Baskar Mohan

Director - Healthcare Practice, Virtusa. Baskar has more than 18 years of professional IT experience with over 13 years of US project experience. He has worked in the Healthcare industry for the past 11 years both on the payer and the provider systems. He has extensive knowledge of the Blues and has worked with them in many corporate initiatives including the HIPAA 4010A1 conversion, SSNE and the NPI project. On the payer side, Baskar has worked on EDI and core claims systems. During his tenure at BCBSMI, Baskar has worked in EDI, Membership & Billing, Facility, Professional, Dental, FEP & NASCO to name a few. Baskar has also very good exposure to the government run Medicare & Medicaid programs and has worked for the Dept of Health Services, Sacramento, California. He also has executed a number of projects in healthcare related to BPM. Baskar is very knowledgeable of the Pega platform and in specific the Healthcare payer framework, Insurance Industry framework & CPM. More recently he has executed projects related Governance, Risk and Compliance using Pega for providers very specific to CoBIT & HIPAA. As a Chief Architect, Baskar is responsible for designing solutions for 5010 & ICD10 solutions. He has created go to market solutions to help customers transition to 5010 & ICD10. As a Program Manager, he is responsible for delivery & execution of all projects both onsite & offshore and currently manages a team of resources. As a Client Services Director, Baskar is responsible for revenues for healthcare book of business, assist the sales team with pre-sales, account radiation and client management. Baskar has experience working with global clients across, USA, UK, France & Netherlands.

Posts by Baskar Mohan

Provider Contracting: 6 Key Business Functions To Look For In Selecting The Right Tool

Onboarding, retaining and servicing the providers within a Payer organization is becoming a core focus due to expansion into new markets and strict state and federal regulations around access to care. Providers have taken a back seat to member acquisition and retention, but as Payers move to new payment models and strategies combined with low 

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The patient-centricity era: Five key areas healthcare organizations need to focus on

National Health IT Week is being celebrated all week. As we start to look into the future, it’s clear that healthcare IT will play a major role in the U.S. economy. The federal government spends a total of $82 Billion annually (Sasso, “Hillicon Valley,” The Hill, 9/13). Add in the amount that the state governments and 

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mHealth for Healthcare Payers: 5 Key Applications focused on Member Interactions

In one of my earlier blogs on SearchHealthIT titled “mHealth for Healthcare Payers: 5 Key Focus Areas for Mobile Applications”, I had listed applications for member interactions as one of the hottest areas that provide more value add to the payer organization. There is more focus on the member interactions due to the advancement of 

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5 Mistakes Payers Should Avoid While Implementing ICD-10

The deadline for ICD-10 implementation is fast approaching and healthcare Payers and Providers have less than two years to meet the requirements. Some healthcare organizations have yet to initiate their plans for the migration, some have progressed at a slow pace and very few have made substantial commitment to completion. Payers on track with the 

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