Conference Materials (Password Required)

In Sept 2013, the Healthcare Payments, the ACH Network, and the NACHA Operating Rules – All the Details
Operating Rules were implemented to allow us to identify and track healthcare payments via ACH and provide for the automatic reassociation of healthcare payments with payment information.

These Rules, in conjunction with the healthcare industry operating rules for EFT and electronic remittance advice (ERA), helped simplify the administrative process by healthcare providers and health plans. Healthcare Payments, the ACH Network, and the NACHA Operating Rules – All the Details
partners with the healthcare industry, using the Healthcare Payments, the ACH Network, and the NACHA Operating Rules – All the Details
Operating Rules and Guidelines to support the standardization of payments between health plans and providers. This adapted set of rules helped standardize healthcare electronic funds transfers (EFTs), which is critical to helping streamline the healthcare industry’s payments operation.

According to Healthcare Payments, the ACH Network, and the NACHA Operating Rules – All the Details
.org; By supporting the healthcare EFT standard, Healthcare Payments, the ACH Network, and the NACHA Operating Rules – All the Details
(the National ACH Association) helped:

• Make EFT more efficient by leveraging the ACH Network and Healthcare Payments, the ACH Network, and the NACHA Operating Rules – All the Details
  ’s CCD+ (SEC Code and payment type) as the healthcare EFT standard.
• Reduce administrative costs for doctors and hospitals.
• Save an estimated 800,000 pounds of paper by replacing paper checks with electronic transfers.

In addition, Healthcare Payments, the ACH Network, and the NACHA Operating Rules – All the Details
defines a Healthcare EFT as an electronic funds transfer where the claim is deposited directly into a medical/dental provider’s bank account. By eliminating the need to take anything to the bank to be deposited and reducing the amount of staff time needed to process claim payments.

EFT claim payments are ideal for medical practices of any size, especially smaller ones where time and personnel are at a premium. Switching to ACH, or EFT, as it’s also known, gives practices the opportunity to save as much as 50% on claim payments.

By utilizing the ACH network for Healthcare payments, medical practices can save the hassle and added expense of writing and mailing a check. With ACH, businesses—including medical offices—can lower overall costs vs. other payment types. Now – that’s good business!

During this 90-minutes session, the trainer will walk you through the Rules surrounding Healthcare Payments in ACH, the basics of formatting, and how this process works from beginning to end. (from the health care plans paying the healthcare provider, to the healthcare provider know how to apply the payments received).  Very detailed information will be provided with examples of what this means and how this affects each party to the Healthcare Payments (CCD+) transaction in the ACH Network.

Learning Objective:

At the completion of this educational activity, the learner will be able to:

• Identify the benefits of an ACH Healthcare Payment (CCD+)
• Describe the process of a Healthcare EFT from beginning to end
• Locate the details needed by the provider when receiving the ACH Healthcare payment in order to properly apply the payment
• Define the Healthcare Payments, the ACH Network, and the NACHA Operating Rules – All the Details
  Operating Rules in conjunction with HIPAA that protect patient confidentiality by teaming with the healthcare industry when sending payments from healthcare plans to providers
• List details of the SEC (Standard Entry Class Code) CCD+ payment being used to transmit Healthcare Payments in the ACH Network

Areas Covered in the Session:

• How the ACH Network has helped many healthcare providers save money utilizing this payment system to receive benefit payments
• Statistics over the past few years identifying how the Healthcare Industry utilizes the ACH Network to transmit payments from the healthcare plan to healthcare providers
• Format details on the CCD+ ACH transaction used to send Healthcare Payments
• Discussion on HIPAA and the Healthcare Payments, the ACH Network, and the NACHA Operating Rules – All the Details
  Operating Rules – working together to help the healthcare industry save money by using the ACH Network
• Details on how the ACH Network works while transmitting, processing and receiving payments related to Healthcare while meeting Healthcare Standards
• Live Q&A Session

Suggested Attendees:

• Healthcare Executives
• Healthcare Providers
• Physicians
• All Specialties Doctors
• Third-Party Services Providers (TPSP) who process payments for healthcare plan companies or healthcare providers
• Health Plan Companies
• Finance Manager and Officers
• Reimbursement Specialist and Staff
• Financial Institutions who have business accounts with healthcare providers
• Financial Institutions who have business accounts with healthcare plan companies

Presenter Biography:

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This is a Live Virtual session.

A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.

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Snippet From Our Previous Session