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Is it time to cut your revenue cycle bolt-ons? Those applications you purchased to support your EHR/revenue cycle core system are not only expensive but may be impacting system efficiency and optimization.
It may have been several years since you implemented your core EHR. 当时, you evaluated the functionality and determined that specialty applications or bolt-ons were needed to operate the new system. Vendors provided a list of additional applications that were required. Some vendors helped you determine which applications can “go away” with the new system. Your organization’s decisions made sense at the time. 然而, the EHR vendors have improved upon and enhanced the efficacy of their applications or created partnerships with third-party vendors to streamline the interfaces.
Each year, your IT department is asked to take a look at reducing costs. Now is a good time to engage with your revenue cycle colleagues and consider opportunities for efficiency and cost reduction. 作为CFO, you probably have had some difficult conversations about your EHR/revenue cycle system and its impact on cash collections.
Almost every CFO has a few battle scars associated with a rough conversion and doesn’t want to experience that again. The table below lists many of the applications that providers have purchased and notes which ones should be evaluated for replacement or retirement.
应用程序类型 | 替换或退休? |
---|---|
企业主病人指数(EMPI) | 是的 |
文档管理 | 是的,依赖于供应商 |
编码的建议 | No |
亭 | 是的,依赖于供应商 |
278N: IP录取通知 | No |
要求清算所 | No |
合同管理 | 是的,依赖于供应商 |
病人语句/信 | No |
资格及福利 | No |
电子支付云顶集团 | 是的,依赖于供应商 |
支付倾向 | 没有 |
地址验证 | No |
Let’s go over some of the bolt-ons you should evaluate for replacement or retirement.
Electronic Enterprise Master Patient Index
Many organizations purchased software to overlay the EHR to assist in matching disparate systems between the hospital and independent physician providers or with physicians who are on separate systems. More and more providers are joining hospital EHRs through employment or via a hospital extension of the ambulatory EHR to community physicians. Many of today’s EHR products come with enhanced EMPI capabilities and can accommodate different systems. 考虑到这些因素, the best path forward for most organizations is to evaluate the functionality of this additional software compared with the EMPI of the EHR. This could represent well over $100,000 in savings for your organization.
文档管理
这取决于供应商, and you may already have built-in deep integration of document management with the EHR, so splitting this out may not be practical. Data conversions for document management systems require testing but are not that complex. There may be an impetus to evaluate the document management system when your organization transitions to a new system or plans for a big upgrade.
亭
Many organizations developed custom software or partnered with retail vendors to install kiosks in busy waiting rooms. All vendors offer this type of software, but the featured functions vary. There are strong benefits of implementing kiosks that integrate with revenue cycle systems to facilitate copayments or past due collections. The kiosks from a few years ago did not allow for more clinical information and were very tied to online banking. Forward-thinking organizations are allowing patients to update their demographics to include insurance information, which alleviates some of the burden on the front desk and clinical staff. In addition to potentially resulting in FTE cost savings, these kiosks also increase patient satisfaction, as they can provide information that allows clinical staff to focus more on patient care and less on data entry.
合同管理
Contract management is still an area with mixed reviews. Most revenue cycle vendors offer a contract management solution. 然而, although some of these systems provide the ability to load in detailed rates and support multiple fee schedules, this information can be cumbersome to update. 进一步, patient access staff have to choose from a myriad of insurance plans or financial classes to enable some contract management systems to perform effectively. This can cause rework and/or additional FTEs in the back office to spend time correcting errors.
What 关于 the Bolt-Ons You Shouldn’t Replace?
对于螺栓,我们建议您保留, now is the time to evaluate whether some of them can be consolidated into one contract. 有一些供应商提供这个选项, and your organization may be able to achieve 10% to 20% savings just by renegotiating contracts.
Don’t be afraid to explore opportunities for efficiency and cost reduction within your revenue cycle operations. You may need to rethink certain workflows and must certainly be diligent in testing prior to implementation, but in the end you may reap some rewards–both financial and technological.
2018年8月15日发布