IAOP Chapter: Healthcare Business Office

Webinar held on October 28, 2009!

A Healthcare Business Office Chapter webinar, chaired by Suresh Yannamani of HOV Services, was held on Wednesday, October 28, 2009 from Noon to 1:00 pm (EST).

The Health Information Trust Alliance (HITRUST), in collaboration with healthcare, business, technology and information security leaders, has established the Common Security Framework (CSF), a certifiable framework that can be used by any and all organizations that create, access, store or exchange personal health and financial information. Beyond the establishment of the CSF, HITRUST is also driving the adoption of and widespread confidence in the framework and sound risk management practices through awareness, education, advocacy and other outreach activities.

Cliff Baker, Chief Strategy Officer of HITRUST discussed “The Current State of Information Security Within The Healthcare Industry”, including: why information security in healthcare is unique from other industries; understanding the regulations and standards that shape healthcare information security; learning how the HITECH Act is impacting the industry; and learning strategies and best practices on how to manage risk and maintain the integrity of your electronic health information.

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Webinar held on November 11, 2008!

This Healthcare Business Office Chapter webinar, chaired by HOV Services, was held on Tuesday, November 11, 2008 from 1:00 pm to 2:00 pm (EST).

Chapter chair, Suresh Yannamani of HOV Services introduced experts who discussed “How to Improve your Bottom Line in these Economic Times.”

As organizations struggle in these difficult economic times, challenges exist to recapture payments made and prevent unnecessary or over payments, whether a payer or a provider.  For healthcare payers, Nathan Krahn, Associate General Counsel from Ingenix, discussed subrogation, and for healthcare providers, David Van Doren, Partner and CEO of Health Science Institute, addressed Medicare RAC (Recovery Audit Contractors).

As a professional member of IAOP, you can access the program through our Knowledge Center by using the Chapter Presentations link.

Future topics and subjects – as well as presentation slots - are always welcome. Contact the chapter chair for more information.

Meeting held August 5, 2008

The latest Healthcare Business Office Chapter Webinar, chaired by HOV Services, was held on Tuesday, August 5 from 1:00 pm to 2:00 pm (EDT).

Suresh Yannamani, chapter chair, introduced Michael W. Wanik, Director of International Security for a Fortune 25 Company, who provided a presentation entitled “Holistically Protecting Our PHI.”

Michael discussed the findings from a data breach investigations report: what did it mean to outsourcers and what were the emerging threats.  In addition, he identified specific steps to understanding your exposure.

Then, the agenda turned to Ivan Durbak, CIO of a 950+ bed teaching hospital who spoke on Protected Health Information (PHI) as it relates to outsourcing.

 
Latest Webinar held May 14, 2008!

Chapter Chair, Suresh Yannamani, held the latest Healthcare Business Office Chapter meeting on May 14 at 1:00 p.m. (EDT). 

The agenda included two presentations, one entitled “Focus on the Payer Market: How Acquisitions are Impacting their Bottom Line” from Leo Maes, HOV Services, and the other “Medicare Changes and the Impact to the Provider and Payer” from Patti Overman, Independent Healthcare Consultant.

Valuable information was provided during this session.  If you were unable to join us, as a professional member, you may view the presentation in its entirety by following the Chapter Presentations link in Firmbuilder.com.

 

2007 Meeting of the Healthcare Business Office Chapter

The fourth meeting of the Healthcare Business Office Chapter was held via webinar on Tuesday, November 13, 2007 from 1:00 pm – 2:00 pm Eastern Time.

 

The meeting centered on process improvement initiatives in remittance processing throughout all facets of healthcare. Jim Ribelin, EVP and Founder of HERAE shared with the attendees from the healthcare community how to operate from a position of strength and apply lessons learned in areas of remittance processing.

Titled Healthcare's Remittance Lifecycle Conversion, Mr. Ribelin discussed:

 

· Challenges in Remittance Processing that Healthcare Customers Face

· Healthcare's Edge and Complexity

· What is Straight Through Processing

· Electronic Tools for Process Improvement

Third Meeting of the Healthcare Business Office Chapter

The third meeting of the Healthcare Business Office Chapter was held via webinar on Friday, November 10, 2006 from 1:00 pm – 2:00 pm Eastern Time.

The meeting explored the financial side of healthcare with the presentation, “Data Privacy and Security in Healthcare Financial Transactions,” by Heather Mark, Ph.D., CISSP, Director of Channel Development at Vormetric.  Ms. Mark discussed the nuances of privacy and security in moving funds between patient, provider and payer. In addition, Ms. Mark addressed legal and regulatory compliance factors in this area.

The webinar also included the presentation, “The Outside Looking In,” by Leo Maes, former Director of Claims at Pacificare. Mr. Maes shared his experiences with this leading payer as it relates to how payer organizations yearn to improve efficiencies with financial transactions.

 

Also featured was the topic, “New Initiatives in Revenue Cycle Management.” The presentation was given by Suresh Yannamani, EVP of BPO Solutions and Mr. Leo Maes, VP of Healthcare Solutions at LASON. Mr. Yannamani and Mr. Maes discussed the latest trends in Revenue Cycle Management – the goals and trends of payers, providers and the banks that service them.

 

The multi-presentation format of the webinar was designed to support the chapter’s objectives: education and sharing. Participants were encouraged to have a question for each presenter and were able to ask them directly at the close of each portion of the webinar. Suggestions for future topics and subjects – as well as presentation slots - were welcomed.

Second Meeting of the Healthcare Business Office Chapter

The chapter held its second meeting while at The 2006 Outsourcing World Summit, on Monday, February 20th from 9:00 – 11:00 am in the conference center of Disney’s Contemporary Resort, Orlando, Florida.

For this first in-person meeting, the chapter continued to look at the gap between payer and provider in the industry, how these challenges are affecting end users, vendors and advisors and what options are on the horizon to begin to decrease the divide.

 Chapter Mission

The mission of the chapter is to provide an integration of the payer and provider community within the business office functions of healthcare and to provide a forum for interaction. The primary goal of the healthcare business office chapter is to educate the user community in outsourcing services and promote information sharing by industry leaders in areas like market analysis, technology innovation and process improvement.

As a result, the participants in the chapter would follow healthcare through electronic medical record on the provider side to claims processing and adjudication on the payer side, all linking healthcare revenue cycle management together. This chapter will not focus on front-office aspects of payer or provider.
The chapter will provide thought leadership through the network of certified professionals, publications, relevant industry organizations and research initiatives.