1. Life After 40 Best Practices for Revenue Cycle Management Life After 40 Project National Family Planning & Reproductive Health Association 2013 NFPRHA Regional Meeting – Saint Louis, MO

2. The Authors Susan Gadon Daryn Eikner 2

3. The Case Study 3

4. 4 la40resources.org

5. Why do this study? 5

6. The Participants 6 Bridgercare The Center Planned Parenthood Arizona

7. Thirteen locations in: Chandler Flagstaff Glendale Mesa Phoenix Prescott Valley Scottsdale Tempe Tucson Yuma Roughly 35,000 claims per year 7

8. Two locations in: San Luis Obispo Arroyo Grande 11.8 FTE Roughly 10,000 claims per year 8

9. One location in: Bozeman, MT 13.6 FTEs Roughly 8,000 claims per year 9

10. The Revenue Cycle 10 Patient Access: Scheduling and Insurance Eligiblity Patient Check-in/ Registration Clincial Services: Documentation and Coding Check-out: Fee Collections Claims Creation and Submission Remittance Processing and Denial Managment Reporting and Analysis

11. What data and key indicators does your agency collect? How do you use the data to effectively manage your revenue cycle processes? 11

12. PPAZ Charge Trend 12

13. PPAZ Payment Trend 13

14. PPAZ Transactions and Charges 14

15. PPAZ Days in A/R 15

16. 16 PPAZ Accounts Receivable

17. Bridgercare Clearinghouse Checklist 17

18. Bridgercare Payment Reconciliation Checklist 18

19. Bridgercare Increase In Third-party Payer Revenue FY 12FY13 Total Amount. % Amt. D Prev. Yr. July$29,272.14$21,221.38 -27.50% August$25,796.75$44,397.80 72.11% September$33,548.58$47,379.23 41.23% October$9,903.84$46,053.73 365.01% November$15,929.87$37,578.69 135.90% December$12,769.50$47,258.75 270.09% January$18,767.23$10,403.23 -44.57% February$19,244.62$42,637.84 121.56% March$30,450.58$48,878.85 60.52% April$20,745.55$59,773.20 188.13% May$5,322.33$40,721.49 665.11% June$79,113.40$79,156.54 0.05% Year $300,864.39$525,460.73153.97% FY 12 = July '11-june '12FY 13= july '12-june '13 19

20. Clearinghouse Dashboard 20

21. Shifts Made In Staffing Structure Due To Changes Within Revenue Cycle Processes 21 What new positions were created? What positions were eliminated? What positions were changed? What skills transferred from one position to another?

22. Questions?