Marc Paruta has over 10 years of experience in process improvement and automation at Kaiser Permanente. He regularly took on additional responsibilities and found ways to improve workflows. Some examples include automating accounts payable to ensure timely payments, implementing a system to provide line item details for hospital coding expenses, scanning invoices so they could quickly be accessed digitally, and assisting hospitals with ad hoc financial analyses requests. He demonstrated an ability to analyze issues, take over new tasks, and apply automation and process improvements to increase efficiencies.
How intelligent infrastructure reduces operating costs and improves patient c...Estellesc
Graeme Robertson, Healthcare Solutions Business Development Director, presented on behalf of Schneider Electric at the recent 1st Saudi Forum for the Design and Planning of Hospitals in Riyadh, held March 3-5, 2013. Download his presentation, "How an Intelligent Infrastructure Reduces Hospital Operating Costs and Improve Patient Care."
Note: You must save or download the presentation to view the embedded videos on slides 5,6,7,8,9, and 12.
Waste in hospitals - everywhere - is massive. Up to 50% of consumables and devices purchased are never used on a patient. Support activities are highly manual, repetitive and done by professional clinical staff...
This presentation sets out the strategic environment and discusses the development and successful implementation of a leading-edge process and supply chain solution for hospitals.
Zoltan Karpathy gave a presentation on Smart Homes and Buildings. he looks specifically at Energy Efficiency legislation as well as the regional breakdown of world BACS as well as solutions for moving to the cloud.
How intelligent infrastructure reduces operating costs and improves patient c...Estellesc
Graeme Robertson, Healthcare Solutions Business Development Director, presented on behalf of Schneider Electric at the recent 1st Saudi Forum for the Design and Planning of Hospitals in Riyadh, held March 3-5, 2013. Download his presentation, "How an Intelligent Infrastructure Reduces Hospital Operating Costs and Improve Patient Care."
Note: You must save or download the presentation to view the embedded videos on slides 5,6,7,8,9, and 12.
Waste in hospitals - everywhere - is massive. Up to 50% of consumables and devices purchased are never used on a patient. Support activities are highly manual, repetitive and done by professional clinical staff...
This presentation sets out the strategic environment and discusses the development and successful implementation of a leading-edge process and supply chain solution for hospitals.
Zoltan Karpathy gave a presentation on Smart Homes and Buildings. he looks specifically at Energy Efficiency legislation as well as the regional breakdown of world BACS as well as solutions for moving to the cloud.
On Friday June, 1st. 2012 we held a small seminar on Home and Building Automation Technologies, with a particular focus on peculiarities, issues and idiosyncrasies to account when starting to integrate a new technology in Dog.
After a first introduction on the general concepts of Home and Building Automation, the seminar focuses on 3 main technologies: MyOpen, KNX and Modbus and for each of them provides a short introduction highlighting the relevant features to account when integrating such technologies in Dog. The last part of the seminar analyzes the design and implementation choices driving the integration of such technologies in Dog, with a particular focus on the abstraction process.
The seminar is the first of 2 presentations on the Home and Building Automation topic. The next seminar will be held on Wednesday June 6th, 2012, and will focus on the Dog gateway, by providing a deep architecture analysis and by proposing several development guidelines.
Hi! This is a slide show that make me feel to upload that, in our college the final year project assignment has been adopted from this slide. So you guys really feel that this slide is a great one to download and have a look exactly whats are in a Hospital management system has.
Quanta-HIS is web-based hospital information management software system from Birlamedisoft, demo of nurse module ,A software company provides hospital management software, healthcare software, blood bank management software, Laboratory management software, clinic management software, ophthalmology management software, HIS software solutions, diagnostics centre management Software, Web based HIMS system, LIMS management software, HIMS management software.
This is Just an overview how to present those slides which Describes Software Working....
its a General way of Representation....
Don't worry About Forms Shown inside...
Discover why ABC is the number one anesthesia billing company. This answers many of the frequently asked questions anesthesiologists and CRNAs need answers to before making the switch to our technology and services.
Charge entry is the important process in medical billing cycle. It is the process of entering appropriate $ value as per the codes and appropriate fee schedule in the CMS1500 form in medical billing software. These charges will determine the reimbursement amount for the physicians rendered service. All data that are added in CMS1500 form should be error-free and in an approved manner.
We specialize in Emergency Medicine Billing. Our Emergency Medicine department is 100% dedicated to billing and coding for practices just like yours.
Higher revenue We offer solutions that help the Physician pump in the highest revenue and beat industry average collections.
Quick Our emergency billing expert billers process the claim within 24hrs.
On Friday June, 1st. 2012 we held a small seminar on Home and Building Automation Technologies, with a particular focus on peculiarities, issues and idiosyncrasies to account when starting to integrate a new technology in Dog.
After a first introduction on the general concepts of Home and Building Automation, the seminar focuses on 3 main technologies: MyOpen, KNX and Modbus and for each of them provides a short introduction highlighting the relevant features to account when integrating such technologies in Dog. The last part of the seminar analyzes the design and implementation choices driving the integration of such technologies in Dog, with a particular focus on the abstraction process.
The seminar is the first of 2 presentations on the Home and Building Automation topic. The next seminar will be held on Wednesday June 6th, 2012, and will focus on the Dog gateway, by providing a deep architecture analysis and by proposing several development guidelines.
Hi! This is a slide show that make me feel to upload that, in our college the final year project assignment has been adopted from this slide. So you guys really feel that this slide is a great one to download and have a look exactly whats are in a Hospital management system has.
Quanta-HIS is web-based hospital information management software system from Birlamedisoft, demo of nurse module ,A software company provides hospital management software, healthcare software, blood bank management software, Laboratory management software, clinic management software, ophthalmology management software, HIS software solutions, diagnostics centre management Software, Web based HIMS system, LIMS management software, HIMS management software.
This is Just an overview how to present those slides which Describes Software Working....
its a General way of Representation....
Don't worry About Forms Shown inside...
Discover why ABC is the number one anesthesia billing company. This answers many of the frequently asked questions anesthesiologists and CRNAs need answers to before making the switch to our technology and services.
Charge entry is the important process in medical billing cycle. It is the process of entering appropriate $ value as per the codes and appropriate fee schedule in the CMS1500 form in medical billing software. These charges will determine the reimbursement amount for the physicians rendered service. All data that are added in CMS1500 form should be error-free and in an approved manner.
We specialize in Emergency Medicine Billing. Our Emergency Medicine department is 100% dedicated to billing and coding for practices just like yours.
Higher revenue We offer solutions that help the Physician pump in the highest revenue and beat industry average collections.
Quick Our emergency billing expert billers process the claim within 24hrs.
All You Want to Know about Payment Posting Services.pptxMithaliParekh
Payment posting, in simple words, stands for logging of payments into the medical billing software. It also stands for viewing the financial status of the medical facility by making day to day payments visible. Payment posting is considered vital for any medical facility’s revenue as it provides insight into the daily revenue stream. Such data can then be used to detect any potentially occurring issues and to curb them well in advance.
All You Want to Know about Payment Posting Services.pdfMithaliParekh
Payment posting, in simple words, stands for logging of payments into the medical billing software. It also stands for viewing the financial status of the medical facility by making day to day payments visible. Payment posting is considered vital for any medical facility’s revenue as it provides insight into the daily revenue stream. Such data can then be used to detect any potentially occurring issues and to curb them well in advance.
ERP 514Final Take Home Examination on Basic ERP Configuration .docxSALU18
ERP 514
Final Take Home Examination on Basic ERP Configuration Concepts
Provide brief but clear and specific answers to the following questions. Consult any sources necessary, including SAP’s Help features. Each question is worth 5 points.
1. What are Purchasing Info Records? What is their role in the purchasing process?
2. In the Procurement Process in SAP ERP describe the main internal control procedure relating to the issuance of checks to vendors.
3. What steps in the Procurement Process have an impact on financial accounting? Explain these impacts.
4. What are the goals of Account Assignment when creating Purchase Orders?
5. Explain EDI and XML as they relate to the automated procurement process.
6. A purchase requisition can result in multiple purchase orders, and multiple requisitions can be combined into one purchase order. Explain circumstances when these two scenarios are possible.
7. What are the main goals of evaluating and managing suppliers? What best practice process is provided by SAP for selecting a vendor?
8. Differentiate between a Release Order and d a Standard Purchase Order.
9. Why did you define and assign a Sales Area to your company?
10. What is the relationship between Shipping Point and Loading Point?
11. Describe the purpose of each sales view you created in your Material Master records.
12. Under what conditions would your company use Cost Plus rather than Standard Pricing procedures?
13. In SAP’s pricing procedures what is meant by Access Sequence? Also distinguish between Document and Customer pricing procedures.
14. Describe Static versus Dynamic credit limit checking procedures in SAP ERP.
15. Under what circumstances can Backward Scheduling be used?
16. What is the purpose of the Customer Material Info Record?
17. Why have Scheduling Agreements become so important for component suppliers serving manufacturers?
18. Lay out the major steps in the material planning process.
19. Distinguish between consumption-based planning and materials requirements planning.
20. Differentiate the Stock Requirements List from the MRP list.
1) Why do you want to work for Kaiser Permanente?
2) Walk me through your resume?
My general approach to a first interview is to have the candidate walk me through the resume, describing their experience in each position, what they liked about it and how they handled problems that came up.
Goodwill:
At Goodwill reconciling 19 stores daily using Vantiv and Excel, and I’ve posted closing journal entries into Great Plains. I’ve assisted with the annual audit by finding audit sampling documents and by auditing stores to ensure accurate credit card transactions and make sure all our accuracy and compliance policies were followed. I also audited daily transactions where there was a cash discrepancy greater than $20.
At Goodwill, I process month-end closing journal entries for $3 million across 19 stores in Silicon Valley using Microsoft Excel and Microsoft Dynamics. The ...
Medical Billing Software Benefits & The Challenges It Solves.pdfssuserbed838
Medical Billing Software streamlines all practices and operations of a physician into right accountability so hundreds of bills are submitted and processed in a single interface.
ASC Reimbursement Guide- Simplified For Ambulatory Surgical Centers.pdfCharlieRobinson32
Ambulatory billing is an essential component of any outpatient medical facility. It entails filing insurance claims and receiving reimbursements for procedures or services performed in the ASC or doctor’s office. Several procedures are involved in adequately submitting claims for ambulatory billing, so that the process can be confusing and time-consuming.
ASC Reimbursement Guide- Simplified For Ambulatory Surgical Centers.pptxCharlieRobinson32
Ambulatory billing is an essential component of any outpatient medical facility. It entails filing insurance claims and receiving reimbursements for procedures or services performed in the ASC or doctor’s office. Several procedures are involved in adequately submitting claims for ambulatory billing, so that the process can be confusing and time-consuming. It is critical to ensure that all claims are accurate and include all required information to avoid delays in receiving payment.
The Best Medical Billing Software for a Clinical Start-Up.pdfssuserbed838
In the medical industry, billing is the most frustrating work because it has to pull all the service information, and doing it with Medical billing Software is so easy.
As physicians struggle with the need for medical billing reports, a small PPT on what medical billing reports every practice must pull up, in order to fix revenue leaks.
10 Medical billing reports every medical practice needs!
Automation process improvement
1. Marc Paruta , Senior Financial Analyst Healthcare and Hospital
: Automation and process improvement skills
I can offer a lot more than the regular financial analyst. I well skilled in process improvement and
automation. 10 years in Health Care at Kaiser Permanente allowed me to really shine and grow
professionally. As part of my professional development plan I volunteered to take over work that was not
being done well. My supervisor was unsatisfied by the KP AP performance. They were a clerical group and
had an unsatisfactory record of on time payment. We could not accept this since we had large dollar
consulting payments that had to be paid monthly to Deloitte and PWC. On time payment was a SOX
requirement. I told my supervisor I thought I could do I better job if she let me take over AP. Once I took over
AP, she never had to worry that a SOX required payment is made on time. I had to be quite assertive in the
workplace to make this all happen. If Deloitte or PWC was late with their invoice I called they directly and
told them the invoice was due that day by 5 PM which would allow us to meet our SOX obligation of on time
payment. Of course the vendor never missed this opportunity to get paid and I had the invoice by 5 PM
without fail. I would not passively send an invoice to a managing director asking for signature approval. I
marched into their office, and saying would you kindly approve the Deloille invoice so I can assure on time
payment. They were delighted to approve my invoice responding, “thank you for taking that off my plate, it's
one less thing I have to worry about.”
Hospital and Health PIan month end close: I also had significant general account responsibilities. I wrote all
the journal entries for 13 cost centers of our Revenue Cycle department and closed the month on time,
every month for 10 years. Revenue Cycle was a large operating budget, $100M operating expenses, 13 cost
centers and 300 FTE. I also was responsible for intra-company recharges between health plan and hospital.
We had many expenses that that to be paid at a headquarters level, then examined and sorted by the
specific GL string of the California hospital that incurred the expense. I wrote all the journal entries to post
these expenses to KP headquarters at the same time writing the journal entries to credit back headquarters,
with an offsetting debit to California hospitals. This obvious had to be done in the same accounting month to
avoid artificial variances. I did financial reporting to the California hospital with back up documentation and
line item detail of every dollar recharged to their operating budget. This allow the hospital to better manage
their expenses, and do the monthly reforecast in Cognos that was required by all KP departments.
Hospital Process Improvement / Automation : Hospital coder expenses at Kaiser were processed mostly by
Kaiser FTE but some had to be done by contract coders like Maxim on site at the California Hospitals. The
problem with the process in place was that the coder vendor like Maxim would send their invoices directly to
general accounting without line item detail. General accounting would pay all invoices directly from a
headquarters account and then write the journal entries to debit the California Hospitals individually by GL
code. The problem all the hospital received was a lump sum charge to their contractor expenses line with no
detail. This created unfavorable variances they could neither manager nor explain. I told my supervisor I
could do a better job if she gave me the chance. With enthusiastic support from my supervisor, I spoke to
general account in inquire why they approved invoices without back up documentation. Their response was
“we have always done it this way.”. Enough said. My supervisor diplomatically told the general accounting
manager that we were taking over this work. Honestly they were glad to be rid of it. I immediately
implemented an automated process improvement. I brokers a deal with Maxim and the other contract
vendors, assuring them I could make on time payments if they provided line item detail with every invoice.
The line item detail was easy to read, “John Smith, Coder III. $36 per hour, worked 37.5 hour for week
ended June 15th , total, approved by Camille Ross, Kaiser Santa Rosa Hospital. The hospital managers
were delighted to have this information for the first time. This allowed them to manage their contract coder
work force, and check for vendor overcharges, and explain variances in this GL account when asked. I took
over all the journal entries necessary to make sure all charges were posted by month end. A simple
automation and process improvement that met with rave reviews from our hospitals.
Hospital Financial Reporting, automation via EXCEL: managers and leadership charged Travel and
entertainment expenses to a One Card at Kaiser. There expenses were paid directly by KP the vendor using
company funds. The problem was “One card” debited the operating budget in lump sums with no line item
detail.
2. Hospital & Health plan Process Improvement : Standard AP procedure was to cut vendor checks, mail them
out and keep a hard paper copy of the corresponding vendor invoice. Vendor invoices were stored in
cardboard boxes then archived. AP spent much of their time responding to vendor queries about unpaid
invoices. They were able to query for a vendor payment using our PeopleSoft AP system but the
corresponding vendor invoice was not it Peoplesoft – it existed only in paper copy in the archive room. AP
spend a lot of time digging through cardboard box in archives hoping to find that vendor invoice. A filing
mistake meant the invoice was lost for good. I inquired why they used this somewhat manual method. They
replied it had always been done that way. I saw an opportunity for process improvement for the hospitals
that was frustrated they did not have a quick answer when vendor called the hospital about unpaid invoice.
For the hospital especially, the dollar amount were large. My automation process improvement was quick
and effective. We invested in a high volume state of the art printer scanner. AP procedure was changed so
that every check cut was scanned with a copy of the vendor invoice behind it. It was a simple 2 page .pdf
but it had a copy of the KP check and the vendor invoice. The .pdfs were quick to created and stored on a
shared drive by the date of check issuance. This enabled very rapid responds to vendor payment queries.
All it too was to pull up the 2 page .pdf, e-mail it to the vendor as proof when payment was made. The
hospitals were delighted to have a rapid fire response to vendor queries.
Hospital Ad Hoc Reporting : The California hospitals did not have a large staff of financial analysts and as
such they often called on us to do ad hoc financial analysis. After 10 years at KP, I knew all the internal
systems and could quickly respond to hospital ad hoc financial analysis requests. The hospitals priority was
patient care. I enjoyed being of service to the hospital by responding to their requests for financial analysts.
Professionally, it was a great opportunity for me to learn about hospital operations.