such as its Integration Architect with Schema, Process and Map Designers made formatting and compliance more manageable.
  • Askesis found that the embedding process was simple, developer productivity increased (the initial team included 5 FTEs, and now all changes are maintained by just one), and time to market was accelerated.
  • Testing proved to be an easy process, resulting in faster project turnaround.

Conclusion

Rao sums up the net effect of using Pervasive Integration: "We get a complete compliance solution, right out of the box. We've had no problems meeting the compliance requirements of HIPAA 834, 835, and 837, and we'll use Pervasive again to meet other HIPAA requirements as needed."

An embedded integration solution that can meet tough compliance requirements is ideal for a healthcare data company. The fact that the Pervasive solution can run behind an Askesis application, and requires no coding, is a low TCO answer to what can be a complex issue – regulatory compliance. Plus, Askesis has saved hundreds of hours of ongoing maintenance.

Best Practices

Askesis is always looking for ways to improve its technology process. Rao specifically looks for those paths of improvement. Automation is one area Rao is investigating – he is looking at using Pervasive integration tools to move toward greater automation of the compliance process.

"Pervasive has helped us move from manual data conversion to a quick-hitting embedded software solution, and I next see Askesis using Pervasive's integration engines in helping us automate formatting and compliance processes," Rao forecasts. Askesis sees Pervasive as an aid to growing its business, and that really makes for a good partnership.

About Askesis

Pittsburgh-based Askesis Development Group has been developing integrated behavioral health applications since 1993. The company believes a successful application must integrate clinical and revenue-related functionality in one system.

Askesis' PsychConsult applications are used by 80 behavioral health organizations in 25 states. The PsychConsult Provider applications suite integrates the behavioral health provider's clinical workflow and revenue cycle to seamlessly track services, from the client's initial phone call through receipt of payment for services. PsychConsult MCO provides a wide range of functionality for risk-based behavioral health managed-care organizations, including: credentialing, member services, referral, call center/triage, care management, and provider relations.

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