Medical Case Analysis
J29 Case Analysis Process
Secure Data Intake
Meet security requirements for handling of PHI / PII, we ensure proper extraction, and data loading into case management systems
Health and Human-Service Claims Analytics
Ensuring data meets compliance and eligibility requirements based on agency standards
Consultations & RFI Processing
Consulting with all involved parties (i.e beneficiaries, patients, consumers, agents, payers, etc.) on Requests for Information (RFI)
Multi-Level SME Review
Multi-step reviews are conducted with expert level staff holding industry-recognized credentials and certifications
Quality Analysis
QA review prior to reaching the conclusion stage of the analysis
Conclusion of Data & Findings
Reach a final result on the analysis process, and issue the findings after quality review
J29 is specialized and mainly focused in conducting analysis on various types of health, and human care records, claims, and cases for State and Federal agencies. By prioritizing quality and timely process models in our analysis, we are able to handle volume fluctuations of increasing and decreasing amounts of data.
To date, J29 has maintained a quality performance average of 99.65% on over 120,000 (as of Nov. 2022) claims, cases, and records analyzed.
99.65%
Audited Quality Assurance Contract Average
Quality Analysis
In handling the data within claims, cases, and records, it’s critical for our team to operate with the idea of prioritizing quality delivery. Through the extraction, intake, analysis, determination, quality auditing, and decision issuance stages, our goal is to maintain a quality goal exceeding 95% accuracy of our quality audits. To measure this, J29 audits all analysis that has been done against a 45-point process gate review to ensure that we are consistent in quality delivery, no matter what the mission of the government program is.
Innovative Analysis
J29 focuses on innovating labor-intensive processes in the analysis stages by leveraging innovative technologies such as; Case Management Automation, RPA, and when applicable – AI. Innovative technologies allow us to better allocate the time and effort of our staff, by alleviating the labor-intensive and redundant tasks away from their responsibilities. By providing our team support in repetitive and labor-intensive tasks, we are able to better allocate their focus towards quality and timely delivery.
Analysis Experience
J29 and its staff brings a combined 20+ years of experience handling data related to: