PERI-OPERATIVE CHARGE CAPTURE

A CDM is only as good as the business processes that actually get charges to the bill.
Your hospital’s fiscal health depends on receiving appropriate net revenue for all services performed. Facilities often review the hard coding of the CDM or how well Medical Records is coding, but often do not look at the charge-capture process. In addition, some hospitals have been mislead to believe they must roll equipment and supply costs into the room rate. NET REVENUE corrects these problems by looking at THE CLINICAL PROCESS to determine how it is captured via the Patient Accounting system. If the episode is not accounted for accurately and consistently in a detailed manner, the resulting information and corresponding decisions may be faulty and misleading particularly in a multi-entity corporation.

NET REVENUE starts by reviewing specific SURGICAL, L&D, and ENDO cases because these services are dynamic. If the initial analysis identifies significant losses, we recommend that the organization take advantage of our entire process.

PHASE 1
NET REVENUE will audit the previous year to identify chronic errors in the charge capture process, develop a training program to fix these process deficiencies, and recover lost revenue.

PHASE 2
The results of the Phase 1 audit are presented to the clinical areas when our clinical director pays a site visit to provide education and assist with the development of an action plan to reduce or eliminate the errors.

PHASE 3
Three months after the action plans are implemented; NET REVENUE will do a post audit to assure their effectiveness.

BENEFITS

Our services are funded by CA$H collected from revenue that the hospital would otherwise never capture.