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Developing a Roadmap for Improving the Electronic Remittance Process: Holy Name Hospital Case Study

Session #: 808-E12
Presenter(s): Joe Davi; Greg Adams
Session Length: 1 hr. 30 min.
Event: 2008 HFMA ANI
Date: June 23-26, 2008

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After this session, you will be able to: Organize and map the HIPAA payments, adjustments and allowances "haphazardly" utilized by the payers to hospital specific codes. Recognize a hospital's responsibility to enable receiving the 835 transaction from payers. Operate Electronic Funds Transfer (EFT) with the hospital's payers and banks. Develop exception reporting. Identify how and where to reallocate remittance processing staff.



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