Operating Rules Preparedness: Meeting Compliance Objectives – An Edifecs Webinar

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Health Plans to Learn Effective Strategies to Assess, Prepare and Execute a Flawless Operating Rules Strategy

Operating Rules establish new administrative transaction requirements for improving the utility of the existing HIPAA transactions and reducing administrative costs. This transition requires a combination of administrative and financial standards and the re-tooling of systems, processes and people. And all HIPAA-covered entities must comply.

Edifecs, a compliance solution provider and CORE testing partner, is hosting a complimentary webinar to assist health plans in their HIPAA readiness. John McCandlish, principal of healthcare solutions at Edifecs, will discuss the opportunity for operational efficiency gains within this mandate – including studies on performance improvement.

WHEN: Thursday, March 1, 2012 at 10:00 AM PST / 1:00 PM EST.

WHAT: A webinar demonstrating best practices health plans can use to assess the impact, prepare for and execute a complete Operating Rules strategy. Specifically, attendees will learn:

  • How to identify systems and departments needing remediation in the organization’s Operating Rules compliance planning
  • How to use technology and tools for achieving Operating Rules compliance while gaining operational and financial efficiencies, including ROI
  • Why healthcare organizations need to plan today to avoid penalties for non-compliance and to avoid costly in-house build scenarios

WHO: John McCandlish, Principal, Healthcare Solutions at Edifecs, brings more than 20 years of healthcare IT expertise in architecture, business development and project management roles. His background includes serving as the lead architect for numerous Medicaid Systems and large healthcare payer IT projects. Prior to joining Edifecs, McCandlish was director of technology at CSC for its State and Local Solutions Division, where he led development of the technology solutions addressing Medicaid, data warehouse, and HIE/HIT business needs. Prior to CSC, McCandlish worked for Deloitte Consulting in the healthcare payer market and at ACS for State Healthcare. McCandlish earned his bachelor’s degree in computer science from Delta State University and his MBA from Millsaps College.

REGISTER: http://www.edifecs.com/resources/webinars/

About Edifecs, Inc.
An industry leader since 1996, Edifecs provides healthcare software solutions that improve operational performance by streamlining the exchange of information among health plans, hospitals, and other healthcare organizations, while enabling compliance with current mandates such as HIPAA 5010 and ICD-10.

Today, more than 250 healthcare customers use Edifecs technology to unify transactions from any information channel source and input mechanism, while automating manual business processes such as enrollment, claims and payments management.

Edifecs is currently recognized as one of the 100 Fastest Growing Private Companies in the state of Washington, 100 Best Places to Work in the state of Washington, an Inc. 5000 fastest-growing private company and one of the 500 Fastest Growing Companies in North America by Deloitte. Edifecs is headquartered in Bellevue, WA. For more information, please visit http://www.edifecs.com.


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Robin Rees
Edifecs, Inc.
(425) 452-0630 606
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Michael Ann Thomas
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