AIM’s recent joint venture with Coriendo LLC and its state-of-the art integration software suite of tools, called Enj, enables us to provide incomparable support for integrating all aspects of insurance entity acquisitions, mergers, ventures and consolidations.
Coridendo Corporate Bio; Enj Overview & Selected Case Studies
For background on Coriendo, you will find below their corporate bio, overview of Enj capabilities, and selected case studies that pertain primarily to Coriendo’s core industry sector, healthcare services and delivery.
Enj is both the tool used to build a system and the platform on which the system runs, which makes it possible to easily work and integrate with existing systems. Enj also makes it possible for systems to talk to each other, to add process enhancements, and to fill in gaps as needed without the need to start from zero with a whole new system. Enj can be used to pilot certain desired processes during the initial stages of a project as a preliminary phase prior to embarking on development and implementation of a full system. This is an approach that Coriendo has used successfully with a number of our clients including the joint venture of the U.S. Department of Defense and the U.S. Department of Veterans Affairs at the Tripler Army Medical Center in Honolulu, Hawaii, which is described below in the Past Performance section. Using a pilot as a first step in project development has several advantages.It provides the client with a real life look at a portion of the full system, and it gives end users an opportunity to provide collaborative input into the specifications for the overall proposed system. Using a pilot greatly reduces the risk of surprises and false starts, and enhances user acceptance of the final product.
Coriendo adds value in two ways: First, because Enj requires little or no computer coding, Coriendo can provide a close fit solution as required for each client. using a modular approach that can be implemented on an incremental basis; Secondly, because Enj components are fully integrated and require little or no coding, it takes less time and cost to develop and implement a solution, and modifications in the future are much easier to make.
Enj was selected at the Linux World Expo for two consecutive years as a finalist for best system integration product. In 2011, Coriendo was selected through a competitive process to participate in an ONC sponsored Health Care IT Innovation Summit that was used to showcase innovative technologies to ten participating medical centers. Penn Medicine was in attendance as a medical center participant and selected Coriendo to develop a pilot for a project to reconcile and approve patient billings to health plans and billings that should be made to a research grant. The pilot was successful and, as described below, the full system is now being used at Penn Medicine by over 800 end users.
|Client||DoD and VA Joint Venture known as the Pacific Health Care Collaborative|
|Place of Performance||Tripler Army Medical Center, Honolulu, Hawaii|
|Dates of Performance||August, 2006 to present|
|Project Overview||Coriendo as the prime contractor has successfully developed, implemented, and maintains a technology solution called the E-DR System that links together the administrative, and accounting systems of the DoD and the VA at the Tripler Army Medical Center in Honolulu, HI. The E-DR System, which has received DIACP certification, is built on a Business Process Management platform called “Enj”. Coriendo’s first contract at Tripler was awarded in 2006 by the Pacific Health Care Collaborative, a joint venture of the DoD and VA that was tasked with finding innovative ways to improve the sharing of information and operations between the two agencies at Tripler. After a successful initial pilot, Coriendo was awarded a series of contracts in 2007 and 2008 to build out the E-DR System. The E-DR System is now the system of record for the DoD/VA joint venture. In 2011, Coriendo was awarded a series of contracts to provide the joint venture with sustainment services that include software and process maintenance and support. The current contract is in effect until March 31, 2015.|
|Performance Summary Statement||Coriendo, as the prime contractor was responsible for the management and delivery of all tasks for implementation of the E-DR System and during post-implementation for sustainment and support of the E-DR System. All phases of the E-DR System were completed on-time and on-budget, and all system modules requested are in use.
|Project Detail||The solution deliverables were a series of automated administrative and financial modules as described herein. One of the modules in the E-DR System provides for patient authorizations and referrals. This work involved automating the patient authorization and referral process which tracks and monitors the timing and status of patient authorizations and the type of care that was provided to each patient. Coriendo used Enj to build the patient referral module at Tripler. The DoD and VA referral systems at Tripler are now fully interoperable and the flow of information is capable of supporting bi-directional use, although the volume of referrals from Tripler back to the VA clinics is not sufficient to require its use. Patient referrals now take 5 minutes to initiate compared to 85 minutes prior to implementing E-DR, and the number of referrals per week has increased from 100 to 125 each week. Most importantly, the percentage of referrals completed within five days has increased from 12% to above 90%.
Since each agency is both a provider of healthcare services as well as a payor, the E-DR System includes a module that provides an automated billing system as well as a module that provides a claims processing system for Tripler and the VA clinics. Because of the heavy flow of referrals from the VA to Tripler, E-DR has incorporated the Arms Pro system provided by BRI which served as a subcontractor to Coriendo. On the VA side, Coriendo implemented an automated claims processing system as part of the E-DR System. The automation of the billing and claims processing systems has resulted in improved cycle times and lower costs.
The billing reimbursement cycle has improved from 187 days down to 45 days. Also, the use of a rules engine makes it possible for 25% of patient claims to be processed automatically.
Because some departments at Tripler and the VA clinics still use paper records, Coriendo was tasked with providing a scanning and document management module to provide digital access to these paper records.
Another component of Coriendo’s work at Tripler is a business intelligence analytics module that provides senior managers at the DoD and the VA with detailed reports using the E-DR portal. These reports mine the ever-growing statistical database of the patient care that is being provided. Having automated these various processes makes it possible to gather process metrics and begin to make informed operational decisions. After configuring and implementing the major components of the E-DR System in 2010, Coriendo has been awarded a series of sustainment contracts for software and process maintenance and support of the E-DR System. Coriendo’s current maintenance and support contract runs until March 31, 2015.
John Holes is the Contract Officer and point of contact for the VA. His phone is 808-433-7536 and his email is John.Holes@va.gov. Brenda Horner is the Contract Officer for the DoD. Her phone is 808 433-1392 and her email is firstname.lastname@example.org.
|Program Title||RBS System|
|Place of Performance||University of Pennsylvania Hospital System and University of Pennsylvania School of Medicine, Philadelphia, PA|
|Dates of Performance||December, 2011 to present|
Coriendo as the prime contractor has successfully developed, implemented, and maintains a technology solution called the RBS System (Reconciliation of Bills System) for Penn Medicine.
In May, 2011 Coriendo was selected as one of ten healthcare IT companies to participate at a HIMSS and ONC-affiliated Healthcare IT Innovation Summit, which brought together companies with a recognized innovative healthcare technology solution and ten hospital organizations which might find these products useful. One of the hospitals participating in the Innovation Summit was Penn Medicine, a large university based healthcare system that conducts hundreds of research projects. It selected Coriendo to build a proof of concept solution that would streamline what at the time was a paper and manual based research grants reconciliation of bills system.
The University pf Pennsylvania School of Medicine which along with its affiliated organization, the University of Pennsylvania Health System (UPHS) constitutes what is now known as Penn Medicine. The School of Medicine conducts many grant funded research projects and UPHS bills the School of Medicine for the services provided to UPHS patients covered under these research grants. The accounting department at the medical school must review and pay for the services rendered. To do so it must reconcile the charges so they can be charged to the appropriate grants for which the services were rendered.
This complex and inefficient process of reconciling and complying with research grant requirements involves getting data from multiple sources at different points in time. These data are in various files that need to be accessed or reviewed in order to link these claims to grants and fulfill the compliance requirements. The systems that are directly or peripherally involved in this process include:
Of these applications, the ones directly relevant to the grants reconciliation process are HPM and IMACS. Even in its most simplified form, however, the reconciliation process was a challenge. It was a very labor-intensive process, prone to error and delays. One key problem was that the staff responsible for performing the approvals and reconciliations were never fully able to track and monitor the status of each charge.
Coriendo built an automated system that imports the claims data using the UPHS’ billing file. The system then combines the data from the billing file with a nightly SMS feed as well as a Service Code and description feed so that it can add the data elements that are required for review and processing purposes, but which are missing from the UPHS’ billing file. These elements are the research billing number (RBN No) and service codes. After all the data required for review purposes are available in the data stream, the system automatically performs a data check on the imported file, including an RBN check to make sure that the information contained in this file is valid. If the file is valid then it goes to the clinical research coordinators (CRC) for review.
The system also receives the discounted rates from the IMACS file, which is imported at this stage, and these discounted rates are presented to the CRCs for review. The CRC checks for any errors and then either approves or denies the claim. Approved claims are collated in batches and sent to Accounts/Central Finance Office, where the Accounts user assigns a batch number and post date.
Coriendo’s solution streamlines the process of reviewing the claims and approving them for payment or denying them for re-processing, redirection or cancellation. Additionally, the RBS System centralizes everything in one location and eliminates the need to go back and forth between the different files and different departments. The RBS system consists of a portal, which is accessible by four different types of users – CRCs, Business Office Administrators, Accounts/Central Finance Office staff, and Patient Accounting staff. Each of these users has a different task to perform. There are several columns on the portal with basic patient/claim information as well as the actual claim data.
The RBS System is built on a Business Process Management platform called "Enj". Coriendo’s first contract at Penn Medicine was awarded in December, 2011. After a successful initial pilot, Coriendo was awarded a series of contracts in 2012 to 2014 to build out the RBS. In 2013, Coriendo was also awarded a series of annual contracts to provide sustainment services that include software and process maintenance and support. The current contract is in effect until June 30, 2015.
|Performance Summary Statement||Coriendo, as the prime contractor was responsible for the management and delivery of all tasks for implementation of the RBS System and during post-implementation for sustainment and support of the RBS System. All phases of the RBS System were completed on-time and on-budget, and all system components are in use as described above. Coriendo developed the project schedule and project management deliverables that included milestones, and project communication protocols.
Point of Contact for Penn Medicine: Brian P. Wells, Associate CIO for Health Technology and Research Computing at Penn Medicine, is the Executive in charge of the RBS project. His phone is 215-614-1923, and his email is: Brian.Wells@uphs.upenn.edu.
|Program Title||CMAP System|
|Client||Complex Care Solutions|
|Place of Performance||Complex Care Solutions, 75 Broad Street New York, NY|
|Dates of Performance||November, 2009 to present|
Coriendo as the prime contractor has successfully developed, implemented, and maintains a technology solution called CMAP (Care Management Application) for Complex Care Solutions (CCS).
CCS is a New York-based health services company with service centers in New York, NY, Rochester, NY, Albany, NY, Nashville, TN, and San Juan, Puerto Rico. CCS specialize in face-to-face services for Medicare Advantage, Managed Long Term Care (MLTC), Medicaid, SNP, and commercial plan members. CCS is focused on integrating the continuum of care for complex, frail, elderly, special needs, and dually-eligible individuals.
The project engagement began in late November, 2009 when Coriendo was selected by CCS’ predecessor company (Enhanced Care Initiatives) to replace their existing care management system that was not sufficiently scalable. By mid-February, 2010 Coriendo had used Enj, a business process management technology platform, to configure and launch the new CMAP system.
CMAP is used by CCS to provide interdisciplinary, member-centered assistance through every stage of care from acute hospitalization, to long-term management of chronic illnesses and comorbidities. CCS currently provides assessment and care management services in 12 states and has an average daily care management census of over 6,000 members. In 2013, CCS completed over 75,000 face-to-face assessment visits.
All member health records are entered into CMAP, which is CCS’ proprietary care management application. All outreach and nurse practitioner assessments notes, including phone calls, progress notes with care plan updates, prospective visit documentation, and discharge summaries are captured and can be accessed at any time by the interdisciplinary care team. CCS’ impact able care plans and patient outreach schedules are modeled around its embedded workflows that support each program. Data can then be extracted for RAPS file/electronic claims submission and reporting. By electronically maintaining its member assessments, CCS provides an audit trail that satisfies any RADV audit requests from CMS.
|Performance Summary Statement||Coriendo, as the prime contractor was responsible for the management and delivery of all tasks for implementation of the CMAP System and during post-implementation for sustainment and support of the CMAP System as well as hosting and system administration. All phases of the CMAP System were completed on-time and on-budget, and all system components are in use as described above. Coriendo developed the project schedule and project management deliverables that included milestones, and project communication protocols.
Point of Contact for Complex Care Solutions: Ms. Terry Carr, Vice President of Clinical Operations and Systems at CCS is the Executive in charge of the CMAP project. Her phone is 347-761-3230, and her email is: email@example.com.
|Program Title||GF Data System|
|Client||GF Data Resources, Inc.|
|Place of Performance||GF Data Resources, Inc. Four Falls Office Building, Suite 660, West Conshohocken, PA|
|Dates of Performance||January, 2006 to present|
Coriendo as the prime contractor has successfully developed, implemented, and maintains a technology solution called the GF Data System for GF Data Resources, Inc. (GFDR).
GFDR, based in West Conshohocken, PA, is a provider of financial information in the private equity industry. GFDR collects de-identified financial data from private equity funds on merger and acquisition transactions in the $10 million to $250 million range. This information is then made available to subscribers such as private equity firms, lawyers, accountants and evaluation firms who as paying subscribers can access the data through a web portal connected to a searchable database.
The project engagement began in late January, 2006 when Coriendo was contacted by GFDR which was in the process of organizing the company and developing the concepts for their operating system. Coriendo provided input on process definition, process workflows, and the design of the electronic forms that would be used to input the data. Within two months, Coriendo had used Enj, a business process management technology platform, to configure and launch the new GF Data System.
As of 2014, GFDR collects merger and acquisition transaction data from approximately 300 private equity firms on a nation-wide basis, and it supplies this data to a subscriber base that now numbers in the thousands. Over the past 8 years Coriendo has assisted GFDR’s growth with number of enhancement to the GF Data System including a searchable proprietary database that provides private equity buyers, intermediaries, capital sources and valuation professionals with accurate and detailed information on business transactions ranging in size from $10 million to $250 million. GFDR publishes periodic reports which contain detailed valuation and leverage data for the overall market as well as broad industry categories. It also give users specific data that’s been organized by NAICS sub-industry code.
|Performance Summary Statement||
Coriendo, as the prime contractor was responsible for the management and delivery of all tasks for implementation of the GF Data System and during post-implementation for sustainment and support of the GF Data System as well as hosting and system administration. All phases of the GF Data System, both the initial phase and later enhancement phases, were completed on-time and on-budget, and all system components are currently in use as described above. Coriendo developed the project schedule and project management deliverables that included milestones, and project communication protocols.
Point of Contact for GF Data: Andrew T. Greenberg CEO of GF Data Resources, Inc. is the Executive in charge of the GF Data project. His phone is 610-260-6239, and his email is: firstname.lastname@example.org.