Virtual Seminar:
Real-time Claims Adjudication (RTA) Virtual SeminarWednesday, August 6, 2008
2:00-3:30 pm ETAgenda
- What is Real-time Claims Adjudication (RTA)?
- The Perfect Storm
- Value story
- What are the barriers to adoption of RTA?
- Problem not big enough for providers = HDHP penetration still low overall, but growing fast
- Solution not available = vendors aren't integrating RTA
- Need more payers with RTA
- What is the current landscape?
- What does RTA look like in a physician office?
- Change in flow
- Importance to office
- What makes it work
- Patient response
- Next steps
- Get vendors integrated TODAY
- Lock-in RTA transaction industry standards
Biographies
Kateri Moll Haskett
Kateri Moll Haskett has 21 years of healthcare experience. She is the Administrator at Pediatric Associates, PSC, a 16 provider, 3 office pediatric group in Northern Kentucky. In her 15 years with this group she has facilitated growth from 2 providers to the current 16, implementation of an EMR, migration to a new practice management software and the addition of two satellite offices.
Prior to her work at Pediatric Associates, Kateri worked in the Department of Psychiatry at the University of Cincinnati. During that time she obtained her Bachelors in Business Administration and Masters in Health Service Planning and Administration. She is the vice-president of the Cincinnati Medical Group Manager’s Association, sits on a Payor Relations Committee at Cincinnati Children’s Hospital Medical Center, as well as the Provider Advisory Panel for Humana. She will be presenting at the Kentucky Chapter of the American Academy of Pediatrics on best practices in the fall. She is passionate about the business of healthcare and helping move various health care technologies forward.
Diana Lisi
Diana Lisi has worked in the Healthcare Industry nearly 20 years. The majority of her career has been spent specializing in electronic healthcare transactions. Diana is an active participant in a consortium in the New York Healthcare market focused on identifying best practices along with business technical solutions to increase utilization of administrative transactions under the Health Insurance Portability and Accountability Act (HIPAA).
Diana joined United Health Group through Oxford Health Plans where she has been the past 11 years. Prior to working at Oxford Health Plans, Diana was with Physician Health Services. Native to Connecticut, Diana holds a Finance Degree from Fairfield University.Kenneth Willman
Kenneth Willman brings 20 years of healthcare experience to his position as Humana’s National Director of Provider Interface. In this role, he is responsible for provider-facing electronic tools and initiatives, such as real time claim adjudication, electronic health records (via Availity Care Profile) cardswipe technology, and the web based tools on Humana’s provider portals. His staff works with providers across the country to evaluate office business needs and build adoption of these self service tools.
Prior to joining Humana, Kenneth held a number of management positions in other healthcare segments. These included having responsibility for patient financial services for a Dallas-based hospital company, business operations for a 450 bed retirement/long term care/sub-acute facility, and network management responsibility for a large multi-network IPA. In addition to his current responsibilities, Kenneth works with industry associations and organizations, which are focusing on improving the healthcare system. He is currently co-chair of the joint X12/WEDI RTCA implementation committee, which is chartered to help physicians, vendors and payers move forward with adopting real time adjudication. He has also been serving on the Kentucky Health Information Partnership (KHIP), which is developing a state-wide health information exchange.
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