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 [...]
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 [...]
Ability to remove non-essential POC functions from the office. Improves ability to focus on the “face to face” experience with the patient/customer. Decompresses local practice leadership. Ability to build leadership expertise in specific functions- call management, triage, training, other centralized functions. Improved Telephony platforms- On-hold messaging, call recording, customer surveys, performance data, etc. Scalable problem solving.
Implementing a robust Revenue Integrity program is essential to bridging the all too persistent gap between the full reimbursement to which an organization is entitled, and actual reimbursement realized within the traditional Revenue Cycle Management process. Many organizations are aware that they are affected by revenue leakage, but quantifying and eliminating revenue leakage can prove a daunting task. A successful Revenue Integrity Program will eliminate the traditional Revenue Cycle departmental silos that contribute to these challenges, aligning the Charge Description Master (CDM) and the rest of the Revenue Cycle process, and defining a holistic approach to charge capture which impacts all related departments. RTSS has guided a number of large and complex client organizations in mitigating risk to revenue through Revenue Integrity efforts, including providing Interim Leadership, gap assessment, CDM analysis and consolidation, auditing, facilitating operational engagement, and providing knowledge transfer and mentorship to client internal resources. Our methodology has identified several guiding principles which are key [...]