The Administrative Simplification Workgroup identifies effective ways to simplify the administrative challenges faced by physicians and other healthcare professionals to streamline the business side of health care and provide cost-savings to the entire system.
The Executive Committee (EC) has overall responsibility for the administrative simplification efforts of OHLC and, as necessary, establishes teams of professionals to address identified issues. The EC maintains a strong working relationship and with the Oregon Health Authority (OHA), Oregon Medical Association, Oregon Medical Group Management Association, and others.
Multi-Factor Authentication Implementation
The Executive Committee has reviewed and approved the implementation of the OneHealthPort multi-factor authentication (MFA) solution to provide enhanced security and protection of patient information. OneHealthPort is a single sign-on solution that provides secure access to participating payor sites for access to information on eligibility and benefits, pre-authorizations, claim status and more. The MFA solution went live on August 11, 2020. For more information on the MFA implementation click here.
Administrative Simplification – Project Delivery
In March of 2020 the Administrative Simplification work groups (Electronic Data Interchange and Claims and Eligibility) were consolidated into one membership roster of employees from OHLC member and other organizations to provide subject-matter expertise and support for projects approved by the Executive Committee.
A current project is an effort to substantially improve Eligibility Reporting to Providers by Health Plans. This collaborative effort will lead to significant savings in time (and money), reductions in errors, improved predictability of claims processing, better customer service for members, among many other benefits. The validation phase of this project is scheduled to begin in September 2020.
The roster is also a primary communication tool to keep members informed of various regulatory changes and process improvement efforts. For example, we continue to track progress and provide input to CAQH/CORE rules and HIPAA X12 transactions version 7030 and serve as a center for information exchange and consensus relating to EDI across the Oregon-based health care industry. If you are interested in representing your organization on the Administrative Simplification roster and potentially participating on future projects, please contact Mark Hetz at firstname.lastname@example.org.