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Healthcare IT
Healthcare IT
Services and Capabilities:
We specialize in Healthcare IT solutions, including web application development, cloud services, interoperability FHIR APIs, data analytics and COTS (Salesforce, MuleSoft, ServiceNow) implementations.
With deep subject matter expertise in government healthcare programs, we have extensive experience supporting Medicare and Medicaid initiatives.
Our core capabilities include Agile development, Human-Centered Design (HCD), AI/ML, Cloud computing, Data Analytics, and Cybersecurity.
Approach:
We embrace a human-centered approach, combining effective project management and cross-functional teamwork to deliver agile and innovative solutions. Our customer-centric culture focuses on building the right team to drive success.
By leveraging Agile methodologies and HCD principles, we align with user needs and business objectives to iteratively deliver high-quality, user-friendly software and value to our customers. This approach has enabled us to successfully deliver complex health IT solutions that evolve with our customers' needs.
Clients:
Combating Fraud, Waste, Abuse in Healthcare
Fraud, Waste, and Abuse (FWA) in the healthcare industry not only increases costs but also exposes patients to potentially harmful services and fraudulent entities. Identifying and preventing FWA is essential to protecting patients and ensuring the long-term sustainability of healthcare programs.​
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CMS Center for Program Integrity (CPI):
The Centers for Medicare & Medicaid Services (CMS) established the Center for Program Integrity (CPI) to detect and combat FWA within Medicare and Medicaid. CPI’s mission is to safeguard patients while minimizing unnecessary burdens on healthcare providers, ensuring that only qualified and compliant entities participate in federal healthcare programs.
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Our work at CPI:
Octave supports CMS CPI in modernizing program integrity systems and data, including provider enrollment, investigative data, medical documentation review, and claims and encounter reviews. Our modernization efforts have enhanced program integrity by:
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Strengthening provider screening processes during enrollment
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Identifying and removing fraudulent entities from healthcare programs
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Enhancing monitoring and education efforts to improve provider compliance, billing practices, and adherence to program requirements
Through these initiatives, we help CMS CPI improve oversight, streamline operations, and protect the integrity of Medicare and Medicaid.
Our Positive Impact
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