Medicaid Eligibility: MariChris’ Custom Rules Engine

Simplify Eligibility Program Processes

UnivERS is a comprehensive eligibility technology solution that solves that problem and works with any financial or medical assistance program, including all programs supported through the Medicaid Management Information Systems (MMIS).

UnivERS allows program administrators to easily set rules and conditions for any program, with the process of preliminary eligibility determination and final eligibility determination being fully automated. Now eligibility for ever-changing financial and medical assistance programs can be completed with ease in real time and without delays, all while the application process is being conducted.

++ Ability to create and manage any number of active programs
++ No technical skills or support required to create and manage benefit program rules
++ Rules sets can be modified at anytime
++ Application data collected can be applied to any eligibility program or benefit plan
++ System can seamlessly match applicants to all available programs
++ Comprehensive patient inputs, data management and caseload management capability

Custom Rules Engine
Flexible Rules-based architecture provides comprehensive enforcement of eligibility rules and universal application of these rules across all programs. Check out RulesXpress

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MariChris LLC: March 22, 2013 Healthcare and IT News

Welcome Spring 2013 – although in many parts of the country it sure didn’t feel like it!

Uninsured

Some news highlights for the week ending today…and the TGIF cartoon!

++ Health innovations take a year to show cost results

++ HIPAA Omnibus rule redefines role of business associates

++ 10 reasons why you should build your own cloud

++ CVS requiring employees to undergo height, weight, health assessment

++ New State-by-State Data on Impact of CMS’ Proposed Cut to Medicare Advantage

++ Chart of the Week: The States That Have Expanded Medicaid

++ The Arkansas Approach to Coverage Expansion is Controversial

I’m taking the next two days off – so should you!

Thomas Derrick, President of MariChris LLC
Thomas Derrick, President
MariChris, LLC

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MariChris LLC: Healthcare Technology Partnerships

The design and development process for healthcare applications and particularly MMIS solutions are tremendously complex. There are many system dependencies not only to meet functional requirements but also to meet regulatory and certification requirements. Our technology solutions used in conjunction with your design and development processes will speed your processes and increase efficiency as much as 25% during critical development cycles.

Design & Development Tracking & Management

Whether using agile GSD and DSD design methodologies or working with your own design processes, we break down design elements into definable objects assigned to each phase of development. These are then maintained in TraceIT, our integrated traceability technology. This allows for all aspects of development to be easily monitored and tracked with complete defect and change management capabilities built-in. This means fewer delays, no mis-communication and up-to-the-minute status of all project components.

System Conversions

The healthcare industry is faced with a significant task as it relates to conversions of procedure codes to meet new federal guidelines as well as continuous change that systems must endure to meet patient and operational needs. Our data element mapping process can significantly improve the system conversion process allowing you to begin many processes in week 1 that you would normally start in Week 8. In addition, we ensure the precise handling of any modifications, enhancements or upgrades with proven systems, methodologies, technologies and business process.

Independent Verification & Validation

We can act as an independent third party for system integrators and software solution providers to ensure that IV&V process are managed in a manner that does not delay deployment. We also manage change and resulting resolution with ease. Our proven methodologies and traceability software combined with a dedicated IV&V team will give you the reliable services and reporting for system integrity, meeting its intended purpose.

Certification

We work with many system integrators and software solution vendors to provide the technology and control systems to get your clients CMS certified.

Find out more about becoming a MariChris Approved Partner

Thomas Derrick, President of MariChris LLC
Thomas Derrick, President
MariChris, LLC

Posted in Eligibility Automation, MariChris, LLC, Medical Providers, System Integrators, Traceability & Compliance | Tagged , , , , , , , , , | Leave a comment

MariChris LLC: March 15, 2013 Healthcare and IT News

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++ Details of “private option” deal emerge in DHS letter to feds

++ Oklahoma’s largest health system builds medical home model with health IT

++ Why VMware’s hybrid cloud announcement could be a big deal

++ Conquering the HIPAA Compliance Mountain

++ HIE 2.0 – What is it about?

++ Obamacare application is a complicated mess, just like the law

Here’s a little history on “Beware the Ides of March” which is today, March 15th.

Tomorrow, assuming you survived the “Ides,” is the Chase Rescorla Scholarship Awards Dinner. For the second year, MariChris LLC has made a contribution to this important program. Read more about it here.

Thomas Derrick, President of MariChris LLC
Thomas Derrick, President
MariChris, LLC

Posted in Eligibility Automation, HIPAA Compliance, MariChris, LLC, Medicaid, Medical Providers, System Integrators, Traceability & Compliance | Tagged , , , , , , , , , , , , , | Leave a comment

MESC 2013

These days, with so much happening so quickly in healthcare and healthcare information technology, we’re going to take a VERY early look at what’s in store for us at the 2013 MESC, (Medicaid Enterprise Systems Conference) to be held this year from September 8 – 12, in beautiful Charleston, South Carolina. Formerly known as the MMIS Conference, this name change to MESC took place in 2012.

The main theme of this year’s conference is “Enabling Healthcare Innovation.”

This year’s conference will cover 7 main themes or “tracks” identified by the National Planning Committee:

1. Eligibility and Enrollment Systems
2. Health Insurance Exchanges (HIX) Integration within the Medicaid Enterprise
3. Health Information Technology (HIT) / Health Information Exchange (HIE)
4. Medicaid Information Technology Architecture (MITA)
5. Data Needs / Analytics
6. Operations / Management / Procurement
7. Standards and Compliance

Register before August 8, 2013 to get the early bird rates for what looks to be one of the most informative healthcare conferences of 2013.

For more conference info.

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MariChris LLC: The Irishman and Medicaid Information Technology

The Leprechaun of Healthcare IT!

A tee-shirt poking fun at the Irishman….Green of Course, “An Irishman walks out of the Bar….No, really, it happened!”

Going from the smallest to the largest in less than 30 days? You see, I went from attending the Medicaid Innovations Forum Conference to the HIMSS13 Global Healthcare Technology Conference in New Orleans this week. One thing is for sure…..Healthcare Technology and Innovations are abound in all phases of the Point of Care healthcare delivery systems and processes. I get really energized about what we do, every year after returning from the annual HIMSS’s Conference! New stuff and techniques in technology and new business processes, to take back to our team members and improve our software and professional services offerings…..really good stuff!

We all know President Bill Clinton, he gave an outstanding and inspiring speech, as usual.” He sees our Healthcare systems as “broken.” Think about IT…..the President has been in government for decades and does a great job on the global stage. He serves the very poorest among us; with focus on Healthcare and nutrition in places like Indonesia, Haiti and parts of Africa. He’s right, IT is broken from where he sits……Government and third world counties, really? Instead of visiting the Exhibit Hall, at HIMSS13 to see new and exciting Healthcare IT technology and solutions, he attended a reception at James Carvell’s home.

Not a place to learn about technology in Healthcare.

On my drive home, seeing several sights and listening IT dawned on me. My Business and Social Communications Director stated earlier in the week, “you really like attending HIMSS and seems like your kind of place.” She was right! Only one Medicaid IT person I met, while in NOLA, was from the Medicaid Technology industry. I have been in Nashville, TN, Austin, TX and only 90 minutes from Bourbon Street the state sign entering MS states….”Mississippi, Birthplace of America’s Music.” While this may be true, try telling that to NOLA, Austin or Nashville.

Then there was my weekly Medicaid Innovations conference call, at 4 o’clock. I did not hear a word they said…..rural America does not have good cell phone technology, garbled, hearing every 5th word……You see, the very folks Medicaid IT is trying to serve, live in this type of rural area. This is where the poorest among us live and where Medicaid is trying to serve. I know I have an assignment for next week’s conference, I just don’t know what IT is.

Time to wrap up, as I have my weekly meeting with my partner, and it is usually with our sponsor. How do I take all of the innovations in software and solutions learned during the week long HIMSS13 event, to my Medicaid Technology Team? That is my job! I will get them motivated, drive excitement and innovation into all the software and professional serves we develop and deliver to State Government’s Medicaid Technology Enterprise….and one day we will proudly say with honestly and conviction………

“No, Really, IT Happened” …… in Medicaid Technology services and solutions!

Thomas Derrick, President of MariChris LLC
Thomas Derrick, President
MariChris, LLC

Posted in Eligibility Automation, HIPAA Compliance, MariChris, LLC, Medicaid, Medical Providers, System Integrators, Traceability & Compliance | Tagged , , , , , , | Leave a comment

MariChris LLC: March 8, 2013 Healthcare and IT News

HIMSS13 logo

Wrapped up the HIMSS 2013 conference in New Orleans yesterday. A lot of great ideas for healthcare innovation at the conference – and a rousing keynote speech by former President Bill Clinton!

Here’s other news from around the world of healthcare and IT – week ending…

++ ONC releases RFI on catalyzing interoperability of EHRs at HIMSS13

++ CMS calls for comments on HIEs

++ Ten Technology Trends Facing Hospital Execs In 2013

++ Feds outline 2013 plans, goals for information exchange, Meaningful Use

++ Health IT Summit in San Francisco March 26-27

++ “My Top Healthcare IT Concerns for 2013

Have a great weekend. Don’t forget to set your clocks forward Saturday night!

Thomas Derrick, President of MariChris LLC
Thomas Derrick, President
MariChris, LLC

Posted in Eligibility Automation, MariChris, LLC, Medicaid, Traceability & Compliance | Tagged , , , , , , , , , , , , | Leave a comment

News and Happenings from HIMSS13

Busy week this week in New Orleans at the HIMSS Annual Conference and Exhibition. Former President Bill Clinton gives the 1pm keynote speech today at the Ernest N. Morial Convention Center.

Couldn’t attend? Gain online access to some of the conference’s presentations.

++ Interoperability going gangbusters

++ MU Stage 2 to reduce some HIE confusion

++ OCR director talks HIPAA survival

++ Don’t look now, you’ve been hacked!

++ About HIMSS

The conference continues through tomorrow, March 7, 2013.

Thomas Derrick, President of MariChris LLC
Thomas Derrick, President
MariChris, LLC

Posted in Eligibility Automation, HIPAA Compliance, MariChris, LLC, Medicaid, System Integrators, Traceability & Compliance | Tagged , , , , , , , , , | Leave a comment

MariChris, LLC: Mission Statement

Our mission is to demonstrate a commitment to excellence in our software development performance with a focus on achieving better outcomes at the point of care with Healthcare delivery systems. Ultimately, we deliver best-in-class software for Providers and Payers.

MariChris, LLC is a registered, woman-owned business focused on the delivery of comprehensive healthcare IT Software and services. We are based in Northeast Florida serving providers and payers throughout the United States who are challenged to ensure accurate delivery of healthcare technology that is compliant and efficient. Our focus is on CMS Traceability, Medicaid eligibility determination, IV & V, and data migrations and conversions. We partner with The Experts, Inc., a leading healthcare services firm, to provide the necessary time and materials professional services on a global basis as needed by our clients.

We welcome new clients and can assist with navigating healthcare regulations and ensuring systems integrity – whether a hospital, insurance company, Medicaid administrator or private practice.

MariChris LLC TraceIT

Learn more about our company’s technology, TraceIT and UnivERS, our MMIS capability and the other services we provide. Discuss challenges we all face with your peers in the HIT community and you’ll find that MariChris has the solutions to meet those critical challenges. We have a multitude of success stories with our clients and would like to have the opportunity to share those with you. Our clients have used our technology and services to transform their practices, to stay up-to-date with changing healthcare regulations, and to successfully meet Meaningful Use standards.

We are about making healthcare delivery easier and raising the quality of care that our clients provide through the use of proven, reliable Healthcare automation technology. We look forward to earning your business and developing a strategic partnership.

Thomas Derrick, President of MariChris LLC
Thomas Derrick, President
MariChris, LLC

Posted in Eligibility Automation, HIPAA Compliance, MariChris, LLC, Medicaid, Traceability & Compliance | Tagged , , , , , , , , , | Leave a comment

MariChris LLC: March 1, 2013 Healthcare and IT News

Don’t forget the HIMSS 2013 conference begins Sunday March 3rd and ends Thursday March 7, 2013. The conference is being held in New Orleans, Lousiana and on March 6th, former President Bill Clinton will be delivering a keynote speech. Location: Ernest N. Morial Convention Center.

On to some healthcare and IT news for this last week of February 2013 and the first (day) of March!

++ Every Horrid Thing You Need to Know About How Healthcare is Paid For Today

++ Missouri: Barnes: Bill would streamline Medicaid eligibility

++ Asset Protection Planning In Anticipation Of Medicaid Fails In Woodworth Case

++ Texting the Doctor? There’s An App For That

++ CellTrust Corporation Introduces SecureSMS PULSE at HIMSS 2013 as Next Generation Paging Technology and HIPAA Compliant Text Messaging for Healthcare

++ The politics of health IT

See you in New Orleans…Happy March!

Thomas Derrick, President of MariChris LLC
Thomas Derrick, President
MariChris, LLC

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