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Maine's Medicaid (Requisitos (Responding to HIPPA: (Improvements in…
Maine's Medicaid
Requisitos
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Responding to HIPPA:
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Give providers a way to check the eligibility of Medicaid patients and the status of claims in order to cut down number of calls
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Problems
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Decision to build a new and relatively unproven technology platform for the entire system. Instead of integrating a web-based portal with back-end legacy systems
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Call for Help
Hired an integrator and project manager to take over (because everyone was running around with no direction fixing little stuff everywhere) and a project manager for IT
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Problems had been caused by poor project management and worse communication among the IT Staff, business users and contratactors. They didn't tell each others what they where doing
Prioritzed tasks. And acted as liason between teams. First problems were the big ones (with largest number of suspended claims) suspended work on portal through which they could check the status.
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