HealthCare IT

Florida Health Care Plans

As a prime contractor to Florida Health Care Plans (FHCP), PPS is providing a myriad of services to this award-winning managed health care provider that is committed to giving their members the best quality health care possible. Some of the IT services we are providing to FHCP include:

  • Comprehensive Health insurance Portability and Accountability Act (HIPPS) 5010 testing
    • Analysis of provider Encounter Data impact and testing
    • ICD-10 testing, analysis and preparation
    • Electronic Pharmacy system development and testing, implementation of RX Claim
  • Full implementation (design/development/testing) of Enterprise Data Warehouse built on Microsoft Office (SQL Server, SSRS, SSIA, SSAS)
    • Phase I complete – reporting compliance
    • Phase II work-in-progress – dashboards, Business Intelligence
  • Full IT Operations Support to include server and network administration
  • Development and Operations & Maintenance (O&M) of both the FHCP Member and Employer websites including enhancements, testing, user acceptance testing, data migration
    • Member portal document management makes code changes and manual coping unnecessary when a new group/plan/rider is added or updated, truly making it dynamic
    • Saves time for IS staff and makes documents available to end users faster
    • Marketing and enrollment departments have more control over document management
  • Design, development and implementation of the FHCP Intranet which is a source of company news and real-time information for FHCP employees
    • Upgraded/migrated server software from SharePoint 2007 to 2010
    • Overhauled the user experience (UX) of the intranet site and made it more user-friendly
  • Business Analysts with health care expertise in defining business requirements, process/workflows
    • Utilize Business Analysis for EDI, Electronic Pharmacy, etc.

Department of Health and Human Services / Centers for Medicare and Medicaid Services

Under the Centers for Medicare and Medicaid Services (CMS) Enterprise Services Delivery (ESD) contract, PPS:

  • Provides independent testing services for all Medicare Part-A and Part-B Fee-for-Service standard systems.
  • Developed business analysis and system testing processes.
  • Performs system, functional, integration and volume testing for the Common Working File (CWSF) system.
  • Provides the system environment for end-to-end testing of the Fiscal Intermediary Standard System (FISS), Multi-Carrier System (MCS), ViPS Medicare System (VMS), and CWF.
  • Performs testing of all claims processing-related components and coding, and end-to-end operational testing.
  • Performs quarterly release testing of FISS and MCS systems.

Department of Veterans Affairs

For the Department of Veterans Affairs (VA), PPS is supporting Harris Corporation on the National Utilization Management Integration (NUMI) project under the Enhance the Veteran Experience and Access to Healthcare (EVEAH) initiative. EVEAH, a two-year $200M ceiling BPA, is part of the VA's global effort to ensure all Veterans receive the healthcare they earned through their service, with a focus on access and quality of care within the VA health system. NUMI is a centralized, web-based application that automates the documentation of clinical information for each patient and the services they are provided as part of the Veteran's Health Administration's (VHA's) medical benefits package.