PPT-All Payer Database

Excellus BlueCross BlueShield 2 BIOGRAPHY Benjamin Palmer Manager Health Plan Risk Adjustment Excellus BlueCross BlueShield Responsibilities RAPS EDPS EDGE Medicaid encounter and All Payer Database data submission and cleanup. 1 Payer information Emdeon payer information* Paper claim mailing address Billing provider ISA-08 GS-03 Keystone Health Plan East (KHPE) Independence QCG (previously YXG) KHPE POS 54704 95056 SX055 Payer information Emdeon payer information* Paper claim mailing address Billing provider ISA-08 GS-03 AmeriHealth 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. 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 . Single Payer 101 . A Year in Headlines…. NOT a reimbursement strategy. Can coexist with fee-for-service, capitation, DRGs, etc.. NOT a health-care delivery scheme. NOT government employment of/control over doctors (socialized medicine). Khaleel S. Hussaini Ph.D.. Chief, Public Health Statistics. khaleel.hussaini@azdhs.gov. . Hospital Discharge Data 2008-2013. 16,543,849 inpatient and emergency department records during 2008-2013.. Cases with a discharge status as ‘dead’ and/or newborns were excluded. . 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. . P. ayer . H. ealth . C. are. www.kyhealthcare.org. KSPH was founded in 2004 following a showing of the movie “Damaged Care”. “When . big business threatens innocent lives for profit, she risked everything to bring the system to . Kay Tillow, All Unions Committee for SP. Brad Zehr, Boston University School of Medicine. Andrea DeSantis, DO AAFP Single Payer Member interest Group. . . . Goals of this Workshop. Tips for getting into the game: Identifying existing (or the potential to create new) forums for organizing around the topic of Single Payer within your professional organization.. 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 1PageIntroductionThis beginning chapterwill provide an introduction toformingrelationships andworking on contractswith your commercial payers We will cover the basics of what payer contractingis anove 1. . WILD!!. Presented by:. Day Egusquiza, President. AR Systems, Inc. & Patient Financial Navigator Foundation, Inc. . “. The mind is a flexible mirror. Adjust it to see a better world” Amit Ray. . 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 . Optimal Amount. March 8, 2018. Financial Management Best Practices. Bill the correct payer and optimal amount. Monitor and manage client fee collections . Monitor . and manage payments from third-party .