Immediate ROI – 30% Improvement in Clean Claim Results in 2M Financial Improvement

RoundTable Strategic Solutions was recently engaged by an IDN to provide Cerner Revenue Cycle Advisory Services and to drive best practices for its Cerner Revenue Cycle Implementation. In two-short weeks, the RoundTable Executive Consultant drove the organization towards a 30% improvement in the Clean Claim Rate resulting in a 2M financial improvement. Organizational Challenge: PCP Claim Errors in Excess of 2M Two (2) Weeks Post Live RoundTable Approach: Using the Claim Error Analysis Report, RoundTable identified a trend/pattern in the top four (4) Claim Errors that were driving a large volume of claim edits and A/R within Cerner Revenue Manager. Given our revenue cycle operations AND Cerner Patient Accounting application expertise, RoundTable was able to implement a "Cerner Rule" that modified the interface and immediately reduced the Claim Errors. Impact & ROI: In two (2) weeks, the Clean Claim Rate Increased by 30% and resulted in a 2M Financial Improvement. We would welcome the opportunity to share [...]

2018-01-24T11:36:35-05:00May 23rd, 2017|Uncategorized|

7 Critical Moves for Call Center Centralization Efforts

Keep the “Patient” at the Center of the Discussions & Decisions. Develop Access and Scheduling Standards. Develop and/or Broaden Service Offerings. Appointment Scheduling for new and return patients. Appointment Reminder calls/texts. Portal message management. Referral Services. Template Management Schedgistration & Pre-Registration Services Optimize Performance of Existing Call Center Services Invest in additional agent FTE, training and QA resources and space. Standardize scheduling policies and procedures across practices. Incorporate clinical resources (RNs) into the contact center. Incorporate template oversight and access monitoring into the contact center. Service offerings can be broadened and hours of operation extended to offer clients more value and offer patients more convenience. Create new hire ‘boot camp’ that includes soft skills training. Develop competency-based testing for new hires and annual assessment of skills for all scheduling and registration staff.  Develop a competency assessment tool to document agent’s skills vs. expectations and complete at least annually and after new skill sets added. Implement a robust [...]

2018-01-24T11:39:04-05:00May 5th, 2017|Uncategorized|
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