Skip to content

Resources

Check out our reservoir of information related to check recognition and healthcare payment technologies. We frequently update this section with the latest news, trends, and analysis of the banking and healthcare industries.

2019 Tech Conference

May 20-21, 2019
Charlotte Marriott City Center

Industry Videos

News and trends for the banking and healthcare industries

White Papers

OrboGraph’s thought leadership and original research

Past Tech Conferences

View the highlights from past OrboGraph Tech Conferences

Product Videos

Watch our 2-minute videos to learn about our products

Partners

View our list of partners or become one yourself

News

News and updates from OrboGraph

Brochures

Download additional information on your products and services

Reg CC

Compilation of resources to help you navigate Reg CC

Events

See where OrboGraph will be next

Webinars

Learn more from OrboGraph and Industry Leaders

Testimonials

Hear what our clients and partners have to say about OrboGraph

Platform Modernization

Both the financial and healthcare industries are undergoing modernization initiatives in check payments and remittance.  See how OrboGraph is using AI, self-learning and deep learning models to drive innovation in these industries to deliver workflow automation.

Platform Modernization

Modernizing payments in the banking and healthcare industries

AI, Self Learning & Deep Learning Technologies

Optimized AI and deep learning models for the automation of check processing and healthcare posting

Operationalizing AI & Self Learning in Checks

Revolutionizing check processing and fraud prevention for the banking industry

Delivering Healthcare Payment Electronification

Increased accuracy levels, decreased error rate for healthcare payments posting

Product Videos

See how each product/service module of OrboAnywhere and OrboAccess delivers value from our check and healthcare payment platforms

Corporate Video & Podcast

See and hear how OrboGraph incorporates AI, deep learning and self learning technologies into its product suite

Healthcare Payments

OrboAccess automates remittance and payment posting as well as enables full research and business intelligence analysis for RCM companies, clearinghouses, billers, and providers.

Access EOB Conversion

Delivers EOB/EOP electronification with information intelligence via AI and deep learning technologies

Access Correspondence Letters

Extracts posting data and tracks reimbursement progress via workflow management

Access Payment Reconciliation

Streamlines the reconciliation process of ERA, ACH, EOB and checks

Access Patient Payments

Automates patient payments for posting

Access Denial Intelligence

Spotlights trends in denials to reduce receivables via prevention

Healthcare Payments Automation Center

Scalable, reliable, flexible cloud-based hosted data center on Amazon Web Services (AWS)

Modernizing RCM with AI

An informative resource to assist RCM companies in understanding how to solve today's problems with the help of AI.

Check Processing

OrboAnywhere automates paper originated payments (i.e. checks, money orders, drafts) and remittances for balancing and posting while reducing risk and losses in the areas of check fraud, payment negotiability and compliance.

Anywhere Fraud

Transaction and image analysis for on-us and deposit fraud detection of counterfeits, forgeries, and alterations.

Anywhere Recognition

Divergent multi-engine CAR/LAR, ICR, OCR & AI check recognition for the Omnichannel

Anywhere Validate

Validate payment negotiability of paper originated items

Anywhere Payee

Match, read, and validate payees for risk and operational workflows

Anywhere Positive Pay

Payee name verification of business checks using issue files

Anywhere Compliance

Mitigate risk in check payments for OFAC, BSA/AML, UCC, Reg CC, and KYC

Restrictive Endorsement

Automatic validation of restrictive, mobile and non-restrictive endorsements

Traditional Products

Based on the Accura XV platform

Modernizing Omnichannel Check Fraud Detection

An informative blog series exploring payments fraud and image technologies used to fight financial crimes.

payment automation industry videos

A key component in the fight against the Coronavirus pandemic appeared on March 13, as a new CPT® code -- 87635 -- streamlining novel coronavirus testing offered by hospitals, health systems, and laboratories in the United States.

The American Medical Association provides details on utilizing the new CPT ® code:

The full CPT code description is: “Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavrius 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique.”

The Centers for Medicare & Medicaid Services has established two Healthcare Common Procedure Coding System codes for coronavirus testing. HCPCS code U0001 is for CDC labs to use, and HCPCS code U0002 is for non-CDC labs to use when reporting SARS-CoV-2 testing.

 

AMA message regarding COVID-19

The code was announced days after the World Health Organization (WHO) declared the spread of COVID-19, the disease caused by the new coronavirus SARS-CoV-2, to be a global pandemic. The code provides a vital tool to help support the response to the urgent public health need for streamlined reporting of novel coronavirus testing that is offered by hospitals, health systems, and laboratories in the United States.

Additionally, the AMA notes that, per the standard early release delivery process for CPT codes, this code descriptor will need to be manually uploaded into EHR systems. This CPT code will arrive as part of the complete CPT code set in the data file for 2021 later this year.

As reported by the AMA:

“Moving as quickly as possible to put in place a CPT code for a novel coronavirus test will bolster a data-driven response to the COVID-19 disease outbreak in the United States,” said AMA President Patrice A. Harris, MD, MA. “By streamlining the flow of information on novel coronavirus testing, a new CPT code facilitates the reporting, measuring, analyzing, researching and benchmarking that is necessary to help guide the nation’s response to the public health emergency.”

Meanwhile, the United States government is also taking steps to reassure the nation that testing and treatment for COVID-19 will not create enormous financial hardship. The highest levels of government met with insurance industry executives to discuss approaches to the emergency.

“Health-insurance company CEOs have pledged that patients won’t get unexpected bills after being tested for the novel coronavirus, and they’ve also agreed to waive co-pays for people covered by their plans," said Vice President Pence.

“We want the American people to know that they are covered through private insurance. They are covered through Medicare and Medicaid. And there will be no surprise billing,”

Insurers have also agreed to cover telemedicine (talking to a doctor on the phone) and to “extend coverage for coronavirus treatment in all of their benefit plans.”

The quick appearance of a new CPT® code is excellent news. It is possible, however, that when referencing these claims on paper EOBs, some payers could create proprietary adjustment codes to account for the coverage method being used. Best practice claim conversion may require crosswalking the new code to the relevant ANSI standard.

OrboGraph is updating select definitions in our BI software for CPT codes related to coronavirus testing to allow the HPAC Portal to report on all claims related to coronavirus testing, which are processed via EOBs. EDI 835 file imports are available for a data aggregation point. It is also important to monitor for denied COVID-19 test claims if the provider is concerned about denied claims from the payer.

For more information, please contact info@orbograph.com.


Leave a Comment





Review your needs with an OrboGraph expert.

Sign up below for your complimentary assessment or to request
estimated solution pricing from OrboGraph.