India's Best EMR/EHR and Medical Billing Solution Providers

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2020/ VOL 04/ ISSUE 01




Editor’s Note ON THE RIGHT TRACK

H

ow many steps do you walk daily? How many calories do you intake in a day? How many words does a writer pen in a week? What’s the average count of your sleeping hours? All of the above questions share a collective entity i.e., Tracking. It’s in our human nature. By tracking or measuring our activities, we seek improvement and take our best foot forward to create a future supportive to us. We track things to push and move on. It is a powerful tool describing us where we are in a specific time, position, or how much we have progressed. In a general setting, we set up a baseline marking our current state, whether we are making progress or not. It helps in setting realistic goals. Once that is configured, we keep tabs on our improvements. Herein we celebrate our win, even the small one, and check losses to sustain our momentum to keep our confidence and motivation high. This helps, as it allows us to correct the course. We can find out what went wrong and why. Tracking gives us something to

celebrate and encourages us to keep going towards our target. It seems to be a very minor detail; however, people who stay on track sound like they pay attention to their behavior. Often, keeping track may be a difficult chore to follow. But that’s the whole point, it forces us to pay attention to the overall behavior we are trying to change. It holds things at the forefront of our minds and helps us in setting our priorities right. Naturally, tracking will get simpler over time, and you will spend less time worrying about it and more time doing it. In conclusion, like a map, tracking helps you locate yourself and allows you to plan where you want to be. The whole point is to understand the minimum level of advantages, we humans can take from tracking. And this is just the lowest level. When incorporated in industries and businesses, the top of the chain, it makes a massive difference in the way with live.


Anmol Preet Singh

Understanding this importance of tracking, as a business magazine, for the medical field, we bring forth India’s Best EMR/EHR and Medical Billing Solution Providers. This exclusive edition showcases the best of firms assisting the medical world in planning, tracking, and offering convenient ways to users and what works for their specific goals. We kick-start things off with our Cover Story, Tranquilmoney Inc. Headquartered in New Jersey, it is a technology company assisting healthcare providers shorten the revenue cycle and healthcare payers’ accuracy in forms processing and quick turnaround. With over ten years experience in managing healthcare receivables, Tranquilmoney’s Outsourcing division provides proven services to manage third party receivables. With back-office facilities in India, Tranquilmoney offers 24-hour office functionality and overnight turnaround. Other than that, we have Medryte, a full-service

medical billing company with extensive experience in multi-specialty billing and coding; Kaaspro Enterprises, providing affordable cloud-based solutions for enterprises ranging from single users to multi-users; and last but not the least Healtho5 Solutions, empowering businesses to use modern technologies like AI and machine learning to stay connected with their patients both within and out of the care facility. While learning about these esteemed businesses, do not forget the industry expert’s viewpoint tagged under CXOs. Also, keep your keen eyes on the article EMR/EHR’s Revolutionized Healthcare, masterly crafted by our in-house editors. So, without further ado, it’s time time to turn the pages and learn about these businesses in detail. Have a Happy Read!


COVER STORY

C O N T E N T S

08 TRANQUILMONEY, INC At the Crest Of The Automation Wave

ARTICLE 22

Editor's Insights EMR/EHR’s Revolutionized Healthcare


26

CXO

26 38

Look Through Some Insights to Preeclampsia or Gestosis

Expert Diary

32

32

5 things to keep in mind when buying health insurance

Expert Insights

38 18 18 28

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Next Generation Growth Factor Concentrate Therapy for Hair Loss and Facial Rejuvenation

Healtho5 Solutions Private Limited Providing Facilities to Benet every Stakeholder in the Healthcare Industry

Kaaspro Enterprises Catering Modern Medical Practice Solutions

Medryte

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Helping US healthcare providers through proactive telehealth billing support


Editor-in-Chief Pooja M. Bansal Managing Editor Rajkunwar Bhosale

sales@insightssuccess.com

Publishing Control Team Shruti Jambhale

APRIL, 2020

Quality Assurance Team Abhishaj, Sneha, Darshan Contributing Editor Anmol Preet Singh

Corporate OfďŹ ces: Art & Design Head Amol Kamble Associate Designer Poonam Mahajan Art & Picture Editor Sapana Sindhe Co-designer Deepanjali Jena Sr. Business Development Manager Megha Mishra Business Development Manager Nandan Deshpande Business Development Lead Ashwini Pahurkar Sr. Business Development Executive Kajol Karale Technical Head Pratiksha Patil Technical Specialist Amar Sawant

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Cover Story








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REVOLUTIONIZED HEALTHCARE

EMR/EHR’s 22 | INSIGHTS SUCCESS

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Editor’s Insights

H

ealthcare providers from hospitals to primary physicians have been methodically documenting the health and care for their patients using medical records, the Electronic Medical Records (EMR). Today’s modern technology has allowed for these advancements in managing medical records by electronic means. Electronic health records are now stored and managed online. Thus medical practitioners can efficiently function as paperless offices, in turn helping to streamline their everyday processes and maximize work efficiency. The entire healthcare industry has seen an

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effective transformation in recent years with laws like HIPAA and the Affordable Care Act in place. These laws have been established to protect electronic health records and encourage its implementation. The industry has thus begun to shift towards using electronic medical records as its primary method of managing patient health. In order to make the transition from paper-based health management to electronic health records, healthcare providers make the use of specialized medical record scanning and storage services. The scanners and storage services are used to convert the records into electronic health records. Medical Records: Moving from Paper based to Electronic Format In the earlier days, the systematic documentation of patients’ health histories and care over time by healthcare providers was done by means of paper-based medical records. Today, advances in digital technologies and storage capabilities have led to the development of what are known as electronic health records systems (EHRs) in the healthcare industry. Often used interchangeably with the similar term electronic medical record systems (EMR), electronic health records refer to medical practice’s methodical collection of patient health information stored in digital format. With EHRs, healthcare providers are now able to more easily share and access their medical records through network-connected, enterprise-wide record management platforms. Benefits of Electronic Health Records Besides increased usability and practicality for providers who implement EHRs, these modern medical records provide numerous advantages for healthcare practices. The top benefits include cutting down the chances of data replication or inaccuracies since there is only a single medical record. Also, the advancement has eliminated the need to track down and locate past patient records prior to adding any new changes. These advantages are specifically relevant for healthcare

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providers working on a large scale like hospitals, who handle the medical records of hundreds of patients each day. The healthcare providers including insurance companies, federal and state governments, and even large medical institutions are its major beneficiaries. These institutions have begun to heavily promote the adoption and implementation of electronic medical records since 2010. The Latest Advances EMR technology does not stop improving, and the latest EMR developers are exploring the mobile devices, finding ways for doctors and patients to communicate on these transportable devices. For instance, this has allowed hospital patients to take pictures of their symptoms, send text alerts, and check symptoms instantly. These early interventions have enabled doctors to decide whether the patients need to be examined further with a physical appointment or not. It also helps patients to receive a timely diagnosis and the treatment they need. Moreover, Wearable Tech has also begun to be recognized as a path of communication between doctors and their patients, allowing live information to be taken and recorded from the devices. For instance, if wearable technology such as fitness trackers, which already have a variety of health benefits, were combined with EMRs, it could prove advantageous. Vital information such as heart rate, step count, and sleep levels could be instantly shown to a doctor, who could be alerted to any problems in its functioning. Moreover, transferring EMRs to cloud-based platforms in the healthcare industry makes the information more secure. It has allowed doctors from other medical facilities to easily access the patients’ information whenever they need to. This has also cut hospital costs as they do not need to maintain their own software and digital systems. EMRs are constantly evolving, and new uses are being found on a regular basis to connect patients and doctors. It ensures that their care is as integrated and error-free as possible. In the years to come from wearable tech to mobile-compatibility, EMRs will form a large part of the healthcare. -Rajkunwar Bhosale

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SOME INSIGHTS TO

PREECLAMPSIA OR GESTOSIS ABOUT THE AUTHOR With 27 years of experience in clinical practice and teaching gynecology, Dr. Girija Wagh is an expert Gynecologist. As a renowned academician, she has many research papers published. She always keeps herself updated with the current knowledge and latest trends. Dr. Girija through her position in FOGSI has advocated for women’s health issues to the government. She has been a member of the CSB PCPNDT Act and national mentor under the LaQshiya initiative. She also specializes in complicated pregnancy conditions and infertility. Not limiting to just this, Dr. Girija is a compassionate doctor and counselor.

Dr. Girija Wagh Gynecologist

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Look Through

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regnancy is a phase in the life of a woman that many look forward to and experience the joy of giving birth to a life, whilst some have reservations over getting pregnant. These are individual choices that women make and therefore needs to be respected. The birth of a healthy baby is a result of good care that a pregnant woman receives right through her pregnancy from her family, her doctor and also because she takes good care of herself with healthy, nutritious diet, adequate rest and exercise, positive thoughts etc., Whilst most pregnancies result in healthy babies, some pregnancies develop complications, resulting in adverse outcomes for both the mother and the baby. One such complication in pregnancy that is now increasingly being noticed is Preeclampsia or Gestosis. Medical text books describe preeclampsia as a hypertensive disorder in pregnancy. Sudden and high blood pressure during the course of pregnancy especially from the 5th month onwards along with elevated levels of biochemistry tests suggestive of liver / kidney damage or circulatory problems from low haemoglobin and platelets are typically how Preeclampsia presents itself. Hypertensive disorders in pregnancy is estimated to be nearly 20-25% of all pregnancies in India, which is quite high, given the high incidence of lifestyle diseases such as obesity, diabetes, late pregnancies etc., Whilst normal blood pressure is 120 / 80mm Hg, preeclampsia results in blood pressure shooting up suddenly and unexpectedly to 140 / 90mmHg or more. Bleeding, epileptic fits, neurological complications are other serious complications that can arise if not diagnosed and managed properly. A few symptoms include puffiness of the face, swelling of feet, episodes of abdominal pain, sudden and additional weight gain of 3-6 kg instead of 11.5 kg, within 2-4 weeks unexpectedly etc., Preeclampsia results in delivery of many babies earlier than the term of 38-40 weeks (preterm birth) as delaying the delivery can result in survival issues for the baby and in some cases the mother as well. The causative factors of preeclampsia are not well understood yet. It is believed to be of metabolic origin causing the placenta to become dysfunctional. A dysfunctional placenta causes a host of downstream events, such as elevation in blood pressure, organ damage etc., as described above. Most obstetricians are able to detect preeclampsia after the disorder has expressed itself. Diagnoses and detection are through a combination of clinical assessment, lab and ultrasound reports. If preeclampsia presents itself closer to the term of the pregnancy, emergency intervention and delivery of the baby are the usual ways of managing the disorder. The challenge

2020, VOLUME - 04, ISSUE - 01

is, in case the disorder manifests itself before 34 weeks of gestation. Early onset preeclampsia as it is called in medical parlance, may require admission of the baby in neonatal ICU and often the mother too after delivery and where indicated. Every extra day / week that is gained to deliver the baby closer to 34 weeks of gestation is that much more beneficial for the baby as it helps improve survival rates. Diagnoses and detection of Preeclampsia is through a combination of clinical assessment, ultrasound reports and lab tests. Individually each of these methods have low sensitivity and poor predictability hence the need to do them together to improve detection. Researchers have been aiming to unravel the origin of preeclampsia and to determine suitable biomarkers that can confirm the presence of the disorder at an early stage and also to predict its onset. Advanced research using mass spectrometry, protein sequencing etc., have helped identify a number of proteins that were found to be activated / over expressed in preeclampsia. One of the protein biochemical markers that was investigated quite early, and as far back as 1984 is Fibronectin. Fibronectin plays several important roles in the human body. In pregnancy fibronectin is thought to play an important role in embryogenesis (development of the foetus). A set of researchers have shown that the protein, Fibronectin gets elevated in preeclampsia, by measuring the protein in different stages of the pregnancy and in pregnancies that developed preeclampsia. It is now easy to assess the risk of preeclampsia in pregnancies by measuring the concentration of this protein. A device similar to a blood sugar meter is now available in India that enables Fibronectin to be measured in 10 minutes from a finger stick sample of the pregnant woman. The test can be done in the clinic of the obstetrician and is found to be helpful in the assessment of risk. A trained nurse or technician can run the test as it is simple and easy to use. This saves valuable time for the doctor and the pregnant woman and helpful where there is rapid progression of disease and an intervention decision needs to be made. The test of Fibronectin in the blood also gives results which help the clinician to categorise the patient as mild , moderate and severe. This test can be placed in the pregnancy surveillance at 12 weeks’ gestation as a screening tool especially in women identified as at risk of developing gestosis. The test can also be performed when the woman presents with raised Blood pressure and thus help in identifying the mothers needing closer surveillance and monitoring and those who can be managed on the outpatient basis. For more information feel free to contact the author.

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5HEALTH INSURANCE

THINGS TO KEEP IN MIND WHEN BUYING

T

he medical inflation is skyrocketing, and it's growing at a higher pace than food inflation. There is a famous proverb, ‘Health is wealth’. Medical emergencies can easily wipe away your entire money at once. Since most of us cannot afford one-time expenses on health emergencies, it is better to take the health insurance cover. They usually charge a premium periodically and helps us with a lump sum amount when the need arises. So, while buying a health policy, which are the things you should keep in mind? Let’s explore 5 crucial things to keep in mind when you plan to buy a health insurance policy.

and paying your premium without fail, year after year. The claim process should be simple and clear. Ask the insurance company specifically about the claim process and go through it carefully. The last thing you want is to run helterskelter for getting your rightful claim. Additionally, look at the claim settlement ratio, which explains the percentage of claims settled by the insurance company, the amount claimed, and the percentage of amount allowed; it can help you to opt for the best health insurance company.

Find the type of health insurance suited to your needs

Every insurance company empanels with the hospitals for the treatment of its customers. It is better to get insurance from a company that has a broader network of hospitals. At a network hospital, you can get cashless treatment; however, if the hospital is not in the list of the insurance provider, then you need to get the claim amount through reimbursement. A wider network makes your treatment easier and saves valuable time in case of emergency.

Health insurance plans are of various types. There are individual plans which are suitable for a single person. I usually advice aged people to go for an individual policy because they are at a higher chance of making a claim. There are family floater plans in health insurance that covers the whole family. The family means self, spouse, and unmarried children. Some policies also include dependent parents in a family. Family floater policies are suitable for people who have more than one dependent, and there is a low chance of all making health insurance claim together, once or multiple times in a policy year. Find the need for critical illness cover and Add-ons Do you need critical illness cover? It covers critical diseases that can cost you a huge amount. If your insurance doesn't include critical illnesses, then you may want to consider it. You can also take a look at add-ons available along with the insurance plan. This is important in the case of older people as their medical needs are different. Also, if you have a family history of critical illness, then you may go for it. Know the claim process The claim process is the most crucial part of any insurance. This is the time you reap the advantage of taking insurance

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Check out the number of hospitals in the network

Find the coverage that you need Health insurance should cover you adequately. The coverage amount depends on your lifestyle, past medical history, and habits. You should also look at the premium needed for the specific cover size. This may vary among health insurers. While it is tempting to compare the premium and choose the cheapest, this may not be a good strategy. Look for the claim settlement process, time, number of network hospitals, and capping (if any) on the treatment of specific ailments as well. The most important thing to keep in mind is that it is better to take health insurance because at later age there are higher chances of suffering from a disease like diabetes, BP, hypertension, etc., so you may need to wait for a longer period to get such ailments (pre-existing disease) covered. At an early age, there is no need to go for a medical checkup for buying a health cover.

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Expert Diary

Niraj Jain CEO

ABOUT THE AUTHOR Niraj Jain is the CEO of JRK Insurance Broking Private Ltd, which is a Kolkata based company and having branches across various states in India. His role & responsibilities include the establishment and development of Insurance Broking Venture and developing a pan-India branch network for JRK Insurance Having joined JRK Group in 2001, Niraj has over 18 years of diversified and handson professional expertise in most facets of the insurance and financial service business. He has worked across diverse asset classes such as stock broking, mutual funds and Insurances products. Niraj has been instrumental in expanding the financial service business as the CEO of JRK Insurance Broking Pvt Ltd.

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I

t has been a challenging time for service providers and the global community altogether. At such time when providing in-person healthcare is challenging, given the large distances and limited resources, telehealth services have become a glimmer of hope against Covid-19. It has increased timely access to appropriate interventions, including access to services that may otherwise be inaccessible. There has been a dramatic surge in cases of Covid-19 infections in the USA since the past few weeks. Thus, to smartly address the concern, the health systems in US are racing to be more adaptive to virtual services that can serve as their front line for the patients. By using their phone or computer, patients are able to get guidance about whether they need to be seen or tested despite showing up unannounced at the emergency room or doctor’s office. Patients, particularly those who would be at high risk for any serious illness can also opt for a virtual visit while avoiding crowded waiting rooms.

Sujin Jekash Simson CEO & Founder

Medryte

Helping US healthcare providers through proactive telehealth billing support

Notably, while Telemedicine may have a spike in adoption, the coronavirus crisis has forced service providers offer commendable choices such as flexible insurance plans. However, carrying out these operations online or offline, going to the doctor seems like a one-to-one interaction. It is actually a part of the large and complex system of information and payment. While the patient may only have direct interaction with one person or healthcare provider, the check-up includes a three-party system. The first party is the patient, the second is the healthcare provider (considering all the medical services), and the third and final party is the insurance company, or payer. Well, it’s the medical biller’s job is to check with each private payer about their new policy on telehealth services coverage. The coverage may vary with patient plan; therefore, the biller should check with payers and educate the providers on what CPT codes can be billed for which payer. Certainly, the biller should ensure that the healthcare provider is compensated for their services by appending appropriate CPT/HCPCS, ICD-10 codes, modifiers, place of service and appropriate documentation. Medryte Healthcare Solutions, is providing an outstanding service to all the clients by following 4 step formula

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1. Educating each provider on the latest updates and extended coverage on telehealth. 2. Collecting information from payers and updating the plan specific coverage information to the practice. 3. Preparing the list of patients eligible for telehealth services based on the payer and patient’s plan. 4. Calling the patients on behalf of our clients and encouraging them to schedule for a telehealth service These 4 step formulae have increased the patient visit to 25% last week compared to the previous week.

A Compassionate Leader Sujin Jekash Simson is the CEO & Founder of Medryte. Mr. Sujin’s aspirations to make Medryte an outstanding service provider and his efforts have made him a successful leader. His father a successful businessman is his primary motivation behind achieving the entrepreneurial milestones. Mr. Sujin is a Physical Therapist by profession. He is graduated from Dr. MGR University, Chennai. Further, working in multi-specialties he gained experience in medical coding training and billing. The extensive

A Top-notch Performance

Medryte is equipped with a team of certified billing and coding experts. Today, it manages a workforce of 200 plus employees with two state-of-the-art delivery centers in Nagercoil and Tirunelveli, India. All the medical coders are graduates with life science background such as Physical Therapy, Nursing, Pharmacy, Microbiology, Biochemistry, and others. Over the past 8 years, Medryte has emerged as one of the most reliable Medical Billing and Coding Company. Its Response to the Real-Time Problems Owing to the current crisis and lock-down period, many medical billing and coding firms have deferred or stopped their operations. Their staff is not working in the fear of getting infected or is given leave until the situation gets normal. This has led medical professionals under huge pressure owing to the operational and even financial burden arisen out of drastically decreased appointments. Medryte, as an offshore billing organization has rushed to support the clients by digitally educating them on the latest happenings in the medical billing and coding industry. Moreover, given the changing insurance guidelines due to the situation, Medryte on a daily basis educates and keeps the clients updated with all the information related to insurance guidelines.

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Effective medical billing requires precision and meticulous attention to details. You should expect a commitment accuracy and low error rates from Medryte

Medryte Healthcare Solutions is a full-service medical billing organization. It has extensive experience in multispecialty billing and coding. Along with the above services, Medryte also provides analytic reports. Operating as a Healthcare BPO, Medryte exclusively serves the US clients across 23 states. It works for Physicians, Payers, and as a vendor for medical billing companies.

billing solution

experience and his father’s motivation led him to establish Medryte on July 13 in the year 2012. He has acquired a valuable experience of over 16 years in medical billing and coding. He uses his own personal experiences as well as that of his team to analyze them in the public domain. Ascending Zeniths Medryte at several instances has been awarded various honors. In 2014 it was bestowed by the, ‘India's Fastest Growing Healthcare BPO-2014’ award. Notably, in 2013 it was honored with the ‘Social Entrepreneur of the year2013’ Award and by the, ‘Vishwa Jothi Award’ in 2013. In the upcoming years Mr. Sujin envisages providing medical billing and coding services through Medryte. He also aims to help clients during the crisis situation while decreasing their operational burden.

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NEXT GENERATION GROWTH FACTOR CONCENTRATE THERAPY FOR

HAIR LOSS &

FACIAL REJUVENATION

G

rowth factor concentrate or GFC is a highly concentrated growth factor preparation engineered from person’s own blood for superior results in hair loss and facial rejuvenation treatment. Various growth factors are stored in platelets (type of cells in our blood). Wockhardt’s scientists have been able to extract these growth factors from person’s own blood in high concentration as a GFC in specially designed Kits. This GFC is injected into the scalp & skin (face and neck), thus, delivering person’s own growth factors at high concentration right in the layers of skin. This results in stimulation of regeneration and repair. GFC therapy for hair loss Alopecia or Hair Loss is common with increasing age can affect both men and women. Many factors contribute to this including hormonal imbalance, stress, nutritional deficiency, genetic conditions etc. The current standard of treatment consists of oral or topical medications. Medication is required for an indefinite period, and effectiveness is limited by patient adherence and frequent side effects. Surgeries such as hair transplantation are generally reserved for refractory patients. Due to the varying efficacy and safety profiles of the present treatment modalities, there remains the need for additional treatments promoting hair regrowth. This innovative GFC is injected into the scalp, thus, delivering person’s own growth factors (e.g. plateletderived growth factor, vascular endothelial growth factor, insulin-like growth factor 1, Epidermal growth factor etc.) at high concentration right at the hair root stimulating hair

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regrowth. It is highly safe as prepared from Patient’s own blood without any contamination. To prepare GFC for hair loss treatment about 16 ml of person’s own blood is required and it takes about 40 minutes for preparation to get about 7-8 ml of final ready to inject GFC output. Any candidate in their early or late stage of Alopecia as judged by the treating doctor is a fit candidate for GFC therapy and is equally effective in both males and females. After three sessions of GFC therapy effects are seen in terms of • Reduced hair fall • Improved hair thickness • Increased in hair volume GFC therapy for facial rejuvenation With age, the natural and biological processes of the body cause changes on the surface of the skin in the form of ageing issues like wrinkles, folds, fine lines, laugh lines, sagging skin, creepy skin. Skin loses its strength to protect itself from damage as it becomes thin and loses its elasticity and volume. This results from a combination of a gradual decline in skin function over time and cumulative damage caused by factors like pollution, sun exposure, smoking and high-Stress Levels etc. With advancement of science and technology, there are few measures which allow us to reverse or reduce the signs of an ageing face. This may lead to immense psychological benefits enhancing the personal image and social interaction skills. The GFC therapy is the latest measure, which utilizes the body’s inherent natural powers for biological skin rejuvenation. GFC provides various growth factors (TGF β,

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Expert Insights

VEGF, EGF, FGF, and PDGF) in high concentration which are extracted from person’s own blood. Which stimulate dermis (skin layer) & subsequently its regeneration and repair. Any candidate who wishes to have rejuvenated face is a best candidate. GFC therapy is equally effective in both male & females. GFC therapy can be also ideal for the person who does not want any synthetic filler or any other synthetic chemicals/toxins. GFC therapy can be used to enhance Laser procedures and along with derma rollers too for faster and improved healing. After three sessions of GFC therapy effects are seen in terms of • Rapid, efficient, and thorough restoration of skin to a healthy state by enhancing the body’s natural healing capacity • Improved quality and texture of skin • Overall tightened and youthful skin Directions for use of GFC therapy: Three sessions of GFC therapy one month apart are recommended. Usually, one session can be repeated after 4-6 months & thereafter therapy can be repeated every year. Advantages of GFC therapy: Latest Non-surgical Safe as prepared from person’s own blood Sterile, no chances of infection High concentration of growth factors for optimum results • Pure GFC & without any unwanted cells, gives less pain

• • • •

Possible side effects of GFC therapy: Since GFC is pure and does not contain any RBCs or WBCs (unwanted cells), risk of pain and inflammation due to GFC itself is minimal. The reactions are generally injection related and have a mild to moderate impact. These usually resolve in 7 days or less.

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ABOUT THE AUTHOR Dr Prateek Sondhi is a renowned dermatologist practising in Derma Circles Clinic in New Delhi. He was awarded the prestigious Dr KC Kandhari award for the "Best Resident Doctor in Dermatology" from AIIMS, New Delhi. His chief areas of interest a re h a i r l o s s m a n a g e m e nt a n d nonsurgical facial contouring.

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