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In the intricate realm of healthcare, navigating compliance requirements is essential for health plans aiming to succeed amidst evolving regulations. A well-crafted corporate compliance program is not merely a risk-mitigation strategy; it serves as a cornerstone for building a reputable brand, fostering stakeholder trust, and ultimately achieving success.
Every year on December 12th, the world unites in celebration of Universal Health Coverage Day (UHC Day). This official United Nations-designated day serves as a potent reminder of the critical need for strong, equitable, and resilient health systems accessible to all, regardless of background or financial means. It also marks the anniversary of a pivotal moment in global health history: the 2012 unanimous endorsement of UHC by the United Nations (UN) as a cornerstone of international development.
HealthAxis, a prominent provider of core administrative processing system (CAPS) technology and business process as a service (BPaaS) and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators, announced the appointment of Scott Martin as Chief Executive Officer and Suraya Yahaya as Chief Operating Officer. These strategic hires underscore HealthAxis’s commitment to advancing its BPaaS and BPO services. AxisConnect™, and continued investment in its proprietary CAPS technology, AxisCore™.
To celebrate Corporate Compliance & Ethics Week 2023, we’ve shared resources that highlight our dedication to data privacy and security, as well as expert insights on healthcare claims processing compliance challenges and fostering a culture of compliance. Join us as we recap these invaluable resources.
As Medicare Advantage (MA) open enrollment is currently in full swing, it’s the ideal time to circle back and delve deeper into the substantial changes outlined in the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F).1 These changes, rooted in a resolute commitment to equity and enhanced healthcare access, are designed to safeguard beneficiaries, bolster quality measures, and promote health equity among all Medicare recipients.
With the annual Medicare Advantage (MA) open enrollment well underway (October 15th – December 7th each year), it’s the perfect time to revisit the significant changes outlined in the Centers for Medicare & Medicaid Services (CMS) 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F).1 With a strong emphasis on equity and access to healthcare, these adjustments aim to protect beneficiaries, strengthen quality measures, and advance health equity for all Medicare recipients.
In today’s rapidly evolving healthcare landscape, payers face numerous challenges in delivering efficient and effective services to their members. One significant barrier is the presence of legacy CAPS that impede payer transformation and hinder interoperability with other systems.
HealthAxis, a prominent provider of core administrative processing system (CAPS) technology and business process as a service (BPaaS) and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators, has proudly unveiled a revitalized brand identity, marking a significant step in reaffirming the company’s values and vision.
HealthAxis, a prominent provider of core administrative processing solutions and BPaaS capabilities to healthcare payers, risk-bearing providers, and third-party administrators, announced it has been Certified™ by Great Place to Work®, the foremost authority on workplace culture, employee experience, and the leadership qualities essential for driving market-leading revenue, employee retention, and innovation.
In healthcare claims processing, compliance with regulations and policies is crucial. Payers and providers must ensure that claims are processed in a timely manner, that notices and disclosures are provided, and that payments are made per policy provisions and coverages. Failure to comply can result in legal and financial penalties and reputational damage. In 2021, the Federal Government received $1.7B from healthcare fraud settlements related to drug and medical device manufacturers, durable medical equipment, home health and managed care providers, hospitals, pharmacies, hospice organization and physicians.