PPT-Massachusetts All-Payer Claims Database:

Technical Assistance Group TAG November 13 2018 Agenda MA APCD Intake Enrollment T rends Reporting DOI Reporting Questions MA APCD Intake All APCD submissions through October 2018 are due by 1130 . To optimize payment tracking, improve. reimbursement transparency, and accelerate payment delivery.. Provider. 837. Payment Hub. 835. 837. Payer. 835. NACHA. Payer’s Bank. Provider’s Bank. EFT. Through NextGen Practice Management System, the provider’s office will generate and submit the 837 claim file to the payment . All-Payer Claims Database. Overview. October 2015. MA All-Payer Claims Database (MA APCD). Intended to simplify the process by which payers submit claims data to various MA state agencies. State agencies required, if feasible to use the MA APCD before requesting data directly from payer. for Practice Insight Authorized Resellers. Martha Johnson, Dir. Of Payer Development. Donna Anderson, Supervisor of . EDI Enrollment. Jes Wettstein, EDI Enrollment Specialist. Jessica Moran, EDI Enrollment Specialist. April. . 2. 5. , 201. 5. Presented by: . Aimee . Heckman. OP 15 . Billing Manager. General Session. Using Data to Renegotiate Your Payer Contracts. PLAN . Track and monitor your contracts. DO . Value current contracts by assessing fee schedules. Technical Assistance Group (TAG) . July 9, 2013. AGENDA. 2. General Update. Testing Version 3.0. Data Release. Data Intake Governance Committee. Highlight of the Month – Preliminary ETG Results. General Update . in Maryland—Hospital Global Budgets . November 5, 2015. Overview. The Evolving . Healthcare Landscape: Shifting . to Patient Centered and Population Based Care. Unique Changes in Maryland’s Healthcare Delivery System. Payer & Healthcare Outreach. October 17. th. , 2016. 40. M. denial . prevention. s. cenarios in . Billing. Rules Engine. 1,705. q. uality measures. supported. 80,000. +. providers across. the network . By: Faith Davis. Resolved: The United States has a moral obligation to adopt a single-payer healthcare system. Single-payer: noting or relating to a healthcare or health insurance system in which the government or a publicly owned and regulated agency pays all medical costs from a single fund.. Claim Submission Tips. Provide complete member . . information:. Member ‘s Name. Member’s Date of Birth. Member’s ID Number. Member’s Address. It’s always important to verify that the information provided by the member matches the member’s ID card. Watch for name variations and changes. It is also important to verify eligibility prior to services being rendered, unless an urgent/emergent situation. Problems with member information could cause an unnecessary delay or possible claim denial. . Linda Liu MS4. Shirlene. . Obuobi. MS4. Your patient is a 64 y/o . woman . admitted to cardiology for a MI. . You are . preparing to discharge her . and want to . set up PCP and Cardiology follow up appointments for her. . WHAT IS SINGLE PAYER Single payer refers to a way of financing health care which includes both the collection of money for health care and reimbursement of providers for health care costsIn the United It’s not always best to renovate your home! Sometimes the best choice is to sell your home as-is for a cash deal instead of spending thousands of dollars and months renovating it. Here are five scenarios when selling your house as-is is a smart move. Technical Assistance Group (TAG). February 9, 2016. Agenda. Housekeeping. Annual Premium, Enrollment Trends and Medical Expenditure Trends Updates. Wrap Up. Housekeeping . APCD V5 Submission Guides. Risk Adjustment. . Financial Management Change Package Best Practice 1. Financial Management Change Package. Best Practice Recommendations. Bill the correct payer and optimal amount. Monitor and manage client fee collections .