iting capabilities, including provider and payer-specifi c edits, XClaim automates payer claim reconciliation to ensure claims are never lost and converts all payer reports into one standardized format.
By integrating its charge capture results with its bill- ing work fl ow in the claims processes, Bon Secours is able to reduce the cost of followup on missing charges, which automatically maximizes the reimbursement owed to the organization.
As with the standardization process itself, people were a key resource in the implementation of both the CCA and the integrated CCA-Claims technology across the enterprise. Whitesel credits a strong partnership with MedAssets in helping the organization realize all of the benefi ts of the solution. The teams participated in regular, monthly calls to discuss opportunities for maximizing the value of CCA in every department. Best practices for both the implementation process were shared facility to facility. This standardization and open communication have been key to achieving sustainable results.
Results The benefi ts of Bon Secours’ corporate standardiza-
tion initiative have been signifi cant and have more than paid for the cost of the initiative in a very brief time period.
Bon Secours’ initial goal for the initiative was to cap- ture $6 million in net revenue through charge improve- ments in fi scal year 2010. Six months into its fi scal year, Bon Secours has already seen charge improvements equating to $8 million to $10 million.
Jaimie Masson is
vice president, client relations, MedAssets.
“Since implementation, our standards have con- tinued to get tighter and stronger,” says Whitesel. “We’re thrilled with the results so far, and we expect to see further improvements in the future.” The benefi ts have extended to other areas. Once Bon Secours had a standard CDM in place, it was able to turn new information over to the clinical information systems build team, which leveraged the knowledge to build orders and implement changes. The health sys- tem also leveraged its experience from comparing and contrasting charging processes to bring best practices to many of the systems’ ancillary departments.
For more information on MedAssets solutions:
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October 2010 15