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Strategic Healthcare Consulting Services

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300+ Hospital-Based Reimbursement Contracts Built in Less Than 4 Months

July 27, 2018 by healthbpm

Care system with outpatient surgery clinic

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.

Filed Under: Success Stories


LOOKING FOR SOMETHING?

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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