May 5-6, I'll be joined by my colleague, InRule Technology Chief Product Officer and co-rounder Rik Chomko and Healthcare Technology Strategist Jerry Kolosky at the Microsoft Enterprise Developer and Solutions Conference. Our session:
Healthcare Rules! A Prescription for Pain Relief: Using Rule Technology in Healthcare Systems.
We're seeing growing success among healthcare companies using business rule technology to power key systems. This session will share what we and our customers have learned. Can't make it to NYC? Join remotely as we stream our presentation or view the content online.
The session description is below. For more information or to register, go to:
http://entdevcon.istreamplanet.com/default.asp
Healthcare Rules! A Prescription for Pain Relief: Using Rule Technology in Healthcare Systems.
Healthcare payers and providers face myriad challenges, not the least of which is compliance with new and changing federal, state and local regulations, all while budgets for staff and systems are shrinking. Automating critical decisions with explicitly defined and centrally managed healthcare rules improves core processes ─ like inbound claim scrubbing, prior authorization, benefit verification, and cost estimation, among others ─ while reducing development and maintenance burdens.
This session will include case studies and a technology demonstration featuring automated healthcare rules, using the premier .NET solution for authoring, managing, integrating and executing business rules.
· Learn how the largest provider of Medicaid and Medicare process management services uses .NET business rule technology for a state Medicaid processing system that reduces the timeframe for provider reimbursement by 81 percent.
· Get an in-depth look at a flexible platform based on .NET and designed to validate healthcare rules and improve compliance throughout the revenue cycle, and beyond.
· Additional case studies show how other healthcare leaders—including the largest US not-for-profit health plan and one of the top claims companies— have implemented .NET rule-based solutions that:
o Identify, resolve, and prevent the occurrence of healthcare-associated infections
o Quickly and cost effectively offer clients customized co-pay plans that comply with internal rules
o Ensure compliance with CMS and commercial payer policies for implant support services
o Streamline underwriting, claims, and payment processes.