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MRO’s Kim Charland, BA, RHIT, CCS, Director, Revenue Cycle Services, discusses the challenges of inefficiencies in the business office and how implementing a centralized PHI disclosure management system improves productivity when responding to claim attachment requests.

Hospital and health system business office personnel face mounting challenges in response to the increased volume of requests for medical record attachments from billers and collectors. With pressure on providers for timely billing and collections, business office staff must respond to requests from commercial health plans and government payers, expedite payment, prove medical necessity, validate code assignment and appropriate level of care, authorize services, appeal denials, and fulfill auditor requests.

Ensuring proper release of information practices for these requests presents efficiency and productivity issues. Solutions include new workflows and technology to improve protected health information (PHI) disclosure efficiency in the business office when responding to claim attachment requests.

Thirumalai "Raj" Rajagopal

As Senior VP, Payer Solutions for MRO, Raj is responsible for driving strategy, growth and operations of Payer Solutions. His focus is to develop Payer Solutions into a profitable line of business for MRO. Raj joins MRO from FIGmd, now an MRO company, where he was President of Payer and Enterprise Solutions. Raj is a senior healthcare executive with over 35 years of experience. Prior to FIGmd, Raj had experience building, operating and supporting the clients of the #1 KLAS-ranked claims clearinghouse at RealMed, an Availity company, for 13 years, which is where he pioneered early on, payer-provider relationships and alignment. His experience with large scale projects includes the launch of a nation-wide Mallperks Affinity program for the Simon Property Group, development and management of a worldwide imaging library for Jim Davis, the Garfield cartoonist and the launch of the Garfield store and being a key member of the initial launch of the computerization of the Indian Railway system. Raj received his Masters from IIT, Chennai (Madras) and Bachelors from IIT, Varanasi (Benares), both in India.

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