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SNCH Adapts HPAC for Greater Revenue, Less Paper

By CIOReview | Wednesday, June 25, 2014

BILLERICA, MA: Orbograph, an automation solutions provider in healthcare revenue cycle management, has announced that its Healthcare Payment Automation Center (HPAC) has been implemented at South Nassau Communities Hospital. Basically a cloud-based data center hosting Orbograph P2Post and Orbograph E2Post solutions, HPAC is scalable and resilient.

Orbograph P2Post converts Explanation of Benefits (EOBs) forms into post-ready Electronic Data Interchange 835 – popularly known as EDI 835 – files for practice management systems. Orbograph E2Post validates 835 EDI and also provides reassociation and deposit balancing of EFT/ACH payments against remittance advices (ERA).

Regarding EDI 835, it is basically a transaction set that contains the format and establishes the data contents of the Health Care Claim Payment/Advice Transaction Set (835) for use within the context of the Electronic Data Interchange (EDI) environment. This transaction set can be used to make a payment, send an EOB remittance advice, or make a payment and send an EOB remittance advice only from a health insurer to a health care provider either directly or via a financial institution, as reported by 1 EDI Source, Inc.

Orbograph’s automation platform optimizes payment processing and helps clients to achieve greater cost benefits in EOB processing as well as business operations.

“The benefits we receive from HPAC to our revenue cycle management processes continues to grow everyday as our payment volumes have been converted onto the system,” stated Abdool Razack, Senior Director of PFS at South Nassau Communities Hospital. “The vision to transform our billing department into a state-of-the-art operation helps us process claims and payments faster while providing improved services to our patients.”

Claim submissions and payment processing workflow are heading towards electronification at the SNCH. Private health plans and government payers receive 95 percent claim submissions via EDI 837. The hospital aims to enhance efficiency in posting remittance information and payment into its billing system.

Some of the functions of the HPAC are: converting paper EOBs into postable EDI 835 remittance files, aggregating the entire EDI 835 remittance data and EFT payment files, EFT reassociation with ERA files for automation of reconciliation, precise tracking of healthcare receivables and trimming denials management, converting payer correspondences into postable EDI 835 files, maintenance of payment and remittance file archives and electronic content management for immediate research requests.

Check out: Top Revenue Cycle Management Service Companies