Our goal was to provide a forum for discussing these changes and encourage an open exchange of ideas for solutions and efficiencies that will ensure our ability to deliver the benefits and protections Americans are now entitled to by law.
Burbank, CA (PRWEB) April 18, 2014
Richard Stephenson, Founder and CEO of RISARC, a leading national high-technology and revenue recovery consulting firm to the health care industry, announced that RISARC and Blue Shield of California hosted a seminar at the RISARC headquarters in Burbank, California on Saturday, April 12 for senior executives in the health care industry.
RISARC CEO, Richard Stephenson and Blue Shield of California’s Project Manager Representative, spoke extensively about the Affordable Care Act (ACA) and each company’s participation with Covered California, the state run Health Insurance Exchange.
The seminar detailed for attendees how the latest changes from Covered California, Hospital Presumptive Eligibility (HPE) rules, and the federal Affordable Care Act (ACA) are impacting the new patient care requirements and revenue cycle protocols for healthcare stakeholders in California.
RISARC partnered with Blue Shield of California on this seminar to share their in-depth understanding of what will be required to build a sustainable revenue infrastructure. The participation of Blue Shield of California opened up the opportunity to present invaluable insight to providers on how the new healthcare mandates can improve payer/provider relations.
President Obama signed the Affordable Care Act on March 23, 2010. The law puts in place comprehensive health insurance reforms that already have brought coverage to millions of Americans previously without coverage of any kind. Covered California is California's new health insurance exchange, where individuals, families and small businesses can find affordable health insurance.
Open exchange of ideas
Said Stephenson: “Health coverage is now accessible and affordable for millions of Americans thanks to the Affordable Care Act. But the overwhelming successes of the ACA and other supportive legislation have created huge burdens on the administrative and financial protocols for most health care providers. Our goal was to provide senior managers in Southern California with a forum for discussing these changes. There was an open exchange of ideas for shared solutions and efficiencies that will ensure our ability to deliver the benefits and protections all Americans are now entitled to by law.”
About Hospital Presumptive Eligibility
For years, states have had the option to use presumptive eligibility to connect pregnant women and children to Medi-Cal. Hospitals now have a unique new opportunity to connect patients to Medi-Cal, as long as they meet the state’s income guidelines for Hospital Presumptive Eligibility.
Hospitals in California can elect to make these determinations—regardless of whether the state expands Medi-Cal eligibility or exercises the existing ability to allow presumptive eligibility for other populations or settings. Hospitals must agree to abide by state policies and procedures. The choice to make HPE determinations rests with each individual hospital, not with the state.
RISARC is a leading national high-technology and revenue recovery consulting firm to the health care industry. RISARC, founded in 1990, has recovered over $1 billion for its clients. The company offers the RMSe-bubble™ for secure electronic document exchange and the signature RISARC 360° single-source solution that combines health care revenue cycle expertise with innovative cloud-based, cost-saving technology to help clients optimize existing resources, meet business objectives and reach financial goals. RISARC is a pioneer in health care technology solutions and is a certified Health Information Handler for the Centers for Medicare and Medicaid Services, esMD project. The RMSe-bubble provides the industry’s best secure, HIPAA-compliant environment for electronic record and document exchange and has been endorsed and accepted by providers, commercial insurance carriers and government agencies across the United States.
Please visit us at http://www.risarc.com for additional information.