CH d’Avignon generalizes third-party payment thanks to ROC certification
Projects
April 4 Years of experimentation with the publisher InterSystems, the Center Hospitalier d’Avignon becomes the first hospital attached to the reimbursement system for complementary organizations (ROC), all publishers combined.
AdvertisingThe Center Hospitalier (CH) of Avignon has 970 beds, manages a prison care unit integrating nearly 700 inmates and is recognized as an Essential Services Operator in charge of securing the IS of the 10 public health establishments that are members of the Vaucluse GHT. Recently, it also became the first hospital attached to the OCR device (reimbursement of complementary bodies), all publishers combined. As a reminder, the ROC system aims to support healthcare establishments in securing their revenue and reducing the administrative burden for staff and patients. It simplifies third-party payment by dematerializing and standardizing changes between healthcare establishments, Complementary Health Insurance (AMC) and the DGFiP.
4 years of experimentation
It all started in 2019, when the publisher InterSystems launched an experiment by developing an ROC module within TrakCare Clinicom. This patient administrative management solution dematerializes all changes with complementary organisations, from treatment to collection of the invoice. From the start of the test phase, the publisher integrated the CH d’Avignon into the ROC circle of trust. Collecting bills is a real problem in hospitals and it weighed on the teams. This is what motivated us to engage, among the first, with InterSystems on the ROC project in 2019. The result is that today we have an invoice rejection rate of around 1%. We are very proud to continue our commitment to the generalization of the device to widen the circle of confidence ROC, explains Cécile Polito, deputy to the director of the CH of Avignon.
In June 2022, InterSystems production phase. From now on, all complementary health organizations wishing to join the ROC circle of trust must go through a test phase with a mirror establishment. Ultimately, the goal is to integrate as many as possible in order to generalize the system.
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Clemence Tingryjournalist
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