Accountable Care Organizations Educational Video

January 15, 2014 / 0 Comments

Former Health and Human Services Secretary and Governor of Wisconsin, Tommy Thompson is interviewed by healthcare payments expert, Mark Brousseau, President of Brousseau & Associates in Q&A Session #3. In this interview, Gov. Thompson talks about the impact of Accountable Care Organization (ACOs). ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients.

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A Good Read… NACHA Rules Book

January 14, 2014 / 0 Comments

I just received my notification email from NEACH (New England ACH) to download the 2014 NACHA Operating Rules & Guidelines. I have to say, this is good reading! As you may now, “the 2014 NACHA Operating Rules and Guidelines is the definitive source for information about the exchange and settlement of transactions through the ACH Network. The NACHA Operating Rules provide the legal framework for the ACH Network in simple, clear and consistent language. The NACHA Operating Guidelines contain complete discussions of each ACH Network participant type and its role and obligations, as well as detailed overviews of Standard Entry Class Codes.

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Operational Impact of the Affordable Care Act

January 14, 2014 / 0 Comments

Former Health and Human Services Secretary and Governor of Wisconsin, Tommy Thompson is interviewed by healthcare payments expert, Mark Brousseau, President of Brousseau & Associates in Q&A Session #2. In this interview, Gov. Thompson talks about the operational impact of the Affordable Care Act (ACA) as well as the overall direction of patient care.

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Introducing the Healthcare Payments Educational Video Series

January 9, 2014 / 0 Comments

In the first Q&A interview, Gov. Thompson talks about the state of the healthcare industry, summarizing what’s right and what’s wrong. Relating to the changes required with the Affordable Care Act (ACA), many of the rules and regulations are assembled by administrators and bureaucrats of HHS.

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Outsourcing Healthcare Payment Functions: Not Just for Banks Anymore, But Billers Too!

December 19, 2013 / 0 Comments

Healthcare providers are now outsourcing more of their revenue cycle functions. Large banks saw this medical banking potential several years ago and moved quickly to offer added-value services such as EOB conversion and treasury management capabilities specifically for this niche.

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5 Trends that will Shape Healthcare IT in 2014

December 19, 2013 / 0 Comments

The casual observer can be excused for believing that a single government web site represents the extent of healthcare technology. But behind the scenes, the following major technology trends will have a significant impact on the healthcare industry in 2014 and on revenue cycle management (RCM).

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Key Benefits of Obamacare on Healthcare Payments

November 22, 2013 / 0 Comments

The Affordable Care Act (ACA), aka Obamacare, is unlikely to bring together Republicans and Democrats. But ACA is bringing innovation to healthcare payments arena. Standards within the law make it easier to reconcile electronic funds transfer (EFT) payments, most commonly Automated Clearing House (ACH) transactions, received by providers with the corresponding electronic remittance advice (ERAs), including EDI 835 or EOBs.

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Who’s Winning in this New Era of Healthcare Revenue Cycle Management? Consultants…

October 16, 2013 / 0 Comments

According to a new survey by Black Book, the consulting business is booming in healthcare revenue cycle management; and rightly so! Challenges that executives cited for updating RCM projects include: 77 percent have not begun a strategic plan for transforming RCM solutions for known deadlines because of lack of internal experts to do so and 80 percent of CIOs said they do not have the IT staff in-house to transform RCM end-to-end.

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The Cloud is Loud for Financial/Healthcare Payments

September 4, 2013 / 0 Comments

A recent Gartner report highlighted “5 Cloud Trends in 2013 and Beyond”. Have you ever heard of how cloud computing aims to create “Webscale” systems, which are large configurations that have this ability to expand and contract as needed? They can be configured quickly, and yet go away quickly too. No longer are “large scale projects” a problem in a cloud hosted environment. A good example in healthcare payments would be a project to convert a large back-log of explanation of benefits forms. In this project, a large virtual cloud could be created with high capacity for a few days…then it goes away.

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Don’t be afraid of HIPAA & HITECH!

August 15, 2013 / 0 Comments

Don’t be afraid of HIPAA & HITECH? Of course it’s easy to say that if you aren’t the person knee deep in interpreting the rules and regulations and building out the infrastructure of a solution. The recent Orbograph White Paper, “HIPAA/HITECH Compliance, Resiliency and Security” simplifies the concepts of following and complying with these rules. When you look at HIPAA and HITECH initially, it’s critical to start with a high level perspective. With that in mind, HIPAA is pretty much two primary rules!

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