NCVHS to Propose Medical Claim Attachment National Standards
Testimony by Jopari at February 16 NCVHS Hearing Offers Key Industry Perspective
Concord, CA—February 16, 2016—Healthcare technology leader Jopari Solutions will offer key standards’ organization and clearinghouse industry perspectives on medical claim Attachment Standards at the February 16 Hearing of the Subcommittee on Standards of the National Committee on Vital and Health Statistics (NCVHS), official advisory committee to the Department of Health and Human Services (HHS).
The Subcommittee is gathering industry input to consider in making recommendations for adoption to the Secretary of HHS regarding Operating Rules and Attachment Standards. Testimony focuses on:
· Business needs and use cases
· Benefits and efficiencies
· Possible risks, concerns and costs
The intent of these hearings is for the panel to receive testimony from knowledgeable industry participants as to the most appropriate transactions and operating norms, allowing a recommendation to HHS on rules allowing Providers and Payers to exchange Attachments to facilitate claims processing.
Today, some 49M electronic Attachments are processed annually by healthcare lines of business. Jopari currently processes the majority of these electronic Attachments nationally, approaching 3M Attachment exchanges per month, involving both group health and Property & Casualty Providers and Payers. Particularly in workers‘ compensation and auto medical lines of insurance, the majority of electronic bills require additional information, or Attachments, before a Payer can adjudicate.
Considering the comparatively huge scale of government and group health claim exchanges, most Attachments today remain paper driven, which is inefficient and causes delays in making payment determinations. NCVSH recommendations to HHS will promote the ability for healthcare Providers and Payers to exchange attachment using adaptable methods to facilitate more efficient claims processing.
Remarked Steve Stevens, CEO for Jopari, “Jopari has been managing attachments for medical Providers and Payers in the Property & Casualty arena for a number of years. We have developed a set of flexible tools medical practices can use in conjunction with their existing office automation. Our partnerships with many of the leading revenue cycle management companies and clearinghouses make Attachment automation capability available to their clients. Demand for efficient Attachment processing is increasing as new payment models take greater hold under the ACA.”
“Jopari is very privileged to participate in this process”, said Sherry Wilson, Jopari’s Chief Compliance Officer, who will provide feedback from the Cooperative Exchange, which is the healthcare industry’s clearinghouse organization. As president of the CE, Ms. Wilson will speak to the need for:
· Ongoing industry education to improve workflow automation processes that will enhance clinical and administrative outcomes across all stakeholders
· A demonstrated business need for Attachments implemented through voluntary adoption
· Defining Attachment Standards to enhance stakeholder adoption of Attachments across all lines of healthcare business
· Enterprise integrations to fuel process transformation for stakeholders while preparing them for process transformation.
Don St. Jacques, Jopari’s SVP of Business Development and Client Services, will testify on experience and reported results from Jopari’s network connected Providers and Payers. “It should be a very good session”, added Mr. St, Jacques. “It is important going forward not to lose sight of all investments in place today to exchange Attachments, while making the case for development of clear, flexible standards that allow for further adoption.”
If you would like to listen in to the proceedings, check out the NCVHS website for the 2/16/16 Hearing schedule.
About Jopari
Jopari Solutions, Inc. is a technology products company supplying integrated eBill compliance and flexible payment solutions for the Property & Casualty industry Workers’ Compensation and Auto Medical markets, and for Payers and Providers in the Group Health insurance sector. Jopari has established an extensive connectivity network directly with Providers, practice management systems and clearinghouses, and offers innovative solutions to assist with the management of attachments. Jopari enhances Payers’ ability to manage medical bills and disbursements, allowing reductions in associated expenses in addition to compliance with applicable federal rules and jurisdiction eBill/ePay regulatory requirements. Jopari maintains best practice SSAE 16 Type II attested internal controls. For more information, please email info@jopari.com, or call 800.630.6030 x5700.