Health Knowledge Systems (HKS) uses the best in technology, people, care management, disease management, and knowledge tools to improve the delivery of healthcare. Our mission is to provide the most effective and timely medical information possible to all parties in the health delivery process, to improve the injured worker's medical experience, and to streamline data entry and claims management processes.
The goal? Improved efficiency, lower administrative expense, and - most importantly - reduced claims costs.
We affiliate with the best software developers we can find, help them refine their product strategically, and present them as part of a solution set for the workers' compensation and healthcare industries.
For outsourced solutions, HKS and its African partner provide a more efficient, lower-cost solution to the processing of insurance forms and medical bills, and to providing medical bill review services.
Our Care Counselors use HKS tools and technology to link everyone involved in an individual's health care in a real-time communication ring. This encourages better decision-making, with reduced conflict and greater ease of administration. The result: better medical outcomes at lower costs.
Injured employees benefit from the increased ability to manage their own medical decision-making, by receiving the support and knowledge needed to make good decisions and practice effective self-care. Doctors benefit from easier communication with administrators, meaningful information on the patient's activities, improved ways to communicate with their patients, and from immediate access to state-of-the-art medical information on the patient's condition. Insurance companies, claims and medical management professionals, and employers benefit from reduced costs and improved outcomes, and from information that will allow them to manage appropriately.
Our communication tools include:
Care Counselors coordinating each case
Customized Internet portals
Illustrated patient guidebooks to self-care, medical decision making
Custom DVDs, CD-ROMs, interactive media
Worksite training and tools
Other Solutions
Dr. Bill Exchange
Dr. Bill from SRQIt allows payers to custom-design the flow of the medical bills in order to include an open-ended variety of special processing arrangements. These may include routing bills to special teams, processing medical bills according to custom provider arrangements, and a number of other specialty solutions. All this can be accomplished without internal programming to current or legacy systems.
Medical Bill Review and Negotiation
Decisions support tools and human resources to negotiate and manage large medical bills and catastrophic medial expenses.
Enhanced Medical Bill Administration and Outsourcing
Our North American and African associates provide a lower-cost outsourcing solution, combined with state-of-the-art workflow design that provides two key management tools that are too often absent from insurance administration: standardization and specialization.
