Stuart Beaton

Stuart Beaton Email and Phone Number

Director Implementation Services at Secure Exchange Solutions (Healthcare) @ Secure Exchange Solutions (Healthcare)
rockville, maryland, united states
Stuart Beaton's Location
Brentwood, Tennessee, United States, United States
Stuart Beaton's Contact Details

Stuart Beaton personal email

About Stuart Beaton

Stuart Beaton has dedicated over 25 years to the advancement of EDI and data standards within the health care industry. Stuart is the primary author of both the 004010X092A1 and 005010X279 X12N 270/271 Health Care Eligibility Benefit Inquiry and Response Implementation Guides adopted for use under HIPAA. As co-chair of the Health Care Eligibility Work Group for X12N for more than 12 years, Stuart is recognized as the foremost authority on the 270/271 transaction in the industry, though his expertise and experience covers all of the HIPAA transactions. As Implementation Services Director at Secure Exchange Solutions, Stuart is leveraging his extensive health care data experience with assisting customers implement SES’s SPOT product. SPOT revolutionizes the intelligent analysis of clinical information at critical points of care and optimizes risk-based decision support by leveraging existing interoperability standards and Artificial Intelligence (AI). Stuart is also responsible for creating implementation documentation for SES’s Notify product which processes HL7 ADT messages from Hospital clients and forwards through Direct messages to the designated provider in a variety of formats including HL7 C-CDA, pdf and csv.Prior to his 13 years as an independent consultant, Stuart was Vice President of Washington Publishing Company. During his 4 years with WPC, he assisted many of WPC’s clients on the implementation of X12 HIPAA transactions, instructing Health Care EDI classes as well as conducting HIPAA Transaction and Code Set compliance analysis and numerous speaking engagements. He also served as Manager of Real Time Systems and Analysis for ENVOY/WebMD (now Change Healthcare) for 5 years and prior to that was with CIGNA’s Medicare EDI operations for 5 years.Specialties: • Subject Matter Expert in all X12N transactions adopted for use under HIPAA – 837 Claims, 835 Remittance Advice, 276/277 Claim Status, 270/271 Eligibility, 278 Authorizations, 834 Enrollment and 820 Premium Payment.• Conducted Numerous HIPAA and CAQH CORE Compliance reviews.• Authored the WEDI 3051 270/271 Implementation Guide, HCFA’s Part B 3051 270/271 and 276/277 Implementation Guides and co-authored the NSF 2.0 DMERC specification.• Invited speaker at numerous HIPAA Summits.

Stuart Beaton's Current Company Details
Secure Exchange Solutions (Healthcare)

Secure Exchange Solutions (Healthcare)

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Director Implementation Services at Secure Exchange Solutions (Healthcare)
rockville, maryland, united states
Employees:
31
Stuart Beaton Work Experience Details
  • Secure Exchange Solutions (Healthcare)
    Director Implementation Services
    Secure Exchange Solutions (Healthcare) Oct 2018 - Present
    Brentwood, Tn
    As Implementation Services Director at Secure Exchange Solutions, Stuart is leveraging his extensive health care data experience with assisting customers implement SES’s SPOT product. SPOT revolutionizes the intelligent analysis of clinical information at critical points of care and optimizes risk-based decision support by leveraging existing interoperability standards and Artificial Intelligence (AI). Stuart is also responsible for creating implementation documentation for SES’s Notify product which processes HL7 ADT messages from Hospital clients and forwards through Direct messages to the designated provider in a variety of formats including HL7 C-CDA, pdf and csv.
  • Stuart Beaton Consulting
    Principal
    Stuart Beaton Consulting Jun 2005 - Present
    Consulting services in the implementation of HIPAA X12 EDI transactions.• Recognized as the nation's foremost expert in the 270/271 Health Care Eligibility and Benefit transaction.• Primary author of both the 004010 and 005010 X12N 270/271 Implementation Guides adopted for use under HIPAA.• Work directly with clients and developers on the implementation of all X12N HIPAA transactions.• Conduct reviews for Compliance with the Transactions & Code Set components of HIPAA.• Initiate Cost/Benefit analysis for adoption of X12N HIPAA transactions.• Project Manager for client’s EDI initiatives, software development and business planning.• Assist client’s in creation of Business Plans and RFPs.
  • Washington Publishing Company
    Vice President/Senior Business Analyst
    Washington Publishing Company Jul 2001 - Jun 2005
    • Work directly with clients and developers on the implementation of all X12N HIPAA transactions.• Conduct reviews for Compliance with the Transactions & Code Set and Privacy components of HIPAA.• Gather requirements from clients, review viable options, create specifications and execute implementation plan.• Administer Quality Assurance testing of development work.• Create software user manuals for Health Care Providers and Members.• Instruct Health Care EDI classes as well as conduct HIPAA Transaction and Code Set compliance analysis.• Developed and implemented HIPAA Privacy Policies and Procedures for client.• Clients included IBM, Microsoft, Community Behavioral Health of Philadelphia, State of Massachusetts Department of Mental Health, State of Washington Department of Health and Human Services, National Account Service Company (NASCO), and the National Community Pharmacists Association.• Maintain relationships with the Centers for Medicare & Medicaid Services (CMS)
  • Envoy/Webmd (Now Change Healthcare)
    Manager Of Systems And Business Analysis
    Envoy/Webmd (Now Change Healthcare) Aug 1996 - Jul 2001
    • Oversaw the implementation of all X12 transactions for ENVOY’s Medical Real Time transaction processing system using the X12N Implementation Guides adopted for use under HIPAA• Transactions implemented for both Health Plans and Health Care Providers included the 270/271 Eligibility, 278 Authorization, 276/277 Claim Status and 837 Professional Claim.• Additional non-HIPAA related X12 transaction functionality for the 278 Authorization Inquiry & Response, as well as the 277 Claim Status as a response to 837 transactions were developed and implemented.• Directed and managed team of analysts as well as outside contractors.• Was speaker on HIPAA Implementation at industry events on behalf of ENVOY/WebMD.
  • Cigna/Medicare
    Senior Systems Analyst
    Cigna/Medicare Jul 1991 - Aug 1996
    • Responsible for X12 837 and NSF initiatives from mapping, testing, training through to deployment.• Trained all EDI Customer Support personnel.• Interact with Federal and State Agencies including the Health Care Finance Administration (HCFA, now CMS).• Represented HCFA at X12 conferences for their Health Care Eligibility initiatives.

Stuart Beaton Skills

Hipaa Edi X12 Business Analysis Healthcare Information Technology Healthcare Healthcare Industry Requirements Analysis Software Implementation Health Information Exchange Process Improvement Sdlc Eligibility Business Process Improvement Integration Ehr Hl7 Icd 10 Consulting Analysis Business Intelligence Management Software Documentation Quality Assurance Healthcare Information Technology Medicare Electronic Data Interchange Medicaid Requirements Gathering Revenue Cycle Software Development U.s. Health Insurance Portability And Accountability Act Software Development Life Cycle Claim Practice Management Policy Electronic Medical Record

Stuart Beaton Education Details

Frequently Asked Questions about Stuart Beaton

What company does Stuart Beaton work for?

Stuart Beaton works for Secure Exchange Solutions (Healthcare)

What is Stuart Beaton's role at the current company?

Stuart Beaton's current role is Director Implementation Services at Secure Exchange Solutions (Healthcare).

What is Stuart Beaton's email address?

Stuart Beaton's email address is st****@****ing.com

What schools did Stuart Beaton attend?

Stuart Beaton attended University Of North Alabama, Mcvi.

What skills is Stuart Beaton known for?

Stuart Beaton has skills like Hipaa, Edi, X12, Business Analysis, Healthcare Information Technology, Healthcare, Healthcare Industry, Requirements Analysis, Software Implementation, Health Information Exchange, Process Improvement, Sdlc.

Who are Stuart Beaton's colleagues?

Stuart Beaton's colleagues are Clay Rogers, Carly Aguirre, Csm, Collin Hyde, Carol George, Philip Park, Andrew Cookson, Timothy Hargan.

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