Managing Provider Data Accuracy as Legislative Requirements Expand

  • October 20, 2016
  • 1:00 PM – 2:00 PM ET
about

In recent years, federal and state regulators have placed considerable emphasis on the accuracy and timeliness of data presented to members when searching for a provider. A host of legislation was introduced, holding the plan responsible for the accuracy of provider data and also requiring a communication channel for consumers to submit observed inaccuracies in the data. With a variety of similar but still unique requirements across Medicare, Medicaid and Commercial business, plans must meet these growing requirements and develop the appropriate feedback channels to ensure continued compliance.

In this webinar, we will review current and upcoming provider directory legislation themes at the federal and state level. We will highlight common challenges experienced by plans working to become compliant and share best practices in streamlining internal processes for keeping directory information up to date.

What participants will learn:

  • Understanding what the current legislation themes are at the federal and state level
  • Breakdown of the communication channels for provider directory inaccuracies that need to be supported; the role of the consumer/ member
  • Risks and expanded workloads for payers and providers
  • Tools for meeting the legislative requirements

Who should attend:

  • Medicare, Medicaid and Commercial Payers
  • Compliance Professionals for Payers
  • Member Service Professionals for Payers
  • Technology Staff for Payers
  • Sales and Marketing Professionals Payers

Speaker:


Megan Meyer MugMegan Meyer RHIA CSM, Technical Product Manager at HealthTrio LLC
In her current role as a Product Manager, Megan works creatively with cross functional teams to develop solutions that meet the growing demands of regulatory/accreditation requirements and client requests. Megan has over 11 years of experience in the healthcare industry. She has served in roles such as Health Information Technician for Cleveland Clinic, Electronic Health Records Manager and ISS Clinical Systems Manager for Banner University Medicine, and Functional Product Design Lead for Midas+, a Xerox Company. In addition to her professional certification, she has earned an undergraduate degree in the Health Information Administration from the University of Toledo, and a second undergraduate degree in Computer Science from the University of Phoenix.