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The program highlights leadership from Jerald Archibeque and Tamara Hidalgo across hospital billing and the revenue cycle, emphasizing automation and analytics in areas such as patient access, registration, insurance verification, prior authorization, dashboards for real-time denial visibility, and financial assistance workflows. Key scale metrics include annual revenue, provider experience, membership statewide, and facilities across New Mexico.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/healthcare-access-financial-inclusion-and-the-new-mexico-paradigm-march-19-2024/567040/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/healthcare-access-financial-inclusion-and-the-new-mexico-paradigm-march-19-2024/567040.png","ImageObject",442,249,{"name":88,"@type":89},"Ivy","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-25","2026-10-13",true,{"@type":98,"interactionType":99,"userInteractionCount":76},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What themes does the presentation focus on?","Question",{"text":108,"@type":109},"The presentation centers on breaking barriers in healthcare access and advancing financial inclusion using a New Mexico paradigm, with emphasis on automation and analytics across the revenue cycle.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Who are the featured healthcare leaders?",{"text":113,"@type":109},"Jerald Archibeque is listed as Director, Hospital Billing, and Tamara Hidalgo is listed as Director, HIM, Informatics, Auditing and Physician Billing at Presbyterian Healthcare Services.",{"name":115,"@type":106,"acceptedAnswer":116},"What patient access capabilities are described?",{"text":117,"@type":109},"Patient access includes registration support, online pre-registration via MyChart, OB pre-registration, Good Faith Estimates in EPIC, bot-based automation for insurance verification, and financial assistance application with document upload.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},567040,1792316454,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":141},549758252649,"https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819","NM HFMA SPRING 2024  \nBreaking Barriers:  \nHealthcare Access, Financial Inclusion, and the New Mexico Paradigm  \n|  GOLD  PLATINUM\u003Cbr>\u003Cbr>\u003Cbr>\u003Cbr>|  |  |  |\n| --- | --- | --- | --- |\n| \u003Cbr>SILVER | | | |\n\nJerald Archibeque,  \nDirector, Hospital Billing, Presbyterian Healthcare Services  \nCareer in healthcare began in 1999 (25 years) . I have been with multiple organizations in my career that includes Presbyterian Healthcare Services (18 years), Lovelace Health System (6 years), Rehoboth McKinley Christian Health Care Services (1 year), and 2 DME companies (1 year) . I have experience in Patient Access, Cash Management, both Commercial and Government Billing and Collections, as well as Revenue Recovery (contract underpayments & overpayments) . I have also managed the Home Health and Hospice billing for Presbyterian.  \nOn the personal side, I’m a Husband, Father, and Grandfather.  \nHusband of 27 years to a great wife, Father of 2 (26 year old daughter and 25 year old son) and Grandfather of 3 (3 year old grandson, 1 ½ year old granddaughter, and 1 year old grandson) .  \nTamara Hidalgo, CCS-P, CPC, COC Director, HIM, Informatics, Auditing and Physician Billing  \nPresbyterian Healthcare Services  \nTamara has been at Presbyterian for over 25 years in a variety of roles within the Revenue Cycle. She completed her bachelor’s degree in business administration from the University of New Mexico, Anderson School of Management in 2003. Since then, she has enjoyed working on projects within Presbyterian such as the implementation of the Electronic Health Record, computer assisted coding, Voice Recognition transcription, documentation management systems, along with numerous automation projects within the revenue cycle.  \nTamara has 2 daughters, ages 18 and 15, who are both active in  \n4-H and FFA. They raise and show registered Brown Swiss dairy cattle all over the southwest. We also enjoy riding horses.  \nAutomation and  \nAnalytics in Healthcare  \nJerald Archibeque, Director, Hospital Billing Tamara Hidalgo, Director, HIM, Informatics,  \nAuditing & Physician Billing  \nMARCH 19, 2024  \nPresbyterian Healthcare Services  \nIntegrated delivery and financing system with  \n$5.6B  \nin annual revenue.  \n30+  \nyears of providerled, managed care experience.  \n652,000+  \nmembers statewide in commercial, Medicare Advantage and Medicaid.  \n1,200+  \nphysicians and  \nadvanced practice clinicians in more than 100 clinic locations  \n9 hospitals across  \nNew Mexico  \nPHS named among best hospitals for 2023-2024 in New Mexico by US News & World Report  \n• Recognized as high performing hospital in 12 care areas  \n6  \nPresbyterian Healthcare Services  \nRevenue Cycle  \nPatient Access  \nPatient Access  \nRegistration, Financial Counselors, Insurance Verification, & Financial Clearance Center  \n•  Registration:  \n1. QR code to download a copy of the inpatient or outpatient admission booklets.  \n2. Online Register: patients can pre-register for any hospital service in MyChart up to 30 days in advance and can pay their copay or deductible.  \n3. OB pre-registration: Labor and delivery patients can pre-register 7 months in advance of due date.  \n4. Good Faith Estimates: templates have been built in EPIC to help with Self Pay estimates and preparing for insurance estimate automation in 2023.  \n5. Automation (Bot) for insurance verification and benefits pulled into EPIC.  \n6. Financial Assistance Module in EPIC: patients can now apply for financial assistance in MyChart and upload all documents.  \n7. Automation (Bots) to request prior authorizations from payors  \n8. Dashboard created for Registration regarding denials so areas can look and react in the moment (RPM-Registration, Prior Auth, & Medical Necessity) .  \nHealth Information Management (H.I.M.)","cbCaipTmEoY5H7jz","https://ap.wps.com/l/cbCaipTmEoY5H7jz","pdf",9316722,147,"English","# Leaders and background\n## Jerald Archibeque\n## Tamara Hidalgo\n# Automation and analytics in healthcare\n## Patient Access\n## Health Information Management (H.I.M.)","[{\"question\":\"What themes does the presentation focus on?\",\"answer\":\"The presentation centers on breaking barriers in healthcare access and advancing financial inclusion using a New Mexico paradigm, with emphasis on automation and analytics across the revenue cycle.\"},{\"question\":\"Who are the featured healthcare leaders?\",\"answer\":\"Jerald Archibeque is listed as Director, Hospital Billing, and Tamara Hidalgo is listed as Director, HIM, Informatics, Auditing and Physician Billing at Presbyterian Healthcare Services.\"},{\"question\":\"What patient access capabilities are described?\",\"answer\":\"Patient access includes registration support, online pre-registration via MyChart, OB pre-registration, Good Faith Estimates in EPIC, bot-based automation for insurance verification, and financial assistance application with document upload.\"}]","Healthcare Access, Financial Inclusion, and the New Mexico Paradigm - March 19, 2024 | PDF",1791864813,51]