Information Technology On-Demand Webinars

How to leverage architecture frameworks for payer operations and technology roadmaps

In today’s complex world of payers we have multiple functions, capabilities and supporting technologies. For large and mid-sized payers if not properly managed, it leads to overlaps and gaps.

The webinar will discuss industry standard architecture frameworks and common aspects of some of them. Attendees will understand best practices across payers and how to leverage standard frameworks in different scenarios for effective management of roadmaps and gaps.

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Creating Value from Claims Transactions During Health Care Reform

Health care reform continues to create change in the health payer industry. While many of these changes are product/consumer facing, there is a larger change happening within the operations and technology organizations of health payers. As health plans update existing claims systems or implement new systems based on health care reform mandates, administrative simplification, ICD-10 and consumer demand, there are considerable requirements to consider, including:

  • Where are you in the claims operations transformation process?
  • How can your claims system keep up with these changes?
  • How can you leverage a claims transaction view to monitor and view where each member’s claim sits within a claims system?
  • How are the mandates affecting your operations and technology requirements?
  • How can you deliver a seamless transition to your organization?

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ICD-10: A Technology Perspective

This webinar covers the Centers for Medicare and Medicaid Services’ (CMS) mandate to replace ICD-9 code sets, used to report medical diagnoses and inpatient procedures, with ICD-10 code sets by October 1, 2014. This is a huge undertaking for health plans. As a health plan, you will need to update your IT systems and train your personnel to handle the ICD-10 code sets

This webinar will cover:

  • The CMS’ mandate’s current status
  • Key issues and challenges
  • Business and IT strategies that health plans are adopting to meet the requirements

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Past Webinars Available On-Demand

Registration Rates for On Demand Webinars

Member $75
Non-member $105