Babies Can’t Wait Data Application & Enterprise Billing December 14, 2010

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Anthony James Project Manager \ Debbie Cheatham Business Owner Babies Can’t Wait Data Application & Enterprise Billing December 14, 2010 Project Status

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Babies Can’t Wait Data Application & Enterprise Billing December 14, 2010. Project Status. Anthony James Project Manager \ Debbie Cheatham Business Owner. DCH Mission. RESPONSIBLE. HEALTHY. ACCESS. Access to affordable, quality health care in our communities. - PowerPoint PPT Presentation

Transcript of Babies Can’t Wait Data Application & Enterprise Billing December 14, 2010

  • Anthony James Project Manager \ Debbie Cheatham Business OwnerBabies Cant Wait Data Application & Enterprise BillingDecember 14, 2010 Project Status

  • ACCESSAccess to affordable, quality health care in our communitiesRESPONSIBLEResponsible health planning and use of health care resourcesHEALTHYHealthy behaviors and improved health outcomes DCH Mission

  • Project Status:Contract Award12-3-10Contract Signing12-6-101st Vendor Meeting12-8-10Onsite Vendor Engagement1-10-11Detailed Project Schedule Announcement2-14-11Target Implementation7-1-11

    * Tentative Schedule

  • District Tasks:Complete Data CleanupCommunicate Project Schedule to Your OrganizationCommunicate Issues / Concerns to Project TeamCollect contact information for your providersConsider Your Districts Training needsComplete BCW SurveyShare Communication with Program Director

  • Change Management


    Communication with Districts will be Bi-Monthly starting in January.Site visits will be made to the districts to meet with district staff to discuss district tasks, prepare for training, share new business process. (*Schedule TBD*)

    Note: Frequency of information distributed may change if warranted.

  • Resource Management

    Additional Project Resources:

    Additional project resources will be provided to assist the districts with implementing new business processes and training for the new application.

    We will be leveraging the expertise within the districts to meet with the vendor and provide information about their billing process.

  • Selected Vendor

    (*CSC*)Computer Science Corporation

  • Lori Barrett, Principle Leader of Business DevelopmentLead the Procurement Process and Contract Negotiations

    Jay Saunders, Principle Leader of Early InterventionLead the Service and Software Delivery

    Vince Forcier, Sr. Account Manager of Early InterventionSubject Matter Expert and Coordinates Account Management

  • Early Intervention Experience19962009

  • Public Health Experience

    Summary of CSC HealthcareFederal GovernmentUS Department of Defense Military Health SystemDepartment of Health and Human ServicesNational Institutes of HealthFood and Drug AdministrationCenters for Disease Control and PreventionOffice of the National Coordinator for HITCenters for Medicare and Medicaid ServicesUS Army Medical DepartmentUS Department of LaborUS Department of Energy, Richland Operations

    Proprietary/Nonprofit Health Ins & HMOsAetna/US HealthcareBlueCross/BlueShield of TexasBlueCross/BlueShield of VermontCIGNA Health PlansHumana Puerto RicoPacifiCare/FHP InternationalHarvard Pilgrim Health CareKaiser PermanenteFoundation Health SystemBlueCross BlueShield AssociationMercer/CFP ConsortiumHealth Care Service CorporationState GovernmentNew York State Department of Health (EI and Medicaid Programs)State of Maryland Department of Health and Mental Hygiene (Medicaid Program)Arizona Health Care Cost Containment System (Medicaid ProgramAlabama-WIC BankingArkansas-WICCalifornia-WIC Banking (Farmers Market)Chickasaw Nation (SPIRIT) and 13 Tribal Organizations in Oklahoma and New Mexico-WICConnecticut-WIC BankingDistrict of Columbia-WIC BankingFlorida-WIC Banking (Farmers Market)Georgia-WIC and WIC BankingIllinois-WIC BankingIndiana-Early Intervention, WIC and WIC BankingKansas-WIC BankingLouisiana-Early InterventionMaine-WIC BankingMassachusetts-WIC BankingMinnesota-WIC and WIC BankingMissouri-Early Intervention, WIC and WIC BankingNew Jersey-Early InterventionNew Mexico State Dept -WIC and WIC BankingOhio-WIC BankingRhode Island-WICSouth Carolina-WIC and WIC BankingTennessee-WIC BankingVirginia-WIC BankingWashington-WIC BankingWest Virginia-Early InterventionProviders and Integrated Delivery NetworksNew England Healthcare Electronic Data Interchange (EDI) Network (NEHEN)Massachusetts-Simplifying Healthcare Among Regional Entities (MA-SHARE)Partners HealthCareHenry Ford Health SystemBon Secours Health SystemCatholic Health InitiativesHCAOhioHealthCatholic Healthcare WestTexas Childrens HospitalMedStarUniversity of Texas, SouthwestCatholic Health EastAscension Health

  • Fiscal Agent Services

  • Claims ProcessingPaper HCFAHIPAA Compliant 837 FilesDirect Online Data EntryScanned Images

    SPOE Software generates and authorization via the IFSP

    Claims are received and adjudicated according to your rules

    Payments to Providers are generated electronically or on paper

  • Funds ManagementManage Bank AccountPerform Coordination of BenefitsThird Party ClaimingReportingWhether your organizations methodology is the payer of last resort or if you utilize a pay and chase concept, CSC can make a positive impact on the funds recovered and made available for rendering future services. Through the coordination of benefits activities combined with the interaction of other public sector entities you can expect to:

    Reduce payment cycle timeframes Increase funds recovered Enhance reporting capabilities Obtain superior analysis information

    With State and Federal budget constraints increasing more each year, it is imperative that government programs have access to all available funding sources. CSC will custom tailor a payment cycle to fit your organizations needs.

  • Hosting / Service ModelsHosting Options CSC offers complete application hosting services from facilities in Lenexa, KSDisaster recovery and business continuity optionsSecure hosting environment with multiple redundant systems to prevent outagesAbility to integrate with State finance systems (State managed accounts)Ability to provide program data to State data warehousing or data management systems

  • If you have any questions or concerns please feel free contact the Project Manager Anthony James at [email protected]