decisionhealth Newsletters, Part B News - 2013 Issue 3 (March)
Promise of easier preauthorization, payment posting inches toward reality
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Article Overview
Written for physicians, practice administrators, and revenue cycle staff, this article explains how ACA-driven standardization efforts and industry initiatives are affecting electronic funds transfer, electronic remittance advice, enrollment processes, and coverage determination workflows. It highlights why these changes matter for administrative efficiency, claims reconciliation, and broader payer-provider automation.
Why This Topic Matters
The article is relevant to readers tracking revenue cycle operations and health plan interoperability, especially those interested in how industry standards and collaborative tools may reduce manual effort in payment posting, enrollment, and coverage verification.
Article Sections
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Payment posting
Introduces the broader administrative and interoperability context for the article, focusing on efficiency, waste reduction, and standardization efforts in health care transactions.
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Direct deposit enrollment just got easier
Discusses electronic payment enrollment and related administrative streamlining initiatives involving health plan and provider workflows.
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True coordination of benefits?!
Covers a collaborative effort aimed at improving coverage information and coordination of benefits processes across multiple health plans.
What You Will Learn
- How standardization efforts are affecting administrative payment workflows
- What kinds of electronic enrollment and remittance processes are being streamlined
- Why coverage information accuracy matters for coordination of benefits
- Which industry organizations and health plans are involved in the initiatives discussed
Who Should Read This
- Physicians
- Practice administrators
- Revenue cycle staff
- Medical billing professionals
- Health care consultants
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