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$4 Million Recovered for County-Based L1 Trauma Center

September 14, 2018 by healthbpm

county hospital clinic care system

Large metropolitan Level 1 Trauma Center and network of clinics with revenue of $6.4B

Executive Summary:
  • $4+ Million in underpaid claims identified
  • Team trained – Recovery analysis
  • Provided maintenance services

Challenge:

HealthBPM was asked to assist in building Epic reimbursement contracts, underpayment identification and train staff on Epic Resolute build procedure and functionality.

Approach:

  • Update existing Epic Resolute Hospital Billing (HB) Contracts with annual updates
  • New build of Professional Billing (PB) Contracts
  • Training on Epic Functionality not in use (Contract Modeling, Record Viewer, Undercharging Analysis)
  • Knowledge transfer to internal staff so they can maintain contracts going forward

Outcome:

  • Contracts for the top payers were built and added to the production environment.
  • Work queues were built for the new contracts to help identify and work underpayments as they as soon as the payment posts.
  • Knowledge Transfer to staff: data analysis techniques to manage the build and recovery process with payers on an on-going basis.

[Add Link to Contract Mgmt Page]

Filed Under: Success Stories Tagged With: case study, contract management


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OTHER RECENT INSIGHTS

  • Assessing your Risk for Controlled Substance Drug Diversion
  • Electronic Health Record Optimization
  • Epic Grand Central Optimization
  • Payer Contract Modeling
  • Controlled Substance Drug Diversion Prevention

TOPICS

  • Insights
  • Pulse on Healthcare
  • Success Stories
  • Epic Systems
  • Drug Diversion Prevention
  • Revenue Cycle Management Optimization

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