How Emory Healthcare Achieved Patient Satisfaction and Increased Collections
|
|
- Mark Manning
- 6 years ago
- Views:
Transcription
1 Patient Estimation and Upfront Communication How Emory Healthcare Achieved Patient Satisfaction and Increased Collections 1
2 Today s discussion Emory Healthcare Overview Emory Clinic faculty practice 5 acute care hospitals Tackling self-pay Identifying the target Upfront communication and collection strategy Patient Estimation Using Patient Responsibility Pricer (PRP) Process and people Success story Emory University Atlanta, Georgia
3 BILLING ENTITY OVERVIEW Emory University Hospital Bills for all Emory Healthcare Radiology Services 579-bed adult, tertiary care facility Staffed by 1,221 Emory SOM Faculty 25,300 admissions 157,852 outpatient services Emory John s Creek Hospital Joint operating company Founded in 2007 Acquired in 2011 by Emory 110-bed acute care facility 10,000 admissions 50,000 outpatient services Emory University Hospital Midtown Bills for all Emory Healthcare Infusion Services 511-bed adult, tertiary care facility Staffed by 1,126 Emory SOM Faculty and 433 community physicians 21,000 admissions 148,000 outpatient services Emory Saint Joseph s Hospital Joint operating company 410-bed acute care facility Staffed by 620 private physicians 13,148 admissions 186,471 outpatient services Emory University Orthopaedics & Spine Hospital Extension of and bills under EUH s acute care services 120-bed adult, Orthopaedics and Spine specialty hospital Emory Clinic Bills for EC Physician Encounters across the enterprise 1,964 clinical provider 2,814 non-physician employees 2.7M patient care visits
4 Self-pay A/R analysis Shift in healthcare Health Insurance Exchanges (HIX) misunderstanding about what covered means in a High Deductible World Employers offering HDHP Healthcare financial responsibility shifted towards workers or pushing them onto the HIX Impact on self-pay account receivables Greater patient out of pocket expense Copayments Deductibles Coinsurance Payments owed for services already rendered Disconnect between provider and patient Need for improved strategies to address
5 Economics of self-pay Increasing patient responsibility
6 Emory s journey with Patient Responsibility Pricer Beginning of 2007, self-pay A/R was increasing drastically Increased $3 million in 6 months (total >$20 million) 75% of self-pay accounts are after insurance (still true today) Anti-self-pay reconciliation culture (academic medical center) No offensive tools Experian Healthcare Contract Management already in use at Emory Patient demands: Benefits education Reduced financial surprises Short turn-around time Consistency Business demands: Identify after-insurance responsibility Increased upfront collections Short turn-around time Improved decision making and credit risk identification
7 Patient Responsibility Pricer Hospital + Physician The patient-friendly estimate mirrors an EOB and includes detailed descriptions of the line items, including the allowed amounts, copay, deductible, and co-insurance amounts which determines the patient s portion The Patient Responsibility Pricer estimate generator uses Emory s contract definitions and the patient s benefits to adjudicate professional and facility claims to provide us with the patient s total responsibility
8 CENTRALIZED ESTIMATES: PRP ESTIMATE EXAMPLE- PAGE 2 Page 2 provides a brief explanation of benefits and the patient portion The signature line includes an explanation of This is only an Estimate Payments made at the time of estimate are reflected Page 2 8
9
10 Patient Responsibility Pricer end user accountability Patient Responsibility Pricer counselors are audited monthly on collections (40% of score), workflow/accuracy (30% of score), and maintaining credit balances (30% of score) This process ensures we keep the counselors core responsibilities monitored and provides for timely coaching opportunities as well as process improvements.
11 Patient estimation process Emory Clinic Patient Responsibility Pricer collections year-over-year FY12 average collections per counselor per month= $23,127 FY13 average collections per counselor per month= $35,190 FY14 average collections per counselor per month= $45,637 Credit balances average $35,000 per PRP counselor Credit balance goals range from $37K to $27K Average refund is <$100 Key factors in process Upfront communication and benefits education sets payment expectation and empowers patients to make decisions based on their financial responsibility Allows Emory Clinic to analyze collection risks before service is rendered Increased transparency
12 Key performance indicators FY14 Emory Clinic cash collections through the Pre-Service Estimate Process $2.9M* Current Total Emory Clinic Self-Pay AR dollars that are balances after insurance, the target of our PRP process 69% FY14 Emory Clinic Self-Pay AR resulting from facility based services 49% FY14 number of PRP Estimates provided to patients 12,872 Looking forward: 2015 Navigator services to identify and enroll HIX patients Only 28 patients in 2014 enrolled in an in-network plan through this effort Better defined processes for 2015 enrollment will increase enrollment in participating plans and increases the HDHP patients needing estimates. The FY14 Emory Clinic average bad debt adjustment as a percent of charges 1.8% *$10.9M in TOS Collections Overall, 27% of department s collections come from PRP 12
13 Patient Responsibility Pricer: Hospital project Patient demands One healthcare estimate Consistent communication Ability to plan sooner Understanding facility vs. physician Business demands Greater ability to collect across the system with increasing shift to patient responsibility Ideal patient and family experience Reduced calls to customer service Pricing transparency
14 Centralized estimates: Front end process flow Request Create Communicate Complete Web form follow up to provide estimate Estimate hotline EPP Centralized Office (2 business day turnaround) Patient Collection & Scheduling inquiry Telephone follow up to review estimate with option to send by mail
15 Benefits of PRP Recognized by The Emory Clinic since 2007 Intentional process of identifying, discussing, and mitigating collection risk Millions of dollars collected prior to services being rendered Decrease in self-pay after insurance AR Decrease in statement expenses Decrease outbound call volume Tens of thousands of patients educated on out of pocket responsibility Empowered patients Improved Patient Satisfaction Decrease in customer service call volume Assist in shifting academic medical center mindset about self-pay environment and risk Meet customer expectations for communicating price upfront
16 People Patient Responsibility Pricer Best Practices Find an interested physician champion with an involved administrator to gain buy-in Look to compensation model Assign staff members a realistic but stretch collection goal Tracks success of your efforts and makes the process their priority Process Pilot as a shift in FTEs Review existing processes to inserted process Pre-Cert Process (EC) Clear escalation and communication between collectors and decision makers Reschedule non-paying patients
ACCELERATING PATIENT EXPERIENCE IMPROVEMENT IN AMBULATORY CARE
ACCELERATING PATIENT EXPERIENCE IMPROVEMENT IN AMBULATORY CARE BERYL PATIENT EXPERIENCE CONFERENCE - APRIL 9, 2015 ALAN DUBOVSKY DIRECTOR OF OPERATIONS, EMORY CLINIC AGENDA 1. Organizational Overview 2.
More informationUpfront Collections, Financial Clearance, and Collection Demographics
Upfront Collections, Financial Clearance, and Collection Demographics Presented by: Marie Murphy Manager, Health Care Revenue Cycle Consulting 701.476.8321 mcmurphy@eidebailly.com Upfront Collections,
More informationPricing Transparency and Patient Education
Pricing Transparency and Patient Education Ochsner Health System Wendy Burns and Katherine Cardwell January 22, 2018 Agenda OHS Background Revenue Cycle Structure Consumerism at OHS Patient Education Initiatives
More informationPatient Payment Check-Up
Patient Payment Check-Up SURVEY REPORT 2017 Attitudes and behavior among those billing for healthcare and those paying for it CONDUCTED BY 2017 Patient Payment Check-Up Report 1 Patient demand is ahead
More informationBenchmarking Patient Access Performance
Revenue Cycle Solutions Benchmarking Patient Access Performance Compare your patient access performance to our 15 best practice benchmarks Advisory Board estimates that the average 350 bed hospital stands
More informationPatient Financial Services Policy
Patient Financial Services Policy Policy: Purpose: Billing & Collection Policy MaineHealth hospitals and physician practices are the frontline caregivers providing medically necessary care for all people
More informationThe Future of Access: A Patient-Centric Vision NAHAM Presentation
The Future of Access: A Patient-Centric Vision 2014 NAHAM Presentation Presenters Karen Shaffer-Platt Georgina Trunzo Vice President, Revenue Cycle/Patient Concierge Services at UPMC 25 years experience
More informationBilling and Collection Practices
Billing and Collection Practices Applicability: Hospital Date Effective: 12/2007 Department: Patient Financial Services Date Last Reviewed: 12/12/17 Supersedes: Billing and Collection Practices Administration
More informationThe Four Pillars of Ambulatory Care Management - Transforming the Ambulatory Operational Framework
The Four Pillars of Ambulatory Care Management - Transforming the Ambulatory Operational Framework Institution: The Emory Clinic, Inc. Author/Co-author(s): Donald I. Brunn, Chief Operating Officer, The
More information8 Ways to Reduce Bad Debt (ANI)
8 Ways to Reduce Bad Debt (ANI) Kerry Hill, Vice President Finance, Rockford Health System Francis Hollweck, Senior Manager, Crowe Horwath LLP Bi Brian Sanderson, Partner, Crowe Horwath thllp 1 TODAY S
More informationMapping the Copay Journey in Pharmacy and Medical Benefit Settings
Mapping the Copay Journey in Pharmacy and Medical Benefit Settings Melissa Paige Darrah Seawell 5 th Annual COUPON and COPAY Talking Points Current issues and pain points seen within a large academic center
More informationRESPONSE TO THE GUIDELINE CHANGE
A response to the FY19 IPPS Proposed Rule (CMS-1694-P) for Requirements for Hospitals to Make Public a List of Their Standard Charges via the Internet Provided by: Cleverley + Associates BACKGROUND The
More informationWelcome to Regence! Meet your employer health plan
is an Independent Licensee of the Blue Cross and Blue Shield Association Regence BlueCross BlueShield of Utah Welcome to Regence! Meet your employer health plan 1 Health insurance is a big, wonderful benefit.
More informationSuper Blue Plus 2000 WVHTC High Option-B (Non-Grandfathered) $200 Deductible
BENEFIT HIGHLIGHTS 1 Super Blue Plus 2000 WVHTC High Option-B (Non-Grandfathered) $200 Group Effective Date December 1, 2017 Benefit Period (used for and Coinsurance limits) January 1 through December
More informationThis document is NOT FOR PROMOTIONAL USE. Do not copy, distribute, or share with physicians, staff, or patients. FOR INTERNAL USE ONLY.
SIMPONI ARIA Infusion Suite Module Summary Page 1 of 5 The trademark, SIMPONI ARIA, has received provisional acceptance from the FDA. SIMPONI ARIA is an investigational agent currently under review by
More informationPatient Financial Experience Journey How to Create a World-Class Financial Service Center
Patient Financial Experience Journey How to Create a World-Class Financial Service Center Session 91, March 6, 2018 Sharlene Seidman, Executive Director Corporate Business Services 1 Conflict of Interest
More informationVICE PRESIDENT NURSING SERVICES
VICE PRESIDENT NURSING SERVICES Van Wert County Hospital Van Wert, Ohio Prepared by WK Advisors December 5, 2012 2 OVERVIEW OF THE ORGANIZATION Van Wert County Hospital (VWCH) is an independent, non-profit
More informationProvider Update. In This Issue. Fall OhioHealthy News p. 2. Provider Resources p. 4. Pharmacy p. 6. Reminders p. 6
Provider Update Fall 2016 In This Issue OhioHealthy News p. 2 New Health Savings Account (HSA) New Debit Card for Health Reimbursement Accounts (HRA) Provider Resources p. 4 Tips for Accurate and Efficient
More informationHow to Read a Medicare Summary Notice (MSN)
The Medicare Summary Notice (MSN) is a report of doctor visits, services, or supplies billed to Medicare in your name. It is mailed every three months when Medicare has been billed for services and is
More informationSpeare Memorial Hospital Plymouth, NH A Critical Access Hospital
Speare Memorial Hospital Plymouth, NH A Critical Access Hospital DEPT: Administration Title: Financial Assistance Policy (formerly known as Speare Charity Care, Community Care or Financial Assistance)
More informationOur Patient Portal Experience
Our Patient Portal Experience Pat Bracknell, CHDA May 13, 2016 Central Oregon 1 Goal Describe how our organization is working through the benefits and challenges of implementing a patient portal in response
More informationRural Hospital Performance Improvement
Rural Hospital Performance Improvement North Sunflower County Hospital Ruleville, Mississippi July 2003 What Was Needed Business Office Review AR Analysis Clinical Services Evaluation Core Services Planning
More informationThe impact of patient financial satisfaction on the independent medical practice
The impact of patient financial satisfaction on the independent medical practice White Paper, January 2018 The impact of patient financial satisfaction on the independent medical practice The ongoing consumerism
More informationEmory Healthcare. Learning Objectives. Physician Engagement and New Resident Training in CDI
Physician Engagement and New Resident Training in CDI Emory Healthcare, Atlanta, Ga.: Bonnie I. Epps, MSN, RN Manager, Clinical Documentation Improvement Brenda Bell, RHIA Director, Health Record Integrity
More informationDoris V. Branker, CPC, CPC-I, CEMC
Doris V. Branker, CPC, CPC-I, CEMC 1 Identify the common sources for missed reimbursement in the specialty practice Identify the common sources for reduced reimbursement in the specialty practice Identify
More informationBENCHMARKING FOR ORGANIZATIONAL EXCELLENCE IN ADDICTION TREATMENT
BENCHMARKING FOR ORGANIZATIONAL EXCELLENCE IN ADDICTION TREATMENT Operational Benchmarks 1. Initial Access Initial Access Average number of calendar days between date of first contact and date of initial
More informationPOSITION DESCRIPTION
POSITION DESCRIPTION TITLE: Charge Nurse, Oncology Outpatients REPORTS TO: Nurse Unit Manager PROFESSIONAL REPORTING: Nurse Unit Manager LOCATION: Auckland City Hospital (Grafton) AUTHORISED BY: Nurse
More information2016 MEMBER SURVEY SUMMARY AND ANALYSIS
2016 MEMBER SURVEY SUMMARY AND ANALYSIS Introduction Traditionally each year ONS conducts a survey of its membership to assess their overall level of satisfaction with their membership and engagement with
More informationMeasuring the Cost Effectiveness of Pharmacogenomic Testing
Measuring the Cost Effectiveness of Pharmacogenomic Testing Kenneth Levy, Ph.D., MBA Adjunct Associate Professor of Medicine Indiana University School of Medicine Disclosures: The author has no disclosures
More informationAppendix B: Formulae Used for Calculation of Hospital Performance Measures
Appendix B: Formulae Used for Calculation of Hospital Performance Measures ADJUSTMENTS Adjustment Factor Case Mix Adjustment Wage Index Adjustment Gross Patient Revenue / Gross Inpatient Acute Care Revenue
More informationThe goal is to turn data into information, and information into insight.
aipam Transforming the Patient Financial Experience through Effective Benchmarking Thursday March 10 th, 2016 Suzanne Lestina, FHFMA, CPC VP, Revenue Cycle Innovation Avadyne Health The goal is to turn
More informationRevised: April 2018 TITLE: CHARITY CARE POLICY
Revised: April 2018 TITLE: CHARITY CARE POLICY POLICY: New York State Public Health Law (Section 2807-k-9-a) and the Internal Revenue Code (Section 501(r)) require hospitals to provide free or reduced
More informationEVERY DAY. we strive to change lives for the better by addressing our community needs. in community benefits SERVING MORE THAN 563,000
EVERY DAY we strive to change lives for the better by addressing our community needs. In 2013 we provided over $199 million in community benefits SERVING MORE THAN 563,000 people through our outreach programs.
More informationDeveloping and Operationalizing a Telehealth Strategy. Cone Health s Story \370127(pptx)-E2 DD
Developing and Operationalizing a Telehealth Strategy Cone Health s Story 0 At the conclusion of this presentation, attendees should have developed a comfortable understanding of the following: Learning
More informationMolina Healthcare MyCare Ohio Prior Authorizations
Molina Healthcare MyCare Ohio Prior Authorizations Agenda Eligibility Medicare Passive Enrollment Transition of Care Definition Submission Time Frame Standard vs. Urgent How to Submit a Prior Authorization
More informationSouth Warwickshire s Whole System Approach Transforms Emergency Care. South Warwickshire NHS Foundation Trust
South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS Foundation Trust South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS
More informationAccountable Care Atlas
Accountable Care Atlas MEDICAL PRODUCT MANUFACTURERS SERVICE CONTRACRS Accountable Care Atlas Overview Map Competency List by Phase Detailed Map Example Checklist What is the Accountable Care Atlas? The
More informationMEDICAL ASSISTANCE BULLETIN
MEDICAL ASSISTANCE BULLETIN ISSUE DATE August 30, 2010 EFFECTIVE DATE August 30, 2010 NUMBER 01-10-24 SUBJECT Hospital Uncompensated Care Program and Charity Care Plans BY Michael Nardone, Deputy Secretary
More informationOvercoming Common Barriers to Successful Safe Patient Handling Programs
Overcoming Common Barriers to Successful Safe Patient Handling Programs Strategies for Gaining Support with Leadership at All Levels Ed Hall, Chief Operating Officer, The Risk Authority Strategies for
More informationA new freedom of choice for the state where freedom means everything.
A new freedom of choice for the state where freedom means everything. Anthem HMO Blue New England Choice 04110NHMENABS 04/15 For Large Group only Choose your doctors and your hospitals all across New England.
More information9/15/2017 THROUGHPUT. IT S NOT JUST AN EMERGENCY DEPARTMENT ISSUE LEARNING OBJECTIVES
THROUGHPUT. IT S NOT JUST AN EMERGENCY DEPARTMENT ISSUE D O N N A C R I M M I N S - B O N N E L L, B S N, M H S M, C P H Q, L S S G B LEARNING OBJECTIVES 1) Define who is affected by inefficiency in throughput
More informationAnnual Notice of Changes for 2016
Health Alliance Medicare PPO 10 (PPO) offered by Health Alliance Connect, Inc. Annual Notice of Changes for 2016 You are currently enrolled as a member of Health Alliance Medicare PPO 10. Next year, there
More informationMinnesota health care price transparency laws and rules
Minnesota health care price transparency laws and rules Minnesota Statutes 2013 62J.81 DISCLOSURE OF PAYMENTS FOR HEALTH CARE SERVICES. Subdivision 1.Required disclosure of estimated payment. (a) A health
More informationFrom Implementation to Optimization: Moving Beyond Operations
From Implementation to Optimization: Moving Beyond Operations Session 260, March 8, 2018 Scott Aikey, Sr. Director, Core Clinical Applications Children s Hospital of Philadelphia 1 Conflict of Interest
More informationASSESSING CONSTRUCTION THE ROLE OF INTERNAL AUDIT CONSULTANT ROBERT S. BRIGHT PRESIDENT TALSON SOLUTIONS LLC
1 ASSESSING CONSTRUCTION AUDIT RISK: THE ROLE OF INTERNAL AUDIT AND THE EXTERNAL CONSULTANT ROBERT S. BRIGHT PRESIDENT TALSON SOLUTIONS LLC AHIA 31 st Annual Conference August 26-29, 2012 Philadelphia
More informationManaging Receivables Through Patient Access Ingenuity
Managing Receivables Through Patient Access Ingenuity Managing Receivables Through Patient Access Ingenuity About the Organization Cedars-Sinai Medical Center: 886 Licensed Beds in Beverly Hills, California
More informationFINANCIAL ASSISTANCE POLICY
TITLE: FINANCIAL ASSISTANCE POLICY STATEMENT OF PURPOSE: This policy is intended to establish guidelines for a structured procedure so as not to exclude anyone from seeking medical services on the grounds
More informationJ.P. MORGAN 35 TH ANNUAL HEALTHCARE CONFERENCE JANUARY 9-12, 2017
J.P. MORGAN 35 TH ANNUAL HEALTHCARE CONFERENCE JANUARY 9-1, 017 Forward-Looking Statements This presentation may contain forward-looking statements based on current management expectations. Numerous factors,
More informationPromoting Value Through Transparency
Promoting Value Through Transparency Program, Training and Implementation Stephanie Benintendi, Corporate Director, Patient Access Centura Health April 27-28, 2017 Promoting Value Through Transparency
More informationCitigroup Non-Profit Investors Conference
Citigroup Non-Profit Investors Conference May 24, 2017 Maine Health Care Market Hospitals are increasingly consolidated into systems - 36 hospitals in the state all not-for-profit - 84% of state s beds
More informationGeneral Surgery Patient Call Coverage Demand in a Community Hospital with a Limited Number of General Surgeons
American College of Medical Practice Executives General Surgery Patient Call Coverage Demand in a Community Hospital with a Limited Number of General Surgeons Case Study Manuscript (This case study manuscript
More informationHospitals. Internal Revenue Service Information about Schedule H (Form 990) and its instructions is at
SCHEDULE H Hospitals OMB No. 1545-0047 (Form 990) Complete if the organization answered "Yes" to Form 990, Part IV, question 20. Attach to Form 990. Open to Public Department of the Treasury Internal Revenue
More informationAOA Evaluation Worksheet FY 2012 Renewal
INTRODUCTION The University of Miami is a very important partner of Jackson Memorial Hospital and the two organizations together have created an award winning clinical enterprise. The relationship between
More informationPBGH ANALYSIS. Highlights: Aetna Strengths and Weaknesses
Methods Description: Health Plan Shopping Services Evaluation PBGH ANALYSIS Executive Summary: Aetna This report evaluates Aetna s online medical care and provider shopping services that are intended to
More informationFY2018. NDAA Reform. Recommendations
FY2018 NDAA Reform Recommendations SM Providing for a strong national defense is the most important duty of our federal government. However, our rapidly-growing national debt is imperiling our long term
More informationHospital-Based Ambulatory Care
C H A P T E R 2 Hospital-Based Ambulatory Care ANSWERS TO KNOWLEDGE-BASED QUESTIONS 1. What has been the trend in the utilization of hospital-based services? What factors help to account for this trend?
More informationRural Health Clinic Overview
TrailBlazer Health Enterprises Rural Health Clinic Overview Steven W. Mildward Published March 2012 108724 2012 TrailBlazer Health Enterprises /TrailBlazer. All rights reserved. Important The information
More informationUsing Data for Proactive Patient Population Management
Using Data for Proactive Patient Population Management Kate Lichtenberg, DO, MPH, FAAFP October 16, 2013 Topics Review population based care Understand the use of registries Harnessing the power of EHRs
More informationYOUR TRUSTED HEALTH COMPANION. A plan for life.
YOUR TRUSTED HEALTH COMPANION A plan for life. Being healthy is about more than preventing illness. It s achieving the best possible quality of life, physically and emotionally. That s what CDPHP is all
More informationEmergency Department Throughput
Emergency Department Throughput Patient Safety Quality Improvement Patient Experience Affordability Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach, CA 92663 www.hoag.org Program Managers:
More informationSTRATEGIC PLANNING FOR A SUCCESSFUL COLLABORATION AND FINANCING: A CASE STUDY FOR RURAL COMMUNITY HOSPITALS
STRATEGIC PLANNING FOR A SUCCESSFUL COLLABORATION AND FINANCING: A CASE STUDY FOR RURAL COMMUNITY HOSPITALS Alan P. Richman President and CEO InnoVative Capital, LLC Ralph A. Castillo, CPA Chief Executive
More informationNewYork-Presbyterian/Lawrence Hospital Hospital Policies and Procedures Manual Number: Page 1 of 6
Page 1 of 6 TITLE: CHARITY CARE POLICY POLICY AND PURPOSE: New York State Public Health Law (Section 2807-k-9-a) and the Internal Revenue Code (Section 501(r)) require hospitals to provide free or reduced
More information1. The new state-based insurance exchange for small businesses (SHOP) stands for:
Chapter 5 Review Questions 1. The new state-based insurance exchange for small businesses (SHOP) stands for: a. Small Business Health Options Program b. Small Business Health Option Plans c. State Health
More informationAmarillo Endoscopy Center Srinivas Pathapati, MD., PA 6833 Plum Creek Drive Amarillo, TX (806)
Today s Date: / / PATIENT INFORMATION Patient s Last Name First Middle Mr. Miss Mrs. Ms. Marital Status (Circle one) Single / Mar / Div / Sep / Widow Legal Name (If applicable) Maiden Name Birth Date Age
More informationColorado Choice Health Plans
Quality Overview Health Plans Accreditation Exchange Product Accrediting Organization: Accreditation Status: URAC Health Plan Accreditation (Marketplace ) Full Full: Organization demonstrates full compliance
More informationExpenditures by Program Explore Minnesota Tourism 0 9,915 10,626 11,626 22,252. Full-Time Equivalents (FTE)
Governor s Recommendations EXPLORE MINNESOTA TOURISM Agency Overview Dollars in Thousands Current Governor Recomm. Biennium FY2004 FY2005 FY2006 FY2007 2006-07 Direct Appropriations by Fund General Current
More informationMEDICAL POLICY No R2 TELEMEDICINE
Summary of Changes Clarifications: Page 1, Section I. A 6, additional language added for clarification. Deletions: Additions Page 4, Section IV, Description, additional language added in regards to telemedicine.
More informationST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018
ST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018 All benefits are subject to the calendar year deductible, except those with in-network copayments,
More informationWELCOME to Kaiser Permanente
WELCOME to Kaiser Permanente PPO PLAN RESOURCE GUIDE Colorado kp.org/kpic-colorado Greetings Subscriber name, we re glad to be your partner on this journey, and we look forward to a long and healthy relationship
More informationAdministrators. Medical Directors. 61% The negative impact on our hospital-based program s. 44% We will need to consider the most appropriate or most
2016 This annual survey, which began in 2009, provides key insight into nationwide developments in the business of cancer care. To better capture information from its multidisciplinary membership, this
More informationHome Health & HP Provider Relations
Home Health & Hospice HP Provider Relations October 2010 Agenda Session Objectives Home Health Benefit Coverage Billing Overhead Multiple Visits Most Common Denials Hospice Benefit Coverage Election/Revocation/Discharge
More informationCompliance Program Updated August 2017
Compliance Program Updated August 2017 Table of Contents Section I. Purpose of the Compliance Program... 3 Section II. Elements of an Effective Compliance Program... 4 A. Written Policies and Procedures...
More informationFederal Employee Program Service Benefit Plan An independent licensee of the Blue Cross and Blue Shield Association
Federal Employee Program Service Benefit Plan 2009 An independent licensee of the Blue Cross and Blue Shield Association Federal Employee Program Two PPO Products Basic Option with (in-network benefits
More informationBEDSIDE REGISTRATION CAPE CANAVERAL HOSPITAL
Publication Year: 2004 BEDSIDE REGISTRATION CAPE CANAVERAL HOSPITAL Summary: Cape Canaveral hospital implemented a streamlined bedside registration process in order to reduce the time patients spent waiting
More informationBANK OF AMERICA MERRILL LYNCH 2016 LEVERAGED FINANCE CONFERENCE NOVEMBER 29, 2016
BANK OF AMERICA MERRILL LYNCH 016 LEVERAGED FINANCE CONFERENCE NOVEMBER 9, 016 Forward-Looking Statements This presentation may contain forward-looking statements based on current management expectations.
More informationPPO. Preferred Provider Organization. Flexible. Easy to use. No Referrals.
PPO Preferred Provider Organization Flexible. Easy to use. No Referrals. PPO is issued by Capital Advantage Assurance Company (pending approval of its licensing application) or by Capital Advantage Insurance
More informationModa Health Enrollment Service Area
Moda Health v Moda Health Enrollment Service Area Moda Health Medicare Supplement Plan and Moda Health non Medicare PPO PERS Moda Health PPORX (Medicare Advantage) The Value of Moda Health Plans and the
More informationMEDICAL POLICY No R1 TELEMEDICINE
Summary of Changes MEDICAL POLICY TELEMEDICINE Effective Date: March 1, 2016 Review Dates: 12/12, 12/13, 11/14, 11/15 Date Of Origin: December 12, 2012 Status: Current Clarifications: Deletions: Pg. 4,
More informationFINANCIAL ASSISTANCE BUSS_0040 Start Date: 3/1/2018 Approval Date:
I. PURPOSE: Bay Area Hospital is committed to providing charity care to persons who have healthcare needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay
More informationABC COMPANY CARE CONNEX EMPLOYEE GUIDE
ABC COMPANY CARE CONNEX EMPLOYEE GUIDE Ineffective healthcare breaks the bank - we re here to help. Healthcare Costs at a Glance ABC Company knows this and wants you and your family to save money, time,
More informationAnthem Blue Cross Effective: January 1, 2018 Your Plan: University of California CORE Plan Your Network: Anthem Prudent Buyer PPO
Anthem Blue Cross Effective: January 1, 2018 Your Plan: University of California CORE Plan Your Network: This summary of benefits is a brief outline of coverage, designed to help you with the selection
More informationCare Providers of Minnesota
Care Providers of Minnesota PRODUCTS AND RESOURCES 2010-2011 CATALOG Care Providers of Minnesota 952-854-2844 MN Toll Free: 800-462-0024 CARE PROVIDERS OF MINNESOTA Care Providers of Minnesota Products
More informationNorthern California Community Loan Fund
Northern California Community Loan Fund REAL ESTATE READINESS FOR NONPROFIT ORGANIZATIONS (Where financial managers meet real estate developers) Presenters: Andrea Papanastassiou Stephaney Kipple Real
More informationDeveloping Post- Hospital Follow-Up Care Plans and Real-time Handover Communications Peg Bradke
These presenters have nothing to disclose Developing Post- Hospital Follow-Up Care Plans and Real-time Handover Communications Peg Bradke September 28, 2015 Session Objectives Participants will be able
More informationChoice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members
Choice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members DEDUCTIBLE (per calendar year) Annual in-network deductible must be paid first for the following services: Imaging, hospital
More informationRural Hospital Closures and Recent Financial Performance of Critical Access Hospitals in the Carolinas
Rural Hospital Closures and Recent Financial Performance of Critical Access Hospitals in the Carolinas GH Pink and KL Reiter V Freeman, GM Holmes, A Howard, B Kaufman, J Perry, R Randolph, S Thomas, and
More informationMeaningful Use Is a Stepping Stone to Meaningful Care
Meaningful Use Is a Stepping Stone to Meaningful Care Liz Johnson, RN-BC, MS, FCHIME, FHIMSS, CPHIMS Chief Clinical Informaticist and Vice President of Applied Clinical Informatics Tenet Healthcare Corporation
More informationENHANCE HEALTHCARE CONSULTING E. COUNTRY CLUB DRIVE, SUITE 2810 AVENTURA, FL
In today s healthcare environment, anesthesia groups have many issues to deal with, including ACO s, pressure on reimbursement, quality tracking, the surgical home, and pressure on hospital subsidies.
More informationOutpatient Hospital Facilities
Outpatient Hospital Facilities Chapter 6 Chapter Outline Introduce students to 1. Different outpatient facilities 2. Different departments involved in the reimbursement process 3. The Chargemaster 4. Terminology
More informationMedicare Billing and Reimbursement Essentials for Research
Medicare Billing and Reimbursement Essentials for Research Medical Research Summit Grand Hyatt Hotel, Washington, DC Session 103: Monday, March 19, 2001 Agenda Why is Medicare Billing Compliance Important?
More informationAcademic Clinical Practice Work Group Strategic Plan DRAFT June 3, 2014
Academic Clinical Practice Work Group Strategic Plan DRAFT June 3, 2014 The Academic Clinical Practice work group conducted a SWOT exercise and considered the following questions in its deliberations on
More informationOverview of Variation Reduction and. Laura Holmes MD. Background. Wide variation in medical practice Jack Wennberg, MD, Dartmouth
Overview of and the PAMF experience with VR Laura Holmes MD IHI International Summit 2014 Session L3 This presenter has nothing to disclose Background Wide variation in medical practice Jack Wennberg,
More informationIrvine Unified School District ASO PPO /50
An Independent member of the Blue Shield Association Irvine Unified School District ASO PPO 500 90/50 Benefit Summary (For groups of 300 and above) (Uniform Health Plan Benefits and Coverage Matrix) THIS
More informationRevenue Optimization In Hospital Pharmacy Services. Presenters: Kyle Skiermont, PharmD, COO, Fairview Pharmacy Services
Revenue Optimization In Hospital Pharmacy Services Presenters: Kyle Skiermont, PharmD, COO, Fairview Pharmacy Services FACULTY DISCLOSURE The faculty reported the following financial relationships or relationships
More informationICD-10: It s Really Coming. Are You Ready? John Behn May 14, 2013 Small Rural Hospital Improvement Grant Program (SHIP)
ICD-10: It s Really Coming. Are You Ready? John Behn May 14, 2013 Small Rural Hospital Improvement Grant Program (SHIP) Background ICD = International Statistical Classifications of Diseases and Related
More informationSmart Pump Interoperability: A Multi-System Safety Journey. February 23, 2018
Smart Pump Interoperability: A Multi-System Safety Journey February 23, 2018 Jennifer Biltoft, PharmD, BCPS System Director, Clinical Pharmacy Services, SCL Health Deborah Bonnes, RN, MS Nursing Informatics
More informationNon-Physician i Providers
Non-Physician i Providers Colleen M. Schmitt, MD, MHS, FACG, FASGE Galen Medical Group Chattanooga, TN cschmitt7@comcast.net 1 To define the steps to develop ancillary infusion and histopathology services
More informationMichelle Stewart Way Consultant & Patient Access Specialist. Otani Consulting Group, Inc.
Michelle Stewart Way Consultant & Patient Access Specialist Otani Consulting Group, Inc 1 Customer Service A Customer A customer is the most important person on our premises. He is not dependent on us.
More informationExpress Scripts Home Delivery Pharmacy Services
Express Scripts Home Delivery Pharmacy Services Frequently Asked Questions Revision date 2/19/2010 *This document is for reference only and is applicable to membership that has migrated to ESI systems.
More informationThe Cleveland Clinic Experience
The Cleveland Clinic Experience Patient Experience Summit La Crosse, Wisconsin James Merlino, MD Chief Experience Officer Mr. Jones Our Culture Care for the sick Investigate their problems Educate those
More information