Railroad Medicare Brochure (PDF,2654KB) - Palmetto GBA

Where we are headed…We will continue to maintain the exceptional performance levels that we demand of ourselves. We arecommitted to our customers and we will provide innovative, professional solutions. We will make ourbusiness partners and our company stronger by continuing to focus on Compliance as our top priority.Although 2010 has just begun, we already have significant innovations underway that will continue ourtradition of using technology to improve the quality and efficiency of our operations. Some examples of ourinnovative solutions:OurLeadershipTeamEnhanced Workflow Management SystemIn 2008, Palmetto GBA launched our customdesignedimage-enabled document workflowmanagement system that electronically scans,creates images, stores and retrieves hardcopydocuments and faxes. The Workflow ManagementSystem (WMS/Client 2.0) has the ability to trackand monitor, in near real-time, incoming receipts,completions, and pending volumes by workflowcategory using the Statistical Web Page. In addition,productivity and full audit trail reporting is providedby the system.In 2010, Palmetto GBA will be deploying anenhanced version of the Railroad Medicare WorkflowManagement System (WMS) in 2010. Enhancementsto this internal workflow application include morerobust real-time statistics and ad-hoc reporting.Additional features include the electronic transferof documents between departments creating apaperless environment.This application was custom designed for thePalmetto GBA Railroad Medicare workload to ensureits design is intuitive, simplistic, and enables efficientprocessing of the work. All images are stored in aLocal Image Warehouse providing immediate accessfor staff as they retrieve and work documents.18Increased Online Self-Service for ProvidersOnline Provider Services (OPS)Palmetto GBA shares CMS’s vision to offer OnlineProvider Services to the provider communitythrough the deployment of Internet-based, secureprovider self-service applications. Palmetto GBA’sgoal is to give the provider secure and fast access totheir Medicare information via our Web site.The OPS application provides real-time informationaccess over the Web for the following online services:• Eligibility• Claims Status• Online Remittance Notices• Financials (payment floor and last 3 checks paid)We are currently awaiting CMS’ approval to deploythe OPS application. Once approval is received, weanticipate the application will be available forproviders within 60 days.Railroad Medicare Online Learning CenterPalmetto GBA is planning to launch web sessions toprovide basic Medicare information on static topicssuch as MSP Basics, Ambulance Billing, and ClaimSubmission Errors. These web events will be viewable“on demand” and will be available to providers 24/7.Gina JenkinsSenior Director of OperationsRRB Project ManagerOur Team of Directors:Cassandra Canales, Ramona Johnstonand Sylvia Hammock19