Developing OTT services, automating processes & adopting modern ad tech solutions
R Systems provides scalable global design-led engineering resources and deep technology experience across the media ecosystem—creating solutions for content creation, content delivery, and more personalized & engaging viewer experiences.
R Systems is an engineering partner that can quickly assemble a highly skilled team to develop high-quality Media & Entertainment software — from the front-end UX to the back-end processes. We can help you design and build the next-gen products, platforms, and digital experiences that will attract, captivate and retain audiences while generating revenue.
Our Services Include
Engage viewers with rich OTT experiences.
We partner to provide the best possible UX both for linear and VOD services, across any device, anywhere, anytime creating consistency among the various platforms for a common user experience.
Expand audience stickiness with Intelligent Data Services.
We also help clients use customer data to better understand viewer needs, enhance user experience and drive programming content curation in order to prevent churn.
At the same time, using AI / ML to better maximize digital assets and audience appeal.
Remove obstacles to new ad revenue.
With our deep expertise in programmatic advertising, we augment dynamic video ad insertions where current OTT apps do not fully support programmatic ads. Also, help with better targeting using advanced analytics capabilities, integration with existing ad networks, and creating an ad serving platform to monetize content.
Enable claim automation, adjudication & denials, electronic billing and EDI to enhance revenue growth. Recover lost dollars by maximizing overpayment recoveries and deploying automation tools for efficient reimbursements.
Derive optimum value from continuously accumulating patient data through our leading-edge analytics solutions for population health management, fraud detection, payer & claims analytics, risk profiling and lifestyle risk assessment among others.
Achieve error-free regulatory compliance including ICD-9 to ICD-10 compliance, and HIPAA 4010 & 5010 across healthcare operation to save big dollars on fines and legal fees.
Our services include EDI Modernization, Application Portfolio Optimization and Legacy Modernization solutions. From helping the organization migrate to cloud to leveraging mobility solution for greater agility; we can help you transform your legacy systems to enhance patient care and efficiency.
Evaluate information on every claim and eliminate the chances of delay in claim adjudication.
Expertise to apply logic within the claims processing system to evaluate action on the claims, such as pay in full, pay in part, or deny.
Our coding specialists adjudge a variety of CPT/ICD-denial reasons such as Medically Unlikely Edits, NCCI-bundling Issues, and Medical Necessity - ultimately advancing the accuracy of existing adjudication process.
Fraud, Waste and Abuse
Retrospective review of claims for a provider/facility observed by the payer, being overpaid compared to peers. Identify the instances of aberrant billing patterns in terms of fraud, waste and abuse - a boost to your efforts towards clinical document improvement.
Enable efficient patient management within hospital operations by leveraging cutting-edge tools for PMS, EHR, HIS, RIS, PACS, CRM and Patient Engagement among others.
Achieve error-free regulatory compliance including Hl7, SMART on FHIR, ICD- 9 to ICD-10 and HIPAA 4010 & 5010 across healthcare operation to save big dollars on fines and legal fees.
Harness the power of constantly accumulating big data through clinical & BI reporting, enterprise data warehousing, and operations/financial analytics. Identify new revenue streams and enhance current patient care & operational efficiency.
Harness the Power of Mobility
Connect smartphones and tablets of employees and patients through mHealth and eHealth portals with hospital operation to ensure free flow of relevant data for more collaborative and efficient hospital operations.
Clinical Data Management
Derive greater value from your clinical research data through reliable data collection and innovative analytics solutions for efficient clinical research & trials.
Supply Chain Management
Leverage critical data of suppliers and customers to identify and fix challenges of delivering affordable healthcare goods and supplies.
Transform heaps of research data into critical intelligence and actionable insights. Ensure omni-channel population health management, wellness & disease management, clinical data management and behavioral health management.
• Appointment Scheduling
• Appointment Reminder
• Patient Registration
• Eligibility & Insurance Check
• Prior Authorization (CPT & Drugs)
• Coding Chart Audit
• Provider Education
• Patient Statement/Patient Services
• Claim Resubmission
• Provider Credentialing
• Chart Migration
• HEDIS Measures-Coding & Review
• Charge Entry
• Coding & Documentation/ Review
• Claim Scrubbing and Edit Checks
• Electronic and Manual Payment Posting
• EDI Rejections
• Denial Management and Analysis
• Accounts Receivable Follow-up
• Appeals & Online Claim Submission
• No-Fault and WC Documentation
• Attorney Follow-up
• Secondary Claims Submission
• Collection, Overpayment & Credit Balance
The next emerging technology – the Multicast ABR
Learn how it is helping overcome network scalability challenges and also reducing CAPEX and OPEX significantly