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Month: October 2020

Peggy Dell’Orfano, Executive Assistant to COO Shares Her Experiences

This month we speak to Peggy Dell’Orfano, Executive Assistant to the Chief Healthcare Operations Officer, about the importance of her position, teamwork, and her experience working for HealthAxis during a pandemic. 
 How are your role and teamwork important?  

 I think of my role as a bridge and a gatekeeper, supporting our Chief Healthcare Operations Officer on a day-to-day basis by helping her stay aligned and focused on her tasks and role. Without everyone working together, the company doesn’t grow collectively. I’ve found that getting the right relationship brewing with my boss and coworkers as an executive assistant is critical for the smooth operation in any company pushing to drive an industry forward.                                                                                                                                            

Why do you think HealthAxis is a great place to work?  

The diversity, the culture, the amazing people here, and knowing the leaders are working together with the employees towards growth, success, and better opportunities, not just for the company but for their employees.  

 What has been the most rewarding experience in your time with HealthAxis?  

In my position, I’ve not only worked for C-Suite executives but with the whole company. I’ve always tried to maintain a positive attitude and have a smile for everyone I meet. Since we’ve started working remotely and being with the company only a couple of months, I’ve had people reach out to me on Teams and say ‘hi,’ or ‘I miss seeing you.’ It has let me know that this is where I belong, and that I’m a part of the company, and just how great my co-workers are. 

 How has your experience been since the Covid-19 remote work transition? 

I have continued to learn and develop my skills through the process. I started right before the pandemic so, I’ve had to learn fast in the virtual space, but my supervisor and everyone has been great in helping and guiding me through each process. Although I do love the convenience of working remotely, I do miss the interaction, seeing faces, smiles, and being able to spend more time with my co-workers. 

What is HxOps?

HxOps is the full package of our complete third-party administration services. Offering extensive, flexible front and back-office administration with a customer-first methodology that boosts productivity, improve processes, and reduce costs. 

What makes HxOps stand out from other systems?  

Our systems are continuously enriched to meet and exceed best practices. We are a trusted tech-enabled partner to outsource your non-core functions. HxOps allows your operation to pay health insurance claims faster, more accurately, and at a lower cost. We maximize your potential by optimizing the relationships between utilization, cost, and outcomes. Our solutions are designed to enable clients to better align payers, providers, and patients through improved communication. With HxOps you can increase access to data and improve the speed and accuracy of data exchange while growing membership and improving star ratings. 

What are the key solutions? 
  • Appeals & Grievances 
  • Claims Administration 
  • Compliance Consulting 
  • Credentialing 
  • Enrollment 
  • Fulfillment 
  • Medical Management (UM/CM/DM) 
  • Member Services & Communications 

 

  • MRA 
  • Over the Counter 
  • Premium Billing 
  • Provider Maintenance 
  • Provider Services & Communication  
  • Revenue/Risk Management  
  • System Configuration 

 

Who does HxOps benefit?  

All Medicare, Medicaid, commercial, self-funded, dental and vision plans, Individual Practice Associations (IPAs), and Accountable Care Organizations (ACOs). 

What can HxOps do for you?  

HealthAxis offers a customized approach to third-party administration services, outsource all plan operations, a targeted line, or a single line of service. HxOps provides quality service to extend your team with a seamless transition. Leverage our operational scale and technical infostructure for a cost-effective solution.  

Where can you learn more?  

Contact us today to talk to an industry expert or request a demo to learn more about HxOps and how our services can fully integrate with claims processing technology, HxPro, and data warehouse and analytics solution, HxLogic.   

What is HxPro?

HxPro is a benefit and claims administration system built entirely on next-generation technology, designed for flexibility and performance with highly automated workflows that drive efficiency gains, reduce errors, and ensures compliance. 

What makes HxPro stand out from other systems?  

HxPro is scalable, interoperable, and modifiable. The cloud-based architecture supports limitless expansion opportunities with service-oriented design and open application programming interfaces (APIs) allow for easy data access and third–party collaboration. The HealthAxis system partners with your team to create unique strategies with the ability to tailor logic, workflows, and interfaces. 

What are the key features? 
  • Highly Efficient and Configurable Benefit Design Options 
  • Flexible Contracting Arrangements and Reimbursement Methodologies 
  • Powerful Online, Real-Time Claims Workflow Engine 
  • Integrated Data Analytics and Departmental Dashboards 
  • Extensive Provider Database Management Administration 
  • Medical Management (UM/DM/CM) 
  • Appeals and Grievance Management 
  • Automated Customer Service Call Center Functionality
  • High Claim Auto-Adjudication Rates 
  • Advanced Medical and Operational Reporting Capabilities 
  • Extensive Data Aggregation and Sharing Capabilities with Trading Partners, Providers, and Members 
Who does HxPro benefit?  

All Medicare, Medicaid, commercial, self-funded, dental and vision plans, Individual Practice Associations (IPAs), and Accountable Care Organizations (ACOs). 

What can HxPro do for you?  

If you are looking for a more customized approach to your claims processing, HealthAxis can help. Let our team know how we can personalize our design to best support your growing claims and benefit processing needs. We are always looking to improve our systems to best fit the market’s needs. Send us a note at info@healthaxis.com.  

Where can you learn more?  

Contact us today to talk to an industry expert or request a demo for your team to view the cutting-edge design, see the power of integrated real-time workflows, and learn how this online engine can help elevate your company’s success.  

3 Keys To Developing A Data Quality Strategy You Can Really Trust

What good is collecting endless buckets of data if you can’t trust it? 

Many organizations are finding themselves in that exact situation. Overcome the skepticism and distrust by developing a robust data quality process. Data quality must be at the forefront of any data warehouse and analytics project to guarantee validity and value within the information you receive.  

The key is to focus on 3 main areas of the data quality process to build a solid data quality best practice standard. 

 

The 3 main areas of a successful data quality strategy include:

  1. Data Terminology 
  2. Data Profiling 
  3. Data Governance 

In this blog, we will reveal how to build a sound data governance foundation.  

The Building Blocks of Data Governance

At a minimum, Data Governance involves:  Data Stakeholders, Data Stewards and a Data Governance Office (or its equivalent). 

Data Stakeholders are cross-organizational individuals who create data, use data, and those who set rules and requirements for data. These individuals represent key business subject areas. The data stakeholders should be the functional drivers of your data governance plan. They are the individuals in the trenches using the data on a daily basis and are intimately familiar with issues, concerns and needs. 

The next building block in the data governance plan is the data stewards. Data Stewardship is the set of activities that ensure data-related work is performed according to policies and practices as established by governance. Stewards may set policy and specify standards and provide recommendations that are acted upon by higher-level governance boards. Especially for large organizations, a single level of stewards is inadequate. A hierarchy of stewards may be necessary. 

These roles typically report to a business function or Data Quality team, with dotted-line accountabilities to Data Governance. These stewards examine sets of data against criteria for completeness and may have other, specific data-related responsibilities.

Establishing the Data Governance Office (DGO) is the third step in the plan. It collects metrics and success measures and reports on them to data stakeholders. It also provides ongoing communication access to information, record-keeping and education, and support to key stakeholders. 

Finally, consider implementing a Data Governance Board made up of executive-level stakeholders. Executive business stakeholders are key, influential applications and/or business process owners. 

With these key roles involved, accurate and feasible data governance guidelines can be created and even more importantly followed. 

Industry Application: Data Governance Enhances HIPAA Protections

Data Governance can be seen in action and is especially important within the healthcare industry. With local, state, and federal laws establishing penalties and fines for breaches in personal health information (PHI), data governance serves to clearly define what is PHI and sets policies that safeguard health data and protect against unauthorized access to patients’ private health information. 

 

 

HealthAxis Participating in the SIIA Virtual 40th Annual National Conference & EXPO

HealthAxis Group is exhibiting at the  SIIA Virtual 40th Annual National Conference & EXPO

Date: October 12, 2020 – October 15, 2020, 8am-5pm daily

HealthAxis will be showcasing our newest advanced all-in HxOne Solution that includes claims administration, third-party services, and data analytics for Self-insured organizations. We are looking forward to all the great education sessions, virtually chatting and setting appointments with those wanting to make a difference in their operations. Visit us at our booth to learn more.