Facets®
The Royale Strategy Group
Healthcare, Consulting, Outsourcing And Recruiting Services.
Royale Strategy is a company that is laser-focused on one thing: providing every service a business needs to be successful in an ever-changing marketplace. At Royale Strategy, our leadership team has a combined 25 year’s experience in healthcare administration, information management, information technology, project management and management consulting. This Leadership team has real world experience and knowledge that has allowed them to recruit and retain experts across the country. Combined, our team has more than 1,500 year’s of experience in healthcare information systems and administration.
Having the right partner for implementing a new system / software is critical, and not just implementing…. Remember when you installed Facets™ for the first time? The planning, the meetings, the installation? Upgrading and patching your system to the latest version is every bit as critical. The latest software version will help you keep the advantages that you’ve built by giving you access to the newest functionality. Functions that will best serve your members.
Our Facets experts have deep knowledge and experience in Facets project management, systems implementation, and upgrades. We have led Facets projects and have often been retained by our competitors to assist in projects they have been selected for. At Royale Strategy, we partner with the business and the IT side of healthcare organizations to provide Facets system knowledge, expertise, and support to ensure the success of the system implementation / upgrade and operational support. Our subject matter experts who possess years of operations and technical Facets experience ensure clients are optimizing the functionality of their Facets information system. Facets is just one of the many claims administration platform systems that TRSG specializes in. interested, contact us today at Facets@RoyaleStrategy.com or at 877-513-3113
Royale Strategy provides temporary operational front end user support, system training and post go live support. All our clients have access to a 24/7 helpdesk for business and technology support.
Hiring a Subject Matter Expert in Facets™ is necessary when implementing, upgrading, installing required patches and or testing. It’s not only a full-time job, but it also takes knowledge and experience to understand how Facets™ operates. In the healthcare industry, the rise of new challenges such as changing consumer demand, government regulations and shifts in medical cost are some of the reasons why an insurance company should seek the assistance of subject matter experts (SMEs).
When you combine the knowledge of HIPAA 5010 & ICD-10 / 11 as well as being skilled in Facets™, it is a recipe for success. Subject Matter Experts are crucial to ensure that insurance companies reach their maximum efficiency while continuing to operate and run their core business. Aside from technical expertise, a Subject Matter Expert can use their healthcare business knowledge to understand the insurance company’s needs. With both the business and technical experience a Subject Matter Expert brings to the table, they can foresee issues and or challenges that might arise when mixing business rules with configuration.
This means that aside from helping you gain competitive advantage through maximizing the functionality of Facets™, SMEs can be an asset to you and your company when forced to continue to meet City, State and Federal Government changes within the healthcare Industry.
Implementation
The Royale Strategy Group helps you ease the process of getting your system updated to the latest version. By taking advantage of a partnership with Royale Strategy, our team of subject matter experts can help your upgrade process run smoothly. We can help you reduce downtime, eliminate end-user disruption, and shorten project timeframes across the board.
We know that your business is as unique as a strand of DNA. Your business may depend on integrated homegrown systems, third party applications and business rules that apply only to your organization. Royale Strategy can also include custom development to support the intricacies that make your business unique. We’ll also ensure that each system is independently tested and validated to run exactly the way that you need them to.
For existing Facets™ installations, TRSG can offer:
- Application Upgrade Services
- Custom Development
- Testing, Validation and Verification
- And More
Compliance
How many times has the strategic plan for your organization changed? The industry and the regulatory landscape are change rapidly and to grow, your strategy is honed and refined.
- How will you outperform the competition?
- What resources do you need?
- How can you deliver what your clients want, in the most cost-effective manner?
- How can you create and seize new opportunities?
Royale Strategy can provide you with the knowledge and the expertise to help you answer these questions and can help you assess and develop the keys to growing in this ever-changing environment.
Whether you’re interested in implementing ICD-10 / ICD-11 concerned about the Patient Protection and Accountable Care Actor you’re administering a Managed Medicare or Medicaid plan, Royale Strategy has the experts, armed with proven tools that can provide you with the expertise to help you assess your readiness and can help you achieve compliance. No matter where you are in the process, Royale Strategy can tailor a consulting engagement that will support your unique compliance needs and help ensure that strategic, business and technology plans are aligned.
Optimization
Ensuring that your systems and business processes perform at their peak is a critical piece of achieving your business goals. Royale Strategy can provide you with the Subject Matter Experts that you need to assess operational benchmarking, business process engineering and training. Experts that can help you optimize workflow, productivity, cycle times and software. Royale Strategy experts will evaluate keep operational business processes and the automated systems that support them. Royale class can also provide recommendations and training that will help you get the most out of your investments in technology and business processes.
Facets®
Core
Administration
Care
Management
Digital Transformation In Healthcare
Core
Administration
Care
Management
The success of The Royale Strategy Group in the healthcare marketplace can be attributed to just a few things. Firstly, we believe that our dedication to the Royale Strategy Values of trust, dependability and integrity have contributed to our success. When we worked with other consulting firms as their sub vendors, our leadership team would often see the firm taking too long to complete a project. Leadership would see the firm make recommendations to bring on additional FTE’s or to contract to bring in additional resources when they simply weren’t needed. When our CEO started Royale Strategy, she was determined to do the right thing for the client – even if it didn’t put money in the company’s “wallet”. There have been many times when we have convinced a client not to renew a contract for a temp, but to take them on full time – because that was better for the client. There have been other times when leadership had to tell the client that they didn’t need another full-time resource, but instead, they needed a process to lighten the load. Doing the right thing for our clients adds value, solidifies our relationship – and it’s just the right thing to do!
Secondarily, since it’s worth saying that our CEO has been working with Facets since 1999 from a very early career, she continues to actively look for ways to contribute to those that need it. Our CEO is always happy to share her experience, insights – even if no client relationship exists. At Royale Strategy we think that it’s the Zig Ziglar approach of helping others to get what they want. It has a way of coming around and returning the favor.
Value Proposition to TriZetto
The Team at TRSG has dealt with clients around the country and have developed processes, training materials and standard operating procedures that when implemented, are proven to save the client time and money, and can grow productivity, profitability, and customer satisfaction. Royale Strategy offers a wide variety of BPO services to our clients, including front-end claims administration, enrollment, billing and business rules configuration, like EDI, ID card, print and mail, ERA/EFT, claims processing and other business and technology services. Our consulting services have long provided custom development, implementation, and support of both TriZetto and other systems.
TRSG believes that having a partner in the industry that can be relied on. Relied on to do the right thing for the client. Relied on to be the “eyes and ears” for TriZetto in the field. We all know that what the client says and what they say when we aren’t around are not always the same thing. The ability to generate “insider” knowledge about TriZetto’s reputation, perceived service quality and responsiveness may hold value for TriZetto.
Experience and Expertise
Royale Strategy’s Subject Matter Expert brings experience and knowledge to your Facets™ project that most insurance companies may not possess. While your company may only implement a new claims administration system once every 5 or 10 years, with Facets™ you are mandated to keep up with upgrades and install patches at a minimum of once a year due to contractual agreements when purchasing Facets™. Given their familiarity with Facets and numerous first-hand experiences to various issues that can possibly arise during the configuration and testing stage, SMEs can help insurance companies execute and complete the project without disrupting business.
Executing a Facets™ project with little to no experience can put a company at risk which could compromise an entire project.
Subject Matter Experts provide a different perspective to a project. With their significant understanding of Facets™, an SME will help improve the efficiency of your operational process. For instance, depending on your current infrastructure, a consultant can advise if Facets™ should be deployed in-house, hosted by TriZetto, or be outsourced by a 3rd party. A Subject Matter Expert provides insights on which type of deployment option is best suited for both your department and your company.
Proven Project Methodology
The Team brings their vast experience, SMEs are equipped with a proven step-by-step process that includes a library of what works and doesn’t work from their past projects to help assure the success of your Facets™ project.
A crucial part of any project is conducting a full analysis by sitting down with both the Business and the Technical stakeholders. Typically, this is done by working with your staff so that the objectives and the requirements of the business are met. Although you might be installing “just a patch”, Facets™ must be tested from an E2E (end to end) stage – from submitting claims through the gateway, to receiving an EDI Claim, eligibility, membership, billing to finance all the way until a check is generated and the “test” provider is paid.
Impartiality
The Triple E team of Experience, Expertise and Excellent Subject Matter Experts can provide an accurate analysis to the upper management of your business to assist them in creating a strategic and informed decision. Facets™ consultants can also give an objective input on management/support staff capabilities.
Significant Cost Savings When Configured Properly
By implementing and configuring Facets™ properly, you will certainly reap significant cost-savings. They assist you in documenting the requirements of your business and apply those in the design, build and testing of Facets™ configuration, enabling you to create new products with great value and deliver it to your market more quickly.
Subject Matter Experts ensure that timeframes and budgets are met, from the beginning test stages of System Integration, to Unit / User Testing all the way to End to End Testing. This allows you to achieve your business goals in a timely manner.
All in all, using a Subject Matter Expert will result in a more efficient, accurate, quality configuration and maintenance of your company’s core and integrated system, ensuring that every dollar spent on the project are maximized.
In conclusion, having a Subject Matter Expert is a valuable extension to your company during the configuration and testing phase of Facets™.
Areas of Expertise
- Implementations
- Upgrades
- UAT Testing
- Business Operations
- Command Center
- Program / Project Management
- And More…
- Data Conversation
- Optimization
- SIT / E2E Testing
- Data Analysis
- Configuration / Model Office
- Developers
- And More…
