Systemware Receives HIMSS Medical Banking Project Gold Seal Certification

As the number of financial institutions and banks handling claim remittances and payments has grown exponentially, it has become of critical importance for these companies to ensure that their business practices as well as the business practices of their vendor partners meet the highest standards for privacy and security as well as clearly adhere to all regulatory mandates protecting sensitive personal information.

 

Based on this need, Medical Banking Project has created a self-assessment program by convening an Accreditation Review Council (ARC). Over a period of 15 months, the Council assessed relevant banking and healthcare regulations, privacy and security frameworks (such as CoBiT, NIST, ISO), as well as the current landscape of accreditation programs. The Council evaluated a wide range of issues before building a common set of medical banking standards. The ongoing efforts of ARC will assure that the Gold Certification program will continue to address any new risks and regulations.

 

Systemware is an enterprise content management (ECM) company that provides healthcare claims remittance processing software to financial institutions as well as healthcare providers across the country. Today, Systemware processes more healthcare claims than any other vendor in the market.. Systemware automates and accelerates the payment reconciliation process. With Systemware, companies can easily scan and automatically convert all paper-based EOBs to standardized EDI 835 files. EDI 835 files can also be loaded into the system. Regardless of original format, Systemware matches open claims to returned remittances and then creates an EDI 835 file to upload into the billing system. Systemware uses standard EDI transactions to integrate with the billing or practice management system enabling the automation of your payment posting activities. This solution also provides an easy to use portal containing all of your claims, remittances, secondary claims, as well as payments and adjustments giving a new level of visibility and insight into accounts receivable.

 

“Through the Gold Seal of HIMSS Medical Banking Project, Systemware has demonstrated a commitment to ensuring that we adhere to the highest industry standards involving the security and privacy of healthcare claims and payments for its customers,” says Gordon Sellers, director, healthcare solutions for Systemware.

 

 

The Gold Seal of HIMSS Medical Banking Project is a voluntary, self-assessment program that specifically focuses on the health data privacy and security risks related to medical banking constituencies. These constituencies include: financial institutions, healthcare providers, payers as well as solution providers.

 

The Healthcare Information and Management Systems Society (HIMSS) and Medical Banking Project joined forces on November 1, 2009 bringing medical banking issues to many of HIMSS initiatives. HIMSS is a comprehensive healthcare-stakeholder membership organization exclusively focused on providing global leadership for the optimal use of information technology (IT) and management systems for the betterment of healthcare. HIMSS frames and leads healthcare public policy and industry practices through its educational, professional development, and advocacy initiatives designed to promote information and management systems’ contributions to ensuring quality patient care.