Implementations
These are the 3 Lines of Business.
What is C&S, E&I, and M&R?
BSL stands for this.
What is Business Service Liaison?
CAB stands for this.
What is Change Advisory Board?
E2E stands for this.
What is End to End?
CEM stands for this.
What is Cxxx Exxx Mxxx?
This many Implementations went live on 1/1/2020.
What is 7?
Over 700 employees were transitioned to do what during the COVID-19 pandemic?
What is work from home (WFH)?
This process was re-vamped to re-establish visibility into E2E and Pipeline Reporting.
What is the Intake process?
We gained $93M of pipeline visibility in Aha! for this value stream.
Who is COB (Coordination of Benefits)?
Exclusions partnered with this team to expand the E&I CPT filter capability.
Who is Analytics (aka OEA, PIA, DIA)?
This Implementation for C&S went live on 6/8/2020.
What is PEGA to PIQ?
This many PICTS accesses were removed.
What is 188?
This reporting platform was launched to enhance monitoring and gain visibility to W&E Professional Models performance.
What is PPM (Post Production Monitoring)?
Negotiations & Settlements Phase 2 provided this many millions of savings in visibility.
What is $2.3M?
Facility Transformation worked with PEDs to break down process & clarified what was needed to assist with this build-out.
What is the PICTS/ChartPoint Hybrid?
This many Memberships were implemented for CCD on 1/1/2020.
What is 7.2 million members?
Employees from these two states were successfully migrated to WAH during COVID.
What is Minnesota and Tennessee?
This is the workflow tool used to track Initiatives to Commitments and many other value stream's pipeline data.
What is Aha!?
Data from COB, Data Mining, Data Mining One-Time Opportunities and CRD support this reporting.
What is E2E Reporting?
This team received actionable next steps when a provider trend on 100% tech denial rate was identified in the Implants data.
Who is the Clinical Team?
This program applies sophisticated analytics and/or predictive models to analyze claims for potential W&E and medical review for FWAE ASO.
What is Claim Centric Detection Program (CCD)?
BSL's successfully completed the merger with ________ by assisting with hardware, software and accesses.
Who is X?
One of these team members handle the Intake of the Concept Management team.
Who are Eric and/or Andrew?
Training was held with several value streams to learn about how to use this tool.
What is the Savings Estimation Model (SEM) Tool?
This Cash Management initiative was able to complete and provide an initial assessment and provide feedback on reporting and process gaps.
What is Unsolicited COB Checks?