Every week, headlines spark excitement and alarm over a seemingly new advancement in healthcare — robots! But the use of robots in medicine dates back decades. In 1994, the FDA approved Automated Endoscope System for Optimal Position (AESOP) to improve … Read more
About Marcuis Galvan
Marcuis Galvan has over 27 years of experience in the healthcare industry. Mr. Galvan joined GE Healthcare Digital – Optimization Solutions and Consulting (OSC) in 1998 as a Software Application Advisor responsible for effectively advising customers in the management of their business through maximizing the use of Centricity Business (formerly IDX) applications.
Since joining OSC, Mr. Galvan has been involved in Financial Risk Manager (FRM) product implementation, including Capitation, Enrollment, Case Management, Customer Service, Referrals and Claims. He has developed and implemented version upgrade test plans, policies and procedures, specialized training sessions, prospective payment system (APC, DRG & SNF) and process evaluations as well as providing ongoing consulting expertise towards maximizing application efficiency.
Mr. Galvan has also led and mapped functional specifications for enrollment, referral and claim conversions and EDI Transaction Set – 837 Claims Processing; audited provider agreements for shared risk, full risk and fee for service contracts and health plan benefit certificates per the division of financial responsibility (DOFR); and specialized training material for processing and handling Dialysis and Drug (NDC, AWP) claims.
Prior to joining OSC, Mr. Galvan held positions as Enrollment Specialist, Provider Service Liaison, Technical Analyst, Application Analyst and Project Leader at a 150,000-member Medical Services management organization.
Mr. Galvan received his Bachelor of Arts, General Management from Columbia College and Master of Science in Information Systems from Roosevelt University.
Nearly four years after the two percent Medicare Sequestration Reduction took effect, health plans and provider groups continue to grapple with the financial effects. Some health plans and delegated medical groups initially absorbed the cut, but are now looking to … Read more