Reimbursement models are constantly changing and becoming more complex with value-based contracting, payment bundling, shared savings, and risk-based compensation.
With improved revenue cycle management, your organization can avoid payment hassles by gathering accurate patient data, streamlining eligibility & authorization workflows, and appropriate coding. With fewer denied claims and accurate reimbursement, you can increase top-line revenue with less effort.
Boost revenue by optimizing each Epic module
Margins are thin and cash is crucial; it’s critically important to continually improve the functionality of your Epic System. HealthBPM can evaluate opportunities for more efficient and effective processes at the front-end, middle, and back-end of your revenue cycle.
Capture accurate patient insurance information upfront
Inaccurate collection of your patients’ information during scheduling, registration, and prior-authorization will have a negative impact on revenue and patient satisfaction throughout the entire process. In addition, your patients are demanding clear and concise cost estimates for the services they are receiving. HealthBPM’s optimization approach will assure that you are gathering ALL of the appropriate information to make an exceptional patient experience and increase your bottom line.
Optimize your coding and charge capture
Complex payer reimbursement models are the new norm. Inaccuracy of charge capture, health information, and coding can create significant impact on expected payment. If a visit is not documented and coded correctly, you will not get paid. HealthBPM can assist by making sure your processes and systems are up-to-date and aligned with your current mix of reimbursement models.
Make your claims processing team more effective
Optimized back-end revenue cycle processes help your organization with better financial health. A clear view of expected payments at point of claim submission improves planning and reporting. HealthBPM can enhance your claims processing, payer contract management, accounts receivable processes, and patient billing by helping you use Epic’s Resolute functionality to its full capability.
HealthBPM’s RCM Approach:
Our approach at HealthBPM is to look at both the behavioral and technical aspects of an opportunity for improvement. Not only do we examine the processes, systems and data; we also evaluate the organization’s communications, governance, and team effectiveness.
HealthBPM will perform a quick (2-4 week) evaluation on a specific Epic module and/or RCM process and provide a gap analysis of where there may be improvement opportunities.
The HealthBPM team will provide a comprehensive evaluation of the entire revenue cycle. We will perform a business process assessment, evaluate charge capture and revenue integrity, and assess the utilization of all of the Epic modules that impact the revenue cycle.
At the end of the revenue cycle healthcheck, we will produce an executive-level report that indicates the areas at risk, recommendations for change, and an actionable plan for measurable improvement with expected financial outcomes.
HealthBPM’s team will be available to you and your revenue cycle team to assist with the ongoing management and maintenance of your payer contracts that have been loaded into Epic’s Resolute module. Our healthmanaged service creates an efficient way to manage the higher volume of work activity needed during the contract negotiations and new contract loading time periods without having to hire new employees. In addition, HealthBPM will help your team stay up-to-date on the latest functionality in Epic Resolute. We also provide you with market insights on advancing, complex payer reimbursement methodologies.
Optimize your revenue cycle with HealthBPM
Let us evaluate each of the phases of your revenue cycle and provide you with actionable insights to increase margins and top-line revenue, improve patient experience, and focus your team on more efficient, rewarding work.