Biomedical subjects

K C Norman

Publications and source records attributed to K C Norman.

3 recordsLinked to original sources

PubMed1994

An electronic network strategy for managed care.

Electronic networks, which allow payors and providers to send and receive clinical and financial information directly from their computers, must be established to gain efficiency in health care reform. Standards are being built for the various types of health care transactions, with large-scale pilot programs testing how feasible and practical these networks actually will be. A great deal of development still needs to take place, but there are immediate benefits that can be realized for managed care companies that are prepared to move data electronically.

Computer Communication Networks↗

PubMed1992

Claims submission leads electronic advances.

To increase and accelerate reimbursement, providers are increasingly establishing electronic linkages with payers at all points in the patient accounting process where labor costs can be reduced and accuracy of information can be improved. The greatest advances are being seen in claim submission, as manual data entry of claims information is being replaced by electronic data interchange. Cleaner claims, faster payment, and reduced staff are just some of the results.

Computer Communication Networks↗

PubMed1991

Standards opening a door to electronic payments.

Electronic data interchange (EDI)--computerized transmission of business documents over telephone lines--holds promise for improving the flow of claims information between healthcare payers and providers. Draft format standards now under development and scheduled for release later this year are turning the EDI focus to electronic payments to healthcare providers. Along with potential cash flow improvements, EDI remittance applications may help healthcare facilities achieve cost savings by eliminating cash processing steps and assigning some business office staff members to other duties.

Computer Communication Networks↗