medicaid
RSS medicaidGuidance on Compliance With HIPAA Transactions and Code Sets
White Paper This paper gives an overview to improve the efficiency and effectiveness of the health care system, Congress enacted the Health Insurance Portability and Accountability Act (HIPAA) of 1996, which included a series of "administrative simplification... [03 Jul 2008]
First Health Services Leads Its Development With CA's AllFusion ERwin Data Modeler
White Paper All of this is done with First Health's Medicaid Management Information System (MMIS). First Health Group, headquartered in Virginia. First Health is the leader in public sector heath care administration, supplying 24 states with claims processing... [28 Feb 2007]
Highmark Maximizes Medicare Revenues With SAS
White Paper With the ever-increasing cost of healthcare in the United States, providers and insurers can't afford to under-report potential risks associated with their Medicare/Medicaid patients. Otherwise, they risk losing money when they provide necessary... [26 Dec 2006]
Automating Manual Processes and Building Flexibility Into the Business
White Paper Adaptis Connect, built on BEA WebLogic Server 8.1, allows doctors to make referrals to specialists online, confirm a patient's Medicaid eligibility in real time, and review the status of claims at any time. [21 Sep 2006]
AmeriHealth Mercy Expands Access for Patients and Provides With Avaya Interactive Response
White Paper As the nation's largest Medicaid managed care organization, AmeriHealth Mercy has the awesome responsibility of serving more than one million members in four states. Critical to meeting the healthcare needs of patients is the ability for... [05 Sep 2006]
Case Study: Idaho Department of Health and Welfare and Authenex ACert
White Paper Located in Boise, the Idaho Department of Health and Welfare is responsible for providing all Idahoans with vital services ranging from Medicaid to Food Stamps, Child Protection to Disease Prevention. [19 Apr 2006]
HP Storage Provides Competitive Advantage to Health Provider
White Paper Today it offers a variety of HMO, PPO, POS, ASO, HSA, HRA, Medicaid and Medicare plans. Priority Health is a non-profit healthcare provider that began operations serving Western Michigan in 1986. More than 6,800 employers offer Priority Health... [02 Mar 2006]
Combating Improper Payments, Fraud, Waste and Abuse: A Best Practices Approach for Government
White Paper This paper focuses on three key areas: improper payments, purchase card fraud and Medicare/Medicaid fraud. This white paper explains how SAS helps governments reduce the taxpayer burden for fraud, error and abuse, ultimately allowing governments to... [30 Nov 2005]
Standardized Component-Based Medicaid Management Information System
White Paper Section 1171(5)(E) of the Social Security Act, as enacted by HIPAA, identifies the State Medicaid programs as health plans, which therefore must be capable of receiving, processing, and sending standard transactions electronically. [01 Sep 2005]
Point-of-Service Medicaid and Value-Add Solutions for the Health Care Industry
White Paper VeriFone, Inc.recognized worldwide as the trusted leader in secure electronic transaction technologies, such as magnetic stripe and smart card swipe devices, provides expertise, solutions, and services for today with a smart migration strategy for... [01 Sep 2005]
Citizen Contact Centers: American in Touch With Their Government
White Paper Government officials face a dilemma: significant changes to federal programs that touch virtually every household in America - Social Security, Medicare, Medicaid, Homeland Security and the Tax Code to name a few - are being contemplated, but the... [01 Sep 2005]
Health and Human Services Agencies Improve Performance and Demonstrate Results With BI
White Paper The federal government is currently engaged in altering Medicaid qualification rules, making it harder to qualify for matching funds. While the Federal Government squeezes down from the top, Medicaid providers and suppliers continue their pressure... [30 Aug 2005]
Web-Enabled Integrated Management Systems in Health and Human Services
White Paper It is comprised of a vast array of health, disability, child and family services, including public health, mental health, Medicaid, mental retardation, benefits assistance, food stamps, employment training, child care, and child support. [22 Aug 2005]
Qualcomm Case Study: Florida Medicaid Pharmacy Services
White Paper The Florida Agency for Health Care Administration, Florida Medicaid Pharmacy Services, serves 1.6 million patients statewide, supporting 36 million transactions per year. Florida Medicaid Pharmacy Services wanted to streamline the prescription... [21 Jul 2005]
Health Insurance, Welfare, and Work
White Paper Congress included provisions in the 1996 federal welfare reform legislation to preserve existing Medicaid eligibility even as it introduced major changes in welfare. Despite these provisions, Medicaid enrollment fell quickly and dramatically in the... [19 Jul 2005]
