Some clinicians dislike new Medicaid claims' portal

New system requires more steps to enter data.
by Paula Burkes Published: January 24, 2014
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Enhancements to an online website for clinicians to file Medicaid reimbursement claims with the state of Oklahoma were scheduled to go live Friday, to the chagrin of several mental health services providers who say the changes are a step backward.

The Oklahoma Health Care Authority (OHCA) paid HP Enterprise Services $1.3 million to update its 13-year portal, which is used by about 37,500 providers who provide medical services to some 803,000 needy Oklahomans, spokeswoman Jennie Melendez said.

Among other things, the enhancements allow clinicians to search for specialty providers and avoid faxing claims validations, said Melendez, noting her agency spent most of last year training clinicians on the changes.

Meanwhile, representatives for behavioral services agencies in Tulsa and southeast Oklahoma say the state is behind the times and instead should've used a secure file transfer protocol (FTP) system versus a web-centric system, and tested its enhancements externally.

With the changes, agency staffers now must undergo a double-authentication process upon login, answer a security question such as “What was your childhood dog's name?,” browse Web pages, select and upload claims files.

“Oklahoma needs to get with the times,” said Melanie Morgan, senior director of Daybreak Family Services in Tulsa. “I can't believe they are even wanting all agencies to have to manually do the above process. It's a waste of time and money for everyone.”

An information technology director of a mental health agency in rural southeast Oklahoma, who asked to remain unnamed, agrees. “All this does is introduce human error into the equation,” he said in an email to The Oklahoman.

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by Paula Burkes
Reporter
A 1981 journalism graduate of Oklahoma State University, Paula Burkes has more than 30 years experience writing and editing award-winning material for newspapers and healthcare, educational and telecommunications institutions in Tulsa, Oklahoma...
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