Improving electronic administrative data exchanges
To demonstrate our commitment to improving administrative data exchanges, Emdeon has committed to complete a testing process by no later than the end of 2009 to certify that we can exchange electronic healthcare administrative data according to the CAQH Committee on Operating Rules for Information Exchange (CORE) new Phase II rules.
The voluntary business rules enhance interoperability between providers and payers; streamline eligibility, benefits and claim status transactions; and reduce the amount of time and resources providers dedicate to administrative functions. The Phase II rules cover requirements for electronic connectivity, patient identifiers, claim status and reporting of patient financial responsibility for an increased number of service codes included in the HIPAA standards. Phase II builds on the rules created by the initiative during its Phase I efforts, completed in 2006.
CAQH, a nonprofit alliance of health plans and trade associations working to streamline healthcare administration, launched CORE with the goal of enabling provider access to patient administrative information before or at the time of service using the electronic system of their choice. CORE rules are built upon existing standards, such as HIPAA. They are developed through a collaboration between more than 100 healthcare industry stakeholders as partners in a multi-phase rules development process. Participating health plans cover more than 130 million lives or more than 75 percent of the commercially insured plus Medicare and state-based Medicaid beneficiaries.
Emdeon joins more than 40 organizations that have committed to becoming Phase II rules certified or endorsing the rules.
Emdeon Commits to CAQH CORE Phase II Rules
The Power of Print Meets the Power of Online
Get the best of both worlds with Emdeon Patient Connect
The American consumer's growing trust of online bill payment and banking is paving the way for providers and hospitals to benefit greatly from giving their patients electronic payment options, but the importance of clear and concise paper statements cannot be underestimated. The use of multiple vendors for these needs can make the coordination of both processes a difficult task that eventually reduces the benefits that make online billing and payment valuable in the first place.
That's where Emdeon Patient Connect can help. The key to a successful plan is to utilize solutions across the entire patient billing and payment process that work together and share information to eliminate delays and encourage faster payments. Emdeon Patient Connect combines powerful online and paper billing options that work together to keep your patients informed of their responsibilities while facilitating increased self-pay collections and reduced administrative costs.
Emdeon ExpressBill Services delivers intelligent paper statements
As part of the Emdeon Patient Connect suite, Emdeon ExpressBill Services provides clear, concise patient statements that leverage your existing financial data. Emdeon ExpressBill Services encompasses the guidelines of HFMA’s PATIENT FRIENDLY BILLING® and focuses on improving the quality of patient statements. Easy-to-read bills and statements educate patients on their financial responsibilities which can result in higher payment rates and fewer customer service calls.
Emdeon ExpressBill Services’ statements and invoices are designed to cut processing costs by shortening the time it takes to get a statement from you to your customer. Emdeon provides the very best in state-of-the-art bill printing so you can bypass conventional, time consuming folding, stuffing and stamping statements. Conveniently, Emdeon allows you to transmit billing information electronically to one of our process, print and mail centers.
Emdeon Patient Pay Online delivers comprehensive electronic billing and payment
Also part of the Emdeon Patient Connect suite of services, Emdeon Patient Pay Online provides comprehensive and secure online billing and payment management. Emdeon Patient Pay Online can yield faster collection of patient-owed amounts, improved cash flow and reduced billing costs with less effort and paperwork. Patient billing will be current, accurate and accessible, 24 hours a day, 7 days a week.
With Emdeon Patient Pay Online, patients receive email updates linking them to a secure section of their provider’s existing website where they can easily view, manage and pay their accounts online. Patients gain direct access to their account information allowing them to manage account preferences, update demographic information, email customer service staff with billing inquiries and access FAQs and other helpful information. By bringing billing and payment convenience to patients online, providers can reduce support calls, increase billing data accuracy, reduce A/R days and lower collection costs.
One partnership for better patient billing and payment
Our paper and online solutions for patient billing and payment are just the beginning of how we can help you save time and money every day. With Emdeon Patient Connect you get one integrated solution that covers your entire patient billing and payment cycle. With the improved clarity and accuracy of patient communications we can offer, many providers benefit from an increase in self-pay revenue and operational efficiencies. Let us show you how efficient and effective patient billing and payment can be!
To discover more about how we’re Simplifying the Business of Healthcare, contact us today at 877.EMDEON.6 (877.363.3666) or visit us online at www.emdeon.com/pbps.
