There is no doubt patient experience is one of the most crucial factors in the Healthcare industry. Check out factors that influence patient satisfaction scores and how to use patient experience data more actionable.
There is no doubt patient experience is one of the most crucial factors in the Healthcare industry. Check out factors that influence patient satisfaction scores and how to use patient experience data more actionable.
Ideje leszokni arról, hogy a nyomulást hozzuk fel kifogásként arra, hogy nem marketingelünk.
Hogy lusta vagy, elhiszem. Hogy nem értesz hozzá, elhiszem.
A nyomulás nem marketing!
Power System Simulation: History, State of the Art, and ChallengesLuigi Vanfretti
This talk will give an overview of power system simulation technology through several decades, aiming to provide an understanding of the modeling philosophy and approach that has lead to the state of the art in (domain specific) power system simulation tools. This historical perspective will contrast the de facto proprietary software development method used by the power engineering community, against the open source development model. Aspects of resistance to change particular to the power system engineering community will be highlighted.
Given this particular context, power system simulation faces enormous challenges to adapt in order to satisfy simulation needs of both cyber-physical and sustainable system challenges. Such challenges will be highlighted during the talk.
There is, however, an opportunity for disruptive change in power system simulation technology emerging for the EU Smart Grid Mandate M/490, which requires "a set of consistent standards, which will support the information exchange (communication protocols and data models) and the integration of all users into the electric system operation." These regulatory aspects will be explained to highlight the importance of collaboration between the power system domain and computer system experts.
Open modeling and simulation standards may have a large role to play in the development of the European Smart Grid which will have to overcome challenges related to the design, operation and control of cyber-physical and sustainable electrical energy systems. To contribute to this role, the KTH SmarTS Lab research group has been applying the standardized Modelica language and the FMI standard for model exchange in order to couple the domain specific data exchange model (CIM) with the powerful and modern simulation technologies developed by the Modelica community. These efforts will be also discussed.
Understand Basics Of Family Practice Medical Billing.pdfRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Understand Basics Of Family Practice Medical Billing.pptxRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Understand Basics Of Family Practice Medical Billing.pptxRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Understand Basics Of Family Practice Medical Billing.pdfRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Human Resource Director with broad experience in four related companies of 230 employees. Sole point of contact in recruiting all company employees, exempt and nonexempt as well as temporary. Coordinating all hiring decisions, implementing innovative on boarding processes. Armed with created processes for efficient benefit enrollment, over 6 states. Developed programs with Federal Department of Transportation commercial driver requirements as well as company driver handbook and motor vehicle accident reporting systems. Reputation of trust and compassion with a broad spectrum of employees. Outstanding organization processes, sound judgement, impeccable professionalism, technical skills, self-directed with a strong work ethic, and people skills which enhance teamwork relationships internally and externally.
Improving Healthcare Practice Collections.pdfRichard Smith
One of the most important steps in improving healthcare practice collections is to establish standards for every single process in your practice. This includes standardization of various processes like fee structure; cancellations and missed appointments; patient payments; release of information; and many others. Due to standardization patients start trusting your practice more resulting in better patient loyalty.
Improving Healthcare Practice Collections.pdfRichard Smith
Improving Healthcare Practice Collections
Improving healthcare practice collections involves implementing strategies to ensure that healthcare providers and facilities are collecting accurate and complete patient data and using it effectively to improve patient outcomes.
Improving Healthcare Practice Collections.pptxRichard Smith
Improving Healthcare Practice Collections
Improving healthcare practice collections involves implementing strategies to ensure that healthcare providers and facilities are collecting accurate and complete patient data and using it effectively to improve patient outcomes.
Improving Healthcare Practice Collections.pptxRichard Smith
One of the most important steps in improving healthcare practice collections is to establish standards for every single process in your practice. This includes standardization of various processes like fee structure; cancellations and missed appointments; patient payments; release of information; and many others. Due to standardization patients start trusting your practice more resulting in better patient loyalty.
Dedicated and technically skilled medical business professional with over 20 years of experience as a medical practice Administrator in a fast-paced environment. Excel in resolving employer challenges with innovative solutions, systems and process improvements proven to increase efficiency, customer satisfaction, incoming revenue, and the bottom line.
1. N A K I A L . P A L M E R
731 Blue Sky Drive, Concord, NC 28027 ▪ Phone: (973) 568-6897 ▪ E-mail: nakialpalmer@gmail.com
Insurance Specialist
More than 15 years of health insurance experience including compliance determination and client support.
“I enjoy going beyond the call of duty as a flexible liaison to facilitate collaboration for increased client satisfaction.”
AREAS OF EXPERTISE
ClientCoordination
Medical Terminology
Compliance
CPT‚ ICD9‚ and HCPCS codes
Staff Training
Medical Policies/Benefits
Meeting Planning
Provider Relations
Appeals
HIPPA
HIGHLIGHTS OF RELEVANT EXPERIENCE
Organized and facilitated client-facingmeetings and planned agendas resultingin the successful completion of
more than 200 appeals/complaintdecisionsfromthe medical team includingmedical directors.
Established a systemfor preparing,documenting and routing over 300 cases for clinical reviewleadingto
more timely and efficient information processingand daily management support.
Facilitated technical trainingresultingin timely education of more than 30 junior claims personnel for an
organization serving3.7 million members.
Reviewed 2,000 medical policiesand claims regardingclaims-related issues for inpatienthospital,
rehabilitation,and mental health facilities for clarification of utilization management denial issues.
Evaluated and identified learningmaterials and resources leadingto improvement and greater productivity
for the eight-member medical appeal committee process.
Responded to and evaluated escalated member/provider appeal and complaintissues resultingin 98%
timely resolution of customer issues.
Examined policies and procedures and compared againstcurrentregulatory requirements to determine
correct compliancefor more than 1400 cases per week.
Responded to technical inquiries fromcross-functional teams as a compliancesubject-matter expert.
Analyzed and monitored 800 benefit reimbursement rates from more than 29 hospitals.
Researched records and medical information and provided timely 24-hour responsetime to client’s need for
approval prior to surgery by providingsupportfor a complex approval process leadingto positivecustomer
satisfaction.
Recommended workflow changes for the medical directors resultingin a new communications strategy and
engagement plan for higher levels of team productivity and collaboration.
Developed an Excel spreadsheet/report documenting all approvalsand denialsfor more than 1200
insuranceclaims cases.
Resolved issues related to benefit clarification,provider networks, financial transactions,enrollments,and
claims processingwhileassistingwith the processingand payment of 200 claims/week.
Supervised and trained 15 temporary staff members whileprovidingsupportfor their transition to full-time
status.
CAREER HISTORY
Sr. Appeals Coordinator Horizon Blue Cross Blue Shield of New Jersey 2010-Present
Appeals Coordinator Horizon Blue Cross Blue Shield of New Jersey 2003-2010
Sr. Institutional Provider Services Coordinator Horizon Blue Cross Blue Shield of New Jersey 1999-2003
EDUCATION
MBA, Business Health Care Administration SaintPeter’s University
B.S., Business Management SaintPeter’s University