White Paper
The Case for Electronic Medical Payments
Claims processing has seen limited innovation over the years. Certainly, there have been
advances in technology that capture, analyze, and store claim information, but the workflows
and support functions have remained relatively the same. Claim payments processing
account for significant portions of a claim departments oversight and expenditures and are
areas ripe for disruption. Payment processing can achieve dramatic transformation with
the use of a modern electronic strategy, reducing costs, the risk of fraud while improving
customer experiences and reducing friction on topics such as payment timeliness.
advances in technology that capture, analyze, and store claim information, but the workflows
and support functions have remained relatively the same. Claim payments processing
account for significant portions of a claim departments oversight and expenditures and are
areas ripe for disruption. Payment processing can achieve dramatic transformation with
the use of a modern electronic strategy, reducing costs, the risk of fraud while improving
customer experiences and reducing friction on topics such as payment timeliness.
White Papers
e-Billing Transformation
Administrative simplification is a team sport and in that light, the Healthcare Administrative Technology Association (HATA), the national practice management association, has released an Industry Call to Action to encourage all stakeholders to collaboratively work with practice management systems (PMS) to address and encourage provider adoption and vendor/payer HIPAA compliance of electronic standard transactions
With the release of this Call to Action, HATA will be working toward the creation of a nationwide public education campaign to:
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White Papers
Jopari: e-Billing Makes Major Advances
WorkCompCentral News, August 22, 2013 – Five years after Texas adopted the nation’s first regulations requiring the electronic submission of medical bills, both payers and providers across the country appear to be moving towards e-billing systems that will incorporate national standards — and may see a boost from health care reform, Jopari Solutions reported this week.
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Jopari: E-Billing Making Major Advances Five Years into the Process
White Papers
ICD-9 and ICD-10 Mandates
Just like “Where’s Waldo?” the property & casualty (P&C) industry that includes workers’ compensation and auto billing also requires the tracking of state healthcare requirements to highlight whether ICD-9 or ICD-10 is required when submitting bills to payers. Payers, vendors, and providers that bill P&C across states are required to comply with each state’s requirements. There are numerous questions yet to be answered, however – for example, what states are best positioned to move to ICD-10 from ICD-9? What is the contingency planning?
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ICD-10 Monitor: Will You Be Required to Comply with Both ICD-9 and ICD-10 Mandates?