Encounter data is the gold standard for measuring performance in healthcare. It is the feedback loop between the quality of services provided and your incentives. It measures your performance and determines risk scores. But how do you know you are accurately reporting on the services provided? Can you attest to the accuracy of your reporting? Are you maximizing the value of your encounter data? Failure to report accurately can cost your organization incentives and reimbursements.
Key takeaways include:
1. How to validate your approach ahead of reporting
2. How to identify the key success indicators of your encounter data lifecycle
3. How to determine the symptoms of an inaccurate process and how to diagnose and make corrections
4. How to best utilize your encounter data as a feedback loop to increase organizational efficiency
Dean Hill, PLEXIS EDI Specialist
Dean Hill has over 25 years of experience in healthcare systems management. He is the subject matter expert to hundreds of healthcare payer and provider organizations. Dean is well versed in the requirements for encounter data and EDI. Dean is currently engaged with 65 health plans across 32 states and has completed over 400 X-12 implementations. He is responsible for conceptualizing and tailoring client specific delivery models for transaction compliance and financial tracking. Dean also oversees the delivery team for PLEXIS’ Transaction Management Solutions Service for the company’s enterprise customers. He enjoys sharing the knowledge and experience gained and has been a featured speaker at workshops and conferences across the country.
Jamie Chesak, PLEXIS EDI Specialist
Jamie Chesak has been designing, developing, and supporting database applications for over 20 years. He began working in healthcare in 2000 as an EDI developer/report writer for a market leading vendor of claim processing and benefits management systems. Jamie started researching solutions for the HIPAA mandated ASC X-12 transaction sets in 2002. Since then he has devoted his time to the architecture and development of an innovative and integrated transaction engine which helps healthcare organizations improve business practices and operations, provide better customer service, and optimize efficiency. He is always excited to share his experience and knowledge of what he has seen along the way, as well as provide the insight he has into future models of healthcare information delivery systems.