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Charge Capture Improvements Increase Revenue by $552K

July 13, 2022

Article Summary


Being paid appropriately is vital to success, and charge capture processes are critical to maintaining a health system’s financial well-being. Blessing Health System (Blessing) recognized its charge capture process wasn’t keeping pace and lacked the flexibility to adapt quickly—and as a result, revenue was lost. To improve financial performance, Blessing implemented the VitalIntegrity™ application to provide quick, fully customizable rules management, advanced reporting and analytics, and auditing processes. Utilizing the application, Blessing has improved revenue integrity and clinical documentation.

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Featured Outcomes
  • $552K increase in revenue in one year.

EFFECTIVE CHARGE CAPTURE PROCESSES CRITICAL TO SUCCESS

In the post–COVID-19 era, being paid appropriately for services is vital. A health system’s financial well-being is dependent upon effective charge capture processes. Without it, an organization is unable to generate revenue for the services rendered.

LACKING INTEGRATED REVENUE CYCLE DATA HINDERS IMPROVEMENT EFFORTS

Blessing意识到,它用于收费获取的流程跟不上不断变化的报销环境,缺乏快速适应的灵活性。缺乏整合的收入周期数据阻碍了对收费获取和合规流程的洞察,这使得改进工作变得困难。因此,提交的索赔要求并不总是完整或“干净”的(没有错误和遗漏,能够在没有额外资料或核实的情况下进行处理),损失了宝贵的收入。组织不仅需要一种方法来集成、集中和可视化收费捕获问题,而且还需要一种方法来识别根本原因并快速解决它们。

IMPROVING FINANCIAL PERFORMANCE

为了最大限度地减少收入流失和提高财务业绩,Blessing选择实施VitalIntegrity™。这个基于web的应用程序提供了快速、完全可定制的规则管理、高级报告和分析,以及医院、专业人员和汇款账单信息的审计和对账。Blessing使用VitalIntegrity为其分析师自动化工作队列。应用程序中提供给分析师的高价值数据和分析支持他们一次性解决所有电荷捕获问题。现在,Blessing可以回顾和了解日常的充电捕获性能,也可以审核充电捕获过程的每一步,找出问题所在和根本原因。该组织分析其收费捕获和合规机会,包括错过收费和超额收费。With new insights, the organization identified several improvement opportunities, including:

  • Electrophysiology charges for procedures performed in the catheterization lab and angioplasty.
  • Infusion and injection charges for bedside procedures.
  • Labor and delivery charges.
  • Medication charges and units of service for a new, high-cost medication.
  • Speech and language charges.

Additionally, automated reports support leaders in monitoring performance, including individual analyst and team productivity.

“VitalIntegrity has enabled us to continually identify charge capture issues, improve our processes, and increase productivity, increasing revenue by more than $550K.”

Diana Kessler, Manager Charge Capture, Blessing Health System

RESULTS

By leveraging VitalIntegrity, Blessing has improved revenue integrity and clinical documentation, enabling it to submit complete, clean claims and collect for the services provided. Results include:

  • $552K increase in revenue in one year, the result of improved charge capture accuracy.
  • > 25%的费用增加捕获团队成员的生产力,为增加的性能审计、问题识别和问题解决创建能力。
  • 100%成功审计所有收费,确保持续合规。

WHAT’S NEXT

Blessing将继续使用VitalIntegrity进行持续的根本原因修复和持续改进。

ADDITIONAL READING

Improved Patient Access and Increased Demand Contribute to Additional Revenue

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