111

Technology Ideas to Enhance Business Office Efficiencies

Technology Ideas to Enhance Business Office Efficiencies

22

Track Owners: Zinc Instructions

Please update the chart to the right before submitting the presentation into Active

Track Owners: Zinc Instructions

Please update the chart to the right before submitting the presentation into Active

• Following review and approval in Active, each presentation given by GE employees or customers at Centricity LIVE must be approved through Zinc

• Jessica Diniz will be uploading each presentation into Zinc following Active review

• Before submitting this presentation in Active for review, Track Owners must select the appropriate answer to each Legal and Regulatory question

• ALL QUESTIONS MUST BE ANSWERED

• If further substantiation is required, please email the appropriate permissions, sources, or citations to jessicadiniz@ge.com so she can upload to the Zinc Gallery

• Once the presentation is approved in Zinc, please delete this slide from the final deck before presenting at Centricity LIVE

Individual Page Use?:Yes

Are all Uses and Applications Discussed or Referenced in the Proposed Material on Label for the Product?:

Yes

Relates to a Major new Product/Services Launch?: No

Includes Product or Service Claims, Features, Benefits or similar information?:

No

Contains Competitive or Comparative Claims?: No

Includes Return on investment (ROI), quantifiable cost of ownership, reimbursement, or meaningful use claim or reference?:

No

Include References to Market / Segment Share or Market / Segment Leadership?:

No

Include identifiable Patient Information / Data?: No

If Customer Names are Used, are Necessary and Appropriate Permissions in Writing and on File?:

Yes – Permission to use on File (in Gallery)

Include Customer Testimonials?: Yes – Permission to use on File (in Gallery).

If any non-GE Stock Images are Used, are Necessary and Appropriate Permissions in Writing and on File?:

N/A

Do the Proposed Materials Contain Images of GE Products?: No

Do all Product Images Depict the Device(s) Being Promoted in the Piece?:

N/A

This is a Translation of a Previously Approved Piece in Which no Changes Have Been Made?:

No

This is a Revision of a Document Previously Approved for Ad / Promo Use?:

No

3

IPC Healthcare, Inc. – FACTS!IPC Healthcare, Inc. – FACTS!

Fred Torres: Vice President, Central Business Office (CBO) Anna Torosyan: Manager, Receivables Management

A few interesting IPC Facts: Founded in 1995 About 2500 providers, practicing in 28 states Providing care in over 1900 medical facilities In 2014, approximately 7 million patient visits Headquartered in Los Angeles, with nearly 300 employees in the CBO We bill to over 3,000 payers nationally

4

The Business Office EnvironmentThe Business Office Environment

With over 7 million patient encounters each year, like most business offices, we are very busy.

The standard uses of automation are available Electronic claim submission Electronic payment posting Automated insurance verification Billing/coding scrubbing tool

But what if there is no available automated solution?

5

Create A New Automated ProcessCreate A New Automated Process

We assessed five different areas within the CBO that had a high work volume and no available automated alternative

These options were not initially provided during our transition to Group Management from our legacy billing system

6

Batch Name Scrubbing ToolBatch Name Scrubbing Tool

1st Process

Automatically fixing/editing an entire batch name where previously it had to be done manually.

7

Needed A SolutionNeeded A Solution

If the payment poster entered the incorrect batch name as they posted a payment or left it blank, they would need to manually change the batch name on each payment.

There must be a better way to do this!!!

8

Batch Name Scrubbing ToolBatch Name Scrubbing Tool

Our current manual process was very involved, especially for large batches with thousands of lines of payments that had to be corrected

We asked a question to GE and provided the data elements involved to research if something could be done to assist us

A special program was created for us, which has saved hundreds of hours each year

9

Batch Name Scrubbing ToolBatch Name Scrubbing Tool

Used when an ABA # is posted incorrectly on a payment. It will automatically

update the entire batch to avoid fixing it manually.

10

Automated Posting From a SpreadsheetAutomated Posting From a Spreadsheet

2nd process

Automatically posting payments for a payer that does not have an available electronic remit process.

11

Automated Posting From a SpreadsheetAutomated Posting From a Spreadsheet

Requirements: Payers that are not currently set up for electronic payments

or remits

Payers that send spreadsheets or PDF files that can be converted to an excel file

The file must contain patient information, DOS and the amount of the payment to post

12

Automated Posting From a SpreadsheetAutomated Posting From a Spreadsheet

acct charge no dos check no batch name/aba payment code adj code control grp ins code pmt amt

23365 11/24/2013 043676039 121114TMC6 RPPT RPPA 1558 6398 32.83

42695 03/16/2014 043676039 121114TMC6 RPPT RPPA 1558 6398 26.82

42695 03/17/2014 043676039 121114TMC6 RPPT RPPA 1558 6398 14.04

42695 03/18/2014 043676039 121114TMC6 RPPT RPPA 1558 6398 20.75

51205 04/05/2014 043676039 121114TMC6 RPPT RPPA 1558 6398 34.48

51205 04/06/2014 043676039 121114TMC6 RPPT RPPA 1558 6398 34.48

75669 03/02/2014 043676039 121114TMC6 RPPT RPPA 1558 6398 39.53

75669 03/23/2014 043676039 121114TMC6 RPPT RPPA 1558 6398 14.04

75669 03/24/2014 043676039 121114TMC6 RPPT RPPA 1558 6398 14.04

75669 03/25/2014 043676039 121114TMC6 RPPT RPPA 1558 6398 14.04

13

Automated Posting From a SpreadsheetAutomated Posting From a Spreadsheet

Prep Time: May need to run a report against open balances if some

information is missing, such as account or charge number

The excel file needs to be formatted in the correct order according to the program’s specifications

The file is saved as a tab delimited text file in the FTP server

A special program is run and the file is processed

14

Automated Posting From a SpreadsheetAutomated Posting From a Spreadsheet

Results:

Takes between 1 – 2 hrs of prep time, depending on the size of the file and amount of missing information

A file with 1,000 payments can be processed within a few minutes, otherwise it would take more than 6 hours to manually post

15

Automated Productivity CalculationAutomated Productivity Calculation

3rd processAutomating our daily production worksheets to assess total amount of work performed in the task management queues.

16

Automated Productivity CalculationAutomated Productivity Calculation

Group Management does offer some productivity reports, but they do not measure what we would like to measure.

17

Automated Productivity CalculationAutomated Productivity Calculation

Results:

Every Saturday, a report is generated automatically and available in printer management

Data: Contains information of the employees tasks that were worked through task management

Detailed productivity Report contains:

a) Charges/Accounts and Tasks worked

b) The Queue name and time/date worked

c) Charge owed Amount

Eliminated manual dailies for production and quota assessment

18

Automated Productivity CalculationAutomated Productivity Calculation

19

Working With Large Amounts of DataWorking With Large Amounts of Data

4th Process

Automatically posting denial/payment message codes and/or rebilling by report.

20

Working With Large Amounts of DataWorking With Large Amounts of Data

Requirements and Benefits:

Spreadsheet of charges to be rebilled or denials posted– Mass rebill of payer issues identified

The file must contain Account #, Charge #, insurance code, denial reason and/or if a rebill is needed

File prep and loading takes seconds

File is uploaded and processed in the evening– Claims get billed the next day and/or next billing run. – Denial codes get posted in the evening

21

Working With Large Amounts of DataWorking With Large Amounts of Data

22

Tranwrite-off ProcessTranwrite-off Process

5th Process

Automatically adjusting charges owed or transferring charges to patient in bulk- real time.

23

Tranwrite-off ProcessTranwrite-off Process

Write-off Charges or Transfer Charges to Patient in bulk:

Process:

Spreadsheet of Charges- Upload through FTP server

Thousands of charges can be billed to patient or adjusted in less than a minute

24

Q & AQ & A