Bridging the Gap Between Claims Processing and Encounter Reporting

Event Date: 8/15/2018

Event Overview

Babel Vendor Spotlight: 11AM CT - NOON CT

Session description:

Claims Processing has been around for years. And while the process has evolved, the endgame has remained the same—pay the right amount to the right provider for the right services delivered to the right members in a timely manner. Enter the new kid on the block: Encounter Data Processing. Some have been welcoming and some have not, but regardless it is still a mystery to many. To complicate its arrival, Encounter Reporting is changing the endgame for Claims Processing. It is no longer enough to do all the “right” things; now we must also collect the right data in the right format according to the right government agency guidelines.

That’s a lot of right. So where are Health Plans going wrong?

This webinar will focus on the following topics to help Plans bridge the gap:
- Why and how plans should update their endgame to include Encounter Reporting
- Cross-training: What Claims Processors and Encounter reporters can learn from each other
- Identifying and addressing the Top 3 processing mistakes that contribute to lost risk revenue
- Incorporating technology and Encounter Workflow for remediation

Attendees will learn:

Why and how plans should update their endgame to include Encounter Reporting
Cross-training: What Claims Processors and Encounter reporters can learn from each other
Identifying and addressing the Top 3 processing mistakes that contribute to lost risk revenue
Incorporating technology and Encounter Workflow for remediation

This event is hosted on our Readytalk platform.

Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.

Documents

8/15/2018

Recording: No more excuses: Streamline your mandated member communications
Claims Processing has been around for years. And while the process has evolved, the endgame has remained the same - pay the right amount to the right provider for the right services delivered to the right members in a timely manner. To complicate its arrival, Encounter Reporting is changing the endgame for Claims Processing. It is no longer enough to do all the "right" things; now we must also collect the right data in the right format according to the right government agency guidelines.

8/13/2018

Presentation: Bridging the Gap Between Claims Processing and Encounter Reporting
Babel Health Vendor Spotlight Webinar Presentation

7/9/2018

Case Study: Community-based health plan improves submission rates and recaptures lost revenue
Claims Processing has been around for years. And while the process has evolved, the endgame has remained the same -pay the right amount to the right provider for the right services delivered to the right members in a timely manner. To complicate its arrival, Encounter Reporting is changing the endgame for Claims Processing. It is no longer enough to do all the "right" things; now we must also collect the right data in the right format according to the right government agency guidelines.

7/9/2018

Brochure: From data import to acceptance and reconciliation - your comprehensive EDPS/RAPS data management center
With Babel Health, you get control of and insight into your EDPS and RAPS risk adjustment data. Babel provides health plans with a comprehensive risk adjustment software and service solution for both EDPS and RAPS.

7/9/2018

Brochure: Prioritize claims to optimize your revenue payments
Babel's unique cloud-based R3 Insight tool gives health plans the ability to identify and prioritize claims by risk, reconcile discrepancies and positively impact revenue. By working the high risk errors first, plans can recapture the greatest possible revenue in the first or second sweep, allowing them to get paid for these claims earlier than if they were to work through the errors blindly. Plans can also forecast payments utilizing the financial overview by sweep reporting capability.