Having extensive experience in the domain, how would you describe the development of claims management in the healthcare industry to this day?
In Healthcare Claims Management, at every point of the process, whether in development or implementation, we must always strive to consider the safety of our residents, patients, and staff, first and foremost. As we see our facility Administrators and leaders intricately working with our staff through education and providing ongoing safety meetings and training, we are seeing better outcomes with the claims in our skilled nursing facilities. In addition to that promising growth, the ever-growing new software, and data opportunities available are allowing us to continue to be on top of protecting our claims management data from cyber-attacks, which has grown exponentially and nationally over the past few years. Development of good processes and protocols to assist with the safekeeping of claims data, along with the collaboration of our carriers and third party administrators (TPA), help us to ensure this is completed and secured on our behalf. Our mindset must be to transition from just filing a claim to showing empathy and displaying resilience, along with using sound judgment by building partnerships and most importantly initiating “best practices” within the healthcare industry. Great claims management is achievable and works when you embrace teamwork, show compassion, have integrity, give respect, and always encourage positivity.