Admissions, Registration, and Eligibility

Your facility's first contact with a patient is the beginning of the Revenue Cycle Process and presents several opportunities to set the stage for improved revenue performance and cash flow.

  • Do you have a strategy to maximize cash at point of service?
  • Do registrars regularly receive feedback on denials that affect registration?
  • Is your clean claim rate over 98%?
  • What percentage of outpatient encounters are you pre-registering?

Admissions

Business Challenge:

Registration and Admitting are often the weakest links in the Revenue Cycle. Employees gathering this critical data are too often insufficiently trained, the lowest paid, and don't have access to best tools available to do their jobs. An astonishing 30% of all registration data contain some errors. Software systems rely on the data entered and often cannot return the desired results due to these errors.

Best Practices

Key Performance Indicators

  • Percentage of clean registrations
  • Patient complaints
  • Number of admissions per FTE hour
  • Patient wait time
  • Dollar amount of up-front collections
  • Percentage of scheduled visits pre certified

Use a checklist to ensure proper registration. Registration represents the first step in Revenue Cycle Management and introduces the opportunity to set the stage for quality financial performance. The registration process is the first place to reduce claims rejection due to no eligibility, insured not found or service not authorized.

Introduce pre-admission contact. For elective or scheduled procedures, many facilities are moving toward a pre-admission or pre-service contact, where the patient is contacted prior to service. During this contact, the patient is encouraged to update payment and demographic information and pay their co-pay, if applicable.

Create a service methodology. Establish payment collection as a routine part of the registration workflow, using the set-up of patient registration to assist in this process of collecting payment. Facilities can help themselves by accepting every major credit card while enabling incoming patients to identify and agree to alternatives, including payment plans.

Services

re|assess

Revenue Cycle Assessment

The revenue cycle challenges faced by hospitals today are enormous. Charge Capture, Coding, reimbursement and compliance issues plague larger facilities as well as rural and community hospitals. Resources to ensure appropriate reimbursement for services provided are stretched. re|assessre|solution’s revenue cycle assessment provides the foundation to optimize your revenue cycle and performance. <more>

re|store

Insource Your Business Office

The regulatory atmosphere and relentless pressure of increasing complexity combine to create staggering challenges while introducing risk to your facility's ability to get paid for the services you are expected to deliver to the community.

  • Increased federal and state regulatory, oversight, and audit pressure continues to drain resources and cash from hospitals while these same agencies increase their focus on billing and coding compliance, often issuing stiff penalties
  • Reductions in reimbursement, increasing self-pay or higher deductibles combine to make cash collection critical
  • Revenue and cash collection are increasingly put at risk due to inadequately trained staff, the inability to afford the best technology and tools, and the struggle to implement and maintain best revenue cycle practices

Your facility has a significant investment in a billing system but does not have the personnel available to adequately manage and staff the business office under this ever-changing environment . re|solution performs all business office functions using your facility's existing billing software and utilizing a mix of your staff, our experienced personnel on-site and from one of our regional billing centers. This treatment is most effective in managing business office costs and relieving billing headaches, without the added expense of replacing your existing system. <more>

Benchmark

How does your facility compare nationally with other facilities of your respective size?

re|solution is an expert in rural, community, and critical access hospitals, providing superior accounts receivable management, revenue cycle analysis, training, charge capture reviews, interim staffing, and an array of other business office services.  If you are interested in knowing how the performance of your business office compares with demographically similar facilities and where your opportunities exist to increase CASH. Please complete the form below and return it to us by fax or e-mail.  In return, we will provide you with a free benchmarking analysis.  We will also make ourselves available for a discussion and explanation of the data. You may view a Sample Report.

Benchmark Indicator Analysis

Please click to complete the Benchmark Indicator Analysis online and we will return your results to you shortly. Your information is confidential.

If you prefer you may print and complete the form and Fax to (303) 847-0417 or e-mail to analysis@ereso.com.

Case Studies

Dallam-Harley Counties Hospital District increases cash and reduces expenses

In partnership with re|solution, Dallam Hartley deployed re|store™. re|solution placed a Revenue Cycle Manager onsite to assist with training current staff, securing additional staffing, stabilizing the DNFB and billing. The staff worked aggressively to meet milestone goals.

Ohio Valley Medical Center and East Ohio Regional Hospital find over $16 million in Net Revenue

Ohio Valley Medical Center deployed re|assess™ complemented by an experienced re|solution BOD to assess staff and staffing levels, provide training and accountability. The re|solution proprietary tools were utilized and left behind for sustainable improvement and success.

Brownfield Regional Medical Center insources, reducing aged AR by 2.5 Million

Brownfield Regional deployed re|store™ complemented by a re|solution project manager to assist in training internal staff, collecting aged accounts receivable, reducing DNFB, and optimizing reimbursement.

Marshalltown Medical & Surgical Center Finds Additional Cash

Marshalltown Medical and Surgical Center deployed re|assess™ complemented by an experienced re|solution manager to identify missed opportunities for reimbursement while providing training to key staff and implementing sustainable and proven improvements to the facility’s processes.

Muenster Memorial Hospital achieves a significant reduction of Accounts Receivable and DNFB

Muenster Memorial deployed re|cover™ complemented by an experienced re|solution manager to assist in assessing staff, providing training and re|solution tools left behind for ongoing improvement and success.

Forrest General completes successful system conversion and wind down of legacy accounts receivable

Forrest General deployed re|wind™ complemented by a re|solution project manager to assist in preparing for the conversion with internal staff. Another project manager and team were assigned to work on cash acceleration on the legacy system.

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