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Claims Processing: A Collaborative Effort
Claims submission and processing may be the root canal of healthcare delivery. Payers often reject claims on a routine basis for minor technical reasons, creating annoyances for large healthcare systems and potential financial duress for small practices and medical groups.

However, alternatives to the traditional submit-and-hold-your-breath process are beginning to emerge. Blue Shield of California, the Hospital Association of Southern California (HASC) and its affiliated hospitals engaged in a year-long project to streamline the claims submission process. The result has been far more approved claims, greater cash flow to providers and increased satisfaction among the region’s providers. Hospitals in Northern California are now entering into a similar collaborative with Blue Shield.

Join Kenny Deng, senior director of Blue Shield’s provider services and operations, Dan Martinez, director of patient services at Mission Hospital and George Mack, vice president of payer/provider relations at HASC, to discuss the nuts and bolts of this unique collaborative.
Learning Objectives
Participants will be able to:
  1. Have a clearer understanding of what payers are looking for in claims submissions
  2. Discover ways to streamline the claims submission process
  3. Learn how to improve communications between providers and payers
  4. Discover what may be claims “hot spots” that could lead to rejections
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Finance Executives and Staff
  • Claims Admission and Managed Care Hospital Executives and Staff
  • Legal, Regulatory and Compliance Executives and Staff
  • Business Development Executives and Staff
  • Marketing and Business Intelligence Executives and Staff
  • Public Relations and Communications Executives and Staff
  • Patient and Consumer Advocate Executive and Staff
  • Members of the Healthcare and Local Media
  • Other Interested Parties

Attendees would represent organizations including:

  • Hospitals and Health Systems
  • Medical Groups
  • Health Plans
  • Patient and Consumer Advocacy Groups
  • Government Agencies
  • Consulting Firms
  • Media
  • Other Interested Parties
Claims Processing: A Collaborative Effort
  Individual Registration Fee: $195. Audio Conference CD-ROM: $40 for attendees; $285 for non-attendees after the event.  
Register Now   Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
Past Event CD-Roms 
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Consumerism   Consumerism Web Summit
Thursday, March 15th, 2012
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Accountable Care Organizations   Moving Towards Accountable Care: Aetna's Medicare Provider Collaboration Program
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