Trinisys

Medicaid Contract Compliance Management

Trinisys’ Government Division recently joined forces with NASPO and Insight Public Sector to provide State and Local government agencies and municipalities with the tools necessary to smoothly facilitate transactions, streamline processes, and drive growth and productivity.

Trinisys has been working with its government and Medicaid clients to create solutions that simplify and improve workflow and intake processes, migrate data from one-off legacy systems, implement Medicaid application processing, provide digital health dashboards, and ensure contract compliance around Managed Care Organizations (MCOs). Trinisys’ solutions are backed with powerful features from its Convergence platform including an advanced workflow architecture that enables organizations to modernize their internal processes.

Streamlined workflow and automation capabilities eliminate cumbersome and complex manual tasks

Light code, scalable, user-friendly technology is capable of adapting to additional capacity needs and assists in onboarding new employees with little training

Advanced security features from the Convergence platform, paired with the integration of the organization’s current security scheme, ensure all data is protected and all activity is recorded

Full audit capabilities and workflow history records user activity to provide greater transparency to regulators for auditing purposes

Problems Solved and Advantages of Trinisys' Government & Medicaid Solutions

 

  • Manual and time-intensive tasks are eliminated with configurable automated processing
  • Compliance turnaround time is improved by the implementation of automated deliverable queues
  • Full support for data in legacy systems allow users to easily access historical data and experience a seamless transition to new systems without having to support legacy code
  • Multi-step processes that were once housed in spreadsheets are replaced with a web interface that allows for more direct and accurate management of contract data
  • Flexible notification subscriptions allow users to be better informed about a variety of events that can occur during the application process
  • Advanced security features allow for full integration with existing Active Directory systems, providing better security for users who are external to the organization

Features:

    • Intelligent web age controls allow for better data validation and accuracy
    • Custom workflow definitions can be implemented without compromising core business needs, allowing for seamless organization of process-related compliance tasks
    • Reporting tools allow users to view the nature of documents in the system across, and within, assigned groups, as well as help managers and supervisors visualize their teams and even specific user’s activities within the system
    • Administrative functionalities and role-based security in the application integrates with the workflows to protect data across organizational roles
    • Event-driven automation enforces workflow rules, generates reports, performs accounting functions, alerts users, schedules the delivery of compliance information, and more
    • Aggregation and batch processing of financial data removes the manual tasks associated with preparation work and allows users to access essential information and export it quickly
    • A wide variety of authentication methods are supported to allow users inside or outside of the organization to securely authenticate into the application
    • Solutions runoff on the Convergence platform which is kept up to date on all enhancements, improvements, and upgrades allowing the solutions to evolve with the platform and eliminate the risk of becoming obsolete

Solutions

Trinisys has designed and developed multiple solutions for various State and Local government departments to solve a variety of challenges around contract compliance, Medicaid application processing, digital health, etc. See specific use cases of the technology solutions we have implemented for the State of Tennessee below.

Member Services and Document Management (MSDM) application – assists states with the processing, management, and retention of Medicaid applications and documents.

TennCare Oversight and Processing System (TOPS) – helps offices handling contract compliance with overseeing, monitoring, tracking, and examining Managed Care Organizations (MCOs) participating in each state’s program.

Legacy Data Archival and Migration for ProLaw™, Serena Business Manager, Maximus®, Instream, and others.

Convergence Integrations

Build vs Buy

When looking to make software investments, companies are often faced with the decision of Buy VS. Build. But what if there is a happy medium, the best of the buy AND the build... that'€™s Trinisys Convergence.

  • Buy

    • Pay for functionality you don't need
    • Rigid feature list, lack of customization
    • Expensive per ticket support models, offshored call centers
    • Additional charge for each system connected
    • Have to go back to the vendor for each change
    • Narrow feature focus and limited versatility
    • Expensive conversions and replacements required to put into place
  • Trinisys

    • Rapid time to market
    • Custom fit solution
    • Knowledge Base and Live support
    • Unlimited connectivity
    • Make changes without vendor involvement
    • Maximize reuse and extensible via Trinisys API
    • Leverage existing investments and extend systems already in place
    •  
  • Build

    • Requires development team
    • Slow time to market
    • Must be supported internally
    • Obligation to maintain in house
    • Competes with other in-house development projects
    • Start from scratch with every project
    • Integration can be challenging

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