Moving Ahead With Real-Time Claims Adjudication

March 19, 2008· 1 p.m. to 2:30 p.m. EST

With the increase of healthcare costs and higher demands of healthcare quality, the real-time claims adjudication process (RTCA) is revolutionizing the health care system. Moving Ahead with Real-Time Claims Adjudication, March 19, 2008 will take an in-depth look at how health plans are saving time, reducing errors, cutting administrative costs and more importantly helping customers make informed decisions through the use of real-time claims adjudication technology.

During this 90-minute webinar, you will learn the challenges and pitfalls of implementing real-time claims technology, including: how it is used, obstacles to adoption, business process, key component of the consumer-directed healthcare revolution and standards necessary to enable a universal RTCA. In addition, our experts Morgan Tackett, director of electronic solutions for Blue Cross Blue Shield of North Carolina and Kenneth Willman, national director of provider interface for Humana will discuss strategies to increase utilization and suggest approaches for conducting claims in real time.

Formal presentations will be followed by a 30-minute Q&A to answer your most pressing real-time claims adjudication questions.

Tune into this live 90-minute webinar from the convenience of your office to:

• Understand the process and learn how to manage the structure of healthcare transactions in a secured and unified platform
• Identify and discuss the benefits of adopting and implementing real-time claims adjudication
• Benchmark your organization against others on the front lines in the use of real-time claims adjudication
• Assess and overcome the challenges in rolling out these emerging technologies
• Measure the ROI of real-time claims adjudication for payers, employers, providers, vendors and consumer

Morgan Tackett is a 1991 graduate of the University Of North Carolina School Of Public Health where he was a member of the first Master of Healthcare Administration class. He has been with Blue Cross Blue Shield of North Carolina for 10 years, first as director of provider relations and currently as director of electronic solutions. He works extensively with contracted network providers and has been very active throughout the phases of HIPAA implementation at BCBS-NC, including privacy, security and transaction and code sets.  Morgan is a member of the Administrative Simplification Committee and Rules workgroup for CAQH, the Council for Affordable Quality Healthcare, and was recently named to the steering committee for the North Carolina Health Information Security and Privacy Collaboration project.

Prior to joining BCBS-NC, Morgan managed hospital operations and a community physician office associated with University Health Systems of East Carolina, and was a member of the Hospital Outreach staff for Duke University Health System.

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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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