Siyavedhas helps leverage the true benefits of a connected cloud application architecture by providing scalable and flexible integration frameworks and solutions for NetSuite with other cloud and on-premise applications. SuiteCloud developer tools, including SuiteTalk web services and REST platform integration framework provides the foundation for building integrated business processes, effectively connecting NetSuite with external application environments.

We have implemented integrations across NetSuite with third-party cloud and on-premise applications using SOAP and REST architecture. Typical NetSuite integration solutions we help implement include:

• Bidirectional sync between legacy and other CRM systems with NetSuite ERP system to manage customer account, contact, billing and order information.
• External Websites, Portals, Shopping and other e-commerce systems integrated to NetSuite with SuiteCommerce and SSP applications.
• Middleware based Integration using third party tools like Dell Boomi, Informatica Cloud, IBM Cast Iron etc.
• Integration using custom JAVA / .NET applications supporting batch and bulk integration jobs.

Why choose Siyavedhas as your NetSuite integration partne

• Reliable: We are NetSuite experts. Our clients rely on us to meet their business critical cloud ERP/CRM needs.
• Experienced: Since 2007, we have delivered 400+ successful cloud projects, all of which are backed by strong customer references.
• Affordable: All of our clients get the attention they deserve without the overhead and bureaucracy of larger consulting companies. We combine onshore-offshore delivery to cut delivery costs without compromising the quality.
• Flexible: We give our clients the flexibility to choose from day one exactly how they would like to work with us. Our services range from a single resource to a full-scale turn-key outsourcing solution.

NetSuite’s multi-tenant SuiteCloud platform provides the foundation for developers to build custom NetSuite applications, as well as extend the capabilities of the NetSuite platform to align with domain specific workflows and integrations with external applications.

Siyavedhas’s extensive experience across cloud application development and integration environments, coupled with domain expertise can be leveraged across NetSuite application and product development lifecycle.

Our SuiteCloud capabilities include:

Custom App Development

We develop and deploy SuiteApp bundles, native NetSuite applications, leveraging the SuiteCloud development environment, hosted and stored in the same database as your company data.

Connector Development

We develop NetSuite connectors, enabling seamless workflows that integrate NetSuite with external cloud CRM, marketing automation, subscription billing engines, and visualization and BI applications leveraging SuiteApp / SuiteTalk web services framework.

Built for NetSuite Assistance

Siyavedhas provides consulting services to SuiteCloud Developer Network (SDN) partners, guiding them through the SuiteApp development life cycle, including assistance in Built for NetSuite badging process.

Why choose Siyavedhas as your SuiteApp development partner:

• Reliable: We are NetSuite experts. Our clients rely on us to meet their business critical cloud ERP/CRM needs.
• Experienced: Since 2007, we have delivered 400+ successful cloud projects, all of which are backed by strong customer references.
• Affordable: All of our clients get the attention they deserve without the overhead and bureaucracy of larger consulting companies. We combine onshore-offshore delivery to cut delivery costs without compromising the quality.
• Flexible: We give our clients the flexibility to choose from day one exactly how they would like to work with us. Our services range from a single resource to a full-scale turn-key outsourcing solution.

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Siyavedhas offers support services to help clients maximize returns on their NetSuite investment. Our team of certified NetSuite administrators and developers are available on pay-per-ticket as well as long term basis to ensure that your NetSuite implementation adapts to your business changes and scale with your growth.

Our NetSuite support services include:

Monitoring

We will proactively monitor your Netsuite implementation, identify areas of improvement, recommend courses of action, develop best practices, and create an improvement plan.

Maintenance

Our ongoing administration and maintenance services include customizations, enhancements, reports & dashboards, user management, security management and data management.

Help Desk

We offer comprehensive user on-boarding and training programs, and help desk support essential for optimal NetSuite usability and scalability.

Why choose Siyavedhas as your NetSuite support services partner:

• Reliable: We are NetSuite experts. Our clients rely on us to meet their business critical cloud ERP/CRM needs.
• Experienced: Since 2007, we have delivered 400+ successful cloud projects, all of which are backed by strong customer references.
• Affordable: All of our clients get the attention they deserve without the overhead and bureaucracy of larger consulting companies. We combine onshore-offshore delivery to cut delivery costs without compromising the quality.
• Flexible: We give our clients the flexibility to choose from day one exactly how they would like to work with us. Our services range from a single resource to a full-scale turn-key outsourcing solution.

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Revenue Cycle Management

Our robust applications and the services are integrated with every client’s day-to-day functioning, working in tandem to provide highest quality medical care to patients. Through the services we render, there has been proven records of elevated revenue cycle performance and sustainable improvement.

Our Clinical Coding & Billing services include:

1. ICD-10, CPT, and HCPCS coding

• Diagnosis Codes: Codes for all diseases, conditions, and symptoms.
• Inpatient and Outpatient Diagnosis Codes: Differentiates between services provided in hospitals vs. outpatient settings.
• CPT Coding (Current Procedural Terminology):
• Procedure Codes: Codes for medical, surgical, and diagnostic procedures.
• Evaluation and Management (E/M) Codes: Used to bill for physician services based on the complexity of patient visits.
• Surgical Procedure Codes: Used for billing surgeries, including minor and major procedures.
• HCPCS Coding (Healthcare Common Procedure Coding System):
• Level I Codes: Same as CPT codes, primarily for physician services.
• Level II Codes: Used for non-physician services, such as medical equipment and supplies.
• Modifiers:  Added to codes to indicate a change or adjustment to the procedure or service.
Examples include modifier 25 (significant, separately identifiable E/M service), modifier 50 (bilateral procedure), and modifier 59 (distinct procedural service).
• Diagnosis-Related Group (DRG) Coding: Used for inpatient hospital billing to classify hospital cases into groups to streamline reimbursement.
• ICD-10 Procedure Coding System (ICD-10-PCS): A system for coding inpatient procedures, distinguishing complex surgeries and treatments.

2. Medical billing

• Insurance Verification:
• Confirming patient insurance coverage and benefits before providing services.
• Verifying patient eligibility, co-pays, deductibles, and out-of-pocket maximums.
• Charge Entry:
• Recording the charges for services provided based on medical codes.
• Ensuring the correct use of CPT, ICD-10, and HCPCS codes in charge entry to prevent errors in billing.
• Claim Generation:
• Generating insurance claims using codes from the medical coding process.
• Creating clean claims that are free from errors to reduce the chance of denial.
• Claim Submission:
• Submitting claims to insurance providers (private insurers, Medicare, Medicaid, etc.) via electronic (EDI) or paper formats.
• Ensuring correct coding, patient information, and all necessary details are included to prevent denials.
• Claims Follow-up:
• Monitoring the status of submitted claims, including checking for approval or denial.
• Contacting insurance providers for status updates or to resolve any issues regarding claim rejection.
• Payment Posting:
• Posting payments received from insurance companies and patients into the healthcare provider’s system.
• Ensuring accurate tracking of payments and adjustments based on patient benefits and insurance coverage.
• Denial Management:
• Analyzing and addressing denied claims to determine reasons for rejection.
• Correcting coding errors or re-submitting claims with the necessary information to resolve denials.
• Resubmitting claims after making adjustments to ensure proper reimbursement.
• Patient Billing and Collections:
• Creating patient invoices based on unpaid balances, co-pays, or deductibles.
• Communicating with patients to inform them of their financial responsibility and collecting payments.
• Offering payment plans for patients with large balances.
• Aging Report:
• Tracking unpaid claims based on the time they have been outstanding (e.g., 30, 60, 90 days).
• Following up with insurance companies or patients on overdue claims.
• Reconciliation:
• Reconciliation of payment records to ensure all payments and adjustments are accounted for in the financial system.
• Ensuring accuracy in financial statements, payment distributions, and patient billing accounts.

3. Coding audits

• Internal Coding Audits
• Purpose: These audits are conducted within the healthcare organization by an internal team to ensure that the coding practices follow internal policies and industry standards.
• Frequency: Typically conducted on a routine basis (e.g., quarterly, annually).
• Scope: Focuses on identifying discrepancies in codes, missing documentation, or incorrect application of coding guidelines.
• Outcome: Ensures that claims submitted to insurance companies are accurate, reducing the risk of denials or overpayment issues.
• External Coding Audits
• Purpose:These audits are performed by third-party audit firms or coding specialists who are independent of the healthcare provider. They bring an objective perspective and expertise to the coding process.
• Frequency: External audits may be scheduled or triggered by specific concerns or audits by payers (e.g., Medicare, Medicaid, or private insurance companies).
• Scope: More comprehensive, including coding compliance, risk management, and payer reimbursement audits. They may also involve reviewing a larger sample of claims to assess trends and potential issues.
• Outcome: Helps identify systemic issues and ensures compliance with external payer requirements and government regulations (e.g., HIPAA, CMS regulations).
• Targeted Audits
• Purpose:Focused audits that address specific concerns, such as high-risk codes, areas with frequent denials, or known issues within a specific specialty or department.
• Examples:
• E/M Audit: Evaluation and Management code audits to ensure proper documentation and coding for outpatient office visits.
• Surgical Procedure Audit: Ensures that surgical procedures are correctly coded based on the documentation and that correct modifiers are applied.
• Risk-Based Audits
• Purpose:Designed to assess potential areas of high risk for improper coding or fraudulent activity. These audits are based on high-risk coding patterns and may be initiated by payer audits or regulatory agencies like the Office of Inspector General (OIG).
• Scope:Focuses on codes that are frequently misused or are prone to abuse, such as upcoding, unbundling, or phantom charges.
• Outcome: Identifies areas where risk mitigation is necessary and helps organizations take proactive measures to prevent compliance violations.

4. Coding compliance consulting

• Analysis of current compliance: Review the organization’s current coding practices and policies against industry standards, regulations (such as HIPAA, CMS, and OIG guidelines), and payer-specific requirements.
• Payer policy reviews: Stay updated with payer-specific rules and guidelines to ensure compliance with billing and reimbursement procedures.
• Regulatory updates: Provide the organization with updates on changes in federal and state regulations, coding standards (like ICD-10, CPT, HCPCS), and payer guidelines.

5. Healthcare documentation improvement

• Accurate Patient Records: Ensuring all patient interactions, diagnoses, treatments, and outcomes are thoroughly documented.
• Compliance: Meeting legal, regulatory, and accreditation standards such as those set by Medicare, Medicaid, or private insurers.
• Optimal Reimbursement: Improving coding accuracy to reflect the severity of illness and complexity of care, ensuring appropriate reimbursement for services rendered.
• Enhanced Patient Outcomes: Supporting better clinical decision-making through precise and complete documentation.
• Risk Reduction: Minimizing legal exposure and liability by maintaining detailed and defensible records.
• Specialty-specific coding
• Cardiology: Involves codes for procedures like stress tests, echocardiograms, and cardiac catheterization.
• Orthopedics: Focuses on coding for joint replacements, fracture treatments, and physical therapy.
• Oncology: Requires detailed coding for chemotherapy, radiation therapy, and cancer staging.
• Dermatology:Entails coding for biopsies, excisions, and cosmetic procedures.
• Pediatrics: Includes immunization codes, growth monitoring, and developmental screenings.

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