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 Services
Revenue Cycle -
Process Improvement Approach
Process improvement begins with our assessment of all aspects of the revenue
cycle. We literally walk through all the steps in the process looking for accuracy,
clarity of roles, management oversight and monitoring, staff accountability
and ownership.
We focus on:
- critical steps which occur in
the early phases of the process (vs. at the back
end when it is often too late)
- accountability
of each department for an accurate and complete
billable record of their activity
Our assessment covers each step in the process
as follows:
- Arranging for Care – patient access, appointment
scheduling, pre-registration, financial screening, referrals, eligibility
verification, record assembly and forms generation, and system interfaces
- Delivering
Care – patient flow, care delivery and clinical documentation,
order entry, ancillary tests and procedures, charge generation, medical
records coding, and system interfaces
- Billing and Accounting for Care – charge
entry, system interfaces, patient accounting, and A/R follow-up
Deliverables
- Graphical
walk-through of our findings
- Root cause analysis of the problems plaguing
the revenue cycle in each area
- Prioritized initiatives for each step
of the cycle
- Targeted areas where initiatives will have the most impact
- Steps
to enhance Billing and Collection Performance
- Recommendations specifically
for Unbilled (DNFB) Solutions
- Improvement in Application of Information
Technology
Management and revenue cycle department heads
are brought together to form a Revenue Cycle Leadership Group. We facilitate
regular meetings of the Group to reach consensus on initiatives to tackle,
and to monitor progress.
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