Hospital based Care System with 12 hospitals and 100+ clinics with revenue of $5.3B.
Integrated Care System with 6 hospitals and 30 clinics with revenue of over $1.1B.
Executive Summary:
- Loaded 300+ Contracts
- Team trained – Recovery analysis
- Provided maintenance services for an additional 6 months
Challenge:
A metropolitan hospital-based care system needed 80% of their new contracts loaded into Epic Resolute in a short time period. HealthBPM assisted by building out 300+ of their Hospital Based Epic reimbursement contracts in a matter of 4 months.
Approach:
- HealthBPM assigned a team of 6 people to build out all of their HB Payer contracts.
- Built 300+ Epic Resolute Hospital Billing (HB) Contracts.
- Trained staff as they work toward certification which will allow the internal team to maintain contracts internally going forward.
Outcome:
- Contracts for all top payers were built and added to the production environment on
- time and on budget.
- Knowledge Transfer of data analysis techniques to internal staff allows the team to perform ongoing management of the build and recovery process with payers.
- One consultant was requested to stay on for 6 additional months to help support the internal team.
Institutoprogreso.com.mx
300+ Hospital-Based Reimbursement Contracts Built in Less Than 4 Months | HealthBPM