Presentation is loading. Please wait.

Presentation is loading. Please wait.

Novant Health: Transforming Revenue Cycle Services in the Ambulatory Setting Making Healthcare Remarkable R. Henry Capps Jr., MD, FAAFP, Senior VP of Physician.

Similar presentations


Presentation on theme: "Novant Health: Transforming Revenue Cycle Services in the Ambulatory Setting Making Healthcare Remarkable R. Henry Capps Jr., MD, FAAFP, Senior VP of Physician."— Presentation transcript:

1 Novant Health: Transforming Revenue Cycle Services in the Ambulatory Setting Making Healthcare Remarkable R. Henry Capps Jr., MD, FAAFP, Senior VP of Physician Services & Medical Group CMIO Novant Health Geoffrey Gardner, CPA, VP of Finance Novant Health

2 FPO Bringing together world-class technology and clinicians to provide care that works with patients’ schedules, preferences and needs. Creating a healthcare experience that is simpler, more convenient and more affordable, so that our patients can focus on what really matters: getting better and staying healthy.

3

4

5 100

6 Billing offices consolidated into one

7 Practice management system implementation timeline Begin system build 60 clinics go live 266 clinics live Jan. 2011 July 2011 Jan. 2012 July 2012 Feb. 2013 July 2013 289 clinics live 301 clinics live ROLLOUT COMPLETE 343 clinics live

8 FOOTER AREA Single system and operational transformation

9 FOOTER AREA Led to increased efficiency, higher collection rates and lower contractuals

10 RCS performance 66% 10%

11 RCS performance 98 35 20102014

12 RCS performance

13

14 What does RCS look like today? FPO

15 RCS staffing 320 employees in core RCS  Cash posting  Cash reconciliation  Credit resolution  Insurance follow-up  Customer service  Patient follow-up  Support & analysis 20 employees in technical billing (for split bill clinics) 71 employees in advocates 57 employees in coding 76 employees in preverification

16 Enhanced RCS services July 2011 Advocates August 2012 Coding October 2012 Preverification

17 Revenue Cycle Advocates Serve as clinics’ primary point of contact for any billing issues Resolves complex patient billing issues escalated by Customer Service Navigates the patient through the financial assistance application process Partners with the clinics to collect any patient outstanding self-pay and bad debt balances owed prior to the patient’s next appointment

18 Coding Executes comprehensive coding program including backend review functions and on-site clinic support for providers and clinic staff Partners with compliance and coding education Delivers feedback to providers for improved documentation and payer requirements

19 Preverification Ensures that patient’s registration is accurate with insurance information verified and loaded correctly prior to the patient’s visit Navigates automated eligibility tools to locate coverage(s) and add appropriate coverage to the patient’s account Optimizing and streamlining current workflow to target higher risk encounters

20 Integrated approach to Revenue Cycle Services Revenue Cycle Advocates Optimization Team Patients Customer Service Clinic Operations Core RCS

21 FOOTER AREA 38

22 FOOTER AREA Percent decrease in RCS core cost

23 RCS costs 40 35 30 25 20 15 10 5 0 In millions Year

24 RCS costs

25 Typical outsource cost as % of collections Core RCS Cost as a % of Collections RCS Case Collected

26 48

27 Percentage reduction in total cost as related to total dollars billed

28 Patient engagement tools FPO

29 MyNovant

30 The road of continuous improvement

31 What’s next? Enhanced analytics Coding optimization ICD-10 Improvement of self-pay outstanding balances through integration of “propensity to pay” technology Additional front-end process and staffing redesign Denial management

32 Let’s chat


Download ppt "Novant Health: Transforming Revenue Cycle Services in the Ambulatory Setting Making Healthcare Remarkable R. Henry Capps Jr., MD, FAAFP, Senior VP of Physician."

Similar presentations


Ads by Google