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Denial Health Check

Georgia HFMA Fall Payer Forum | Bill’s Update

Georgia HFMA hosted a Virtual Fall Payer Forum the week of October 12th.

For several years, I have had the opportunity to moderate these Payer Forums held twice a year in the Spring and Fall.  With the pandemic, it wasn’t possible to get everyone together in person but the Georgia Chapter felt like it was important to uphold its commitment to encourage cooperation and collaboration between providers and payers in the state of Georgia.

It is important during this challenging time that providers don’t feel like the payers are preventing them from getting paid or holding up claims.  Participating payers included Palmetto GBA, Cigna, United Healthcare, DXC (now Gainwell Technologies), and Ambetter.

A different payer presented each day and gave updates as well as addressed any of the concerns the attendees had around processing and following up on claims. 

In most every case, the payers encouraged providers to use their online portals and take advantage of the many resources available to minimize the need to contact a representative directly.  There were between 50 and 60 providers in attendance each day and the response was positive. 

The presentations along with the Zoom recordings can be found here. Thank you to the chapter and to all of the attendees for their participation and support!

Bill Eikost, FHFMA has spent the last 30 years helping hospitals identify ways to improve cash flow and accelerate collections from all available sources. He is a Fellow in the Healthcare Financial Management Association (HFMA) and a recent Past President of the Georgia Chapter of HFMA. During his time at Nemadji, he has been an invaluable asset responsible for forging and maintaining long-term client relationships and national accounts, as well as strengthening strategic partnerships.

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