1 / 17

Penn State Hershey Medical Center

Penn State Hershey Medical Center. Penn State Hershey Medical Center Outpatient Pre Arrival Services. Presenters Mary Stephens, Manager, Inpatient Access – Previously a Coordinator in Outpatient Pre Arrival Services (6 yrs) Linda Cranston, Manager, of Out Patient Pre Arrival Service

Anita
Télécharger la présentation

Penn State Hershey Medical Center

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Penn State Hershey Medical Center

  2. Penn State Hershey Medical CenterOutpatient Pre Arrival Services • Presenters • Mary Stephens, Manager, Inpatient Access – Previously a Coordinator in Outpatient Pre Arrival Services (6 yrs) • Linda Cranston, Manager, of Out Patient Pre Arrival Service • LeAnn Stringer, Manager, Eclipsys Application

  3. Penn State Hershey Medical Center • 500 bed Tertiary Care Academic Medical Center • Adult and Children’s Hospital • Level 1 Trauma Accreditation (adult/pediatric) • Penn State Cancer Institute • 588 Faculty Physicians

  4. Annual Clinical Activity • Inpatient admissions – 27, 615 • OR Cases • Inpatient – 10,125 • Outpatient – 6,564 • Emergency Room visits – 47,163 • Outpatient Visits • Booked - 1,412,255 • Actual - 779,520

  5. HMC Systems • Eclipsys AM/PFM • Eclipsys Registration data interfaces to 20 systems Other Systems used at HMC • Cadence (Scheduling) • Cerner Clinicals • GE Centricity (Radiology) • Mysis (Laboratory) • Pyxis • Seimens (Signature-Professional Billing)

  6. Redesign of Front End Processes • Multi-Disciplinary Team Approach • Patient Financial Services (PFS) • Nursing • Physicians • Inpatient Access • Health Information Services • Information Technology • Representatives from various outpatient clinics

  7. HMC Identified Financial Opportunities • Reduce Accounts Receivable • Hospital & Physician AR • Reduce write offs (revenue deductions) • Decrease check in time for outpatients

  8. Team Recommendation • Form the Outpatient Pre Arrival Services (OPAS) Department (2001) • OPAS Goal • Obtain accurate patient and insurance information prior to the outpatient visit to ensure full reimbursement of services • Facilitate gathering and verification of sensitive information to ensure HIPAA compliance and increase patient satisfaction

  9. OPAS Department Goals • Decrease facility accounts receivable days from 86 to 45-55 • Decrease professional account receivable days from 81 to 51-57 • Decrease facility write offs from 3.2% to 1.3-1.7% • Decrease professional write offs from 2.8% to 1.3-1.6% • Decrease average check in time from approximately 6 minutes to less than 1minute

  10. OPAS Staffing • Initial Pilot (3 month period in 2001) • 4 new FTEs • 2 clinics (Dermatology and OB/GYN) • Currently • 70 FTE’s (existing and new staff) • 43 clinics

  11. Pre-Arrival Processes

  12. Pre-Arrival Processes

  13. System Enhancements • Scheduled appointments 28 days out (Cadence Report) • Eclipsys pre-clinic visit creation • Eclipsys Worklists by service and location • Identify & refer S/pay accounts to Financial Counselor

  14. Self Pay Process • Price estimate of service is obtained • Review patient’s account for payment history • Credit report • Patient is contacted • Provide estimated cost of service • 75% of estimate is requested • MA process is discussed • Financial Risk process • Physician makes the decision (based on medical necessity) whether appointment is canceled or postponed

  15. Improved Outcomes in Clinics • Decreased denials due to 100% verification of insurance and ability to obtain referrals and authorizations prior to the clinic visit • Reduced check in/check out time for patients • Increased point of service cash collection • approximately $750,000 monthly

  16. Financial Improvement Outcomes • Facility accounts receivable days reduced from 86 to 45 • Professional accounts receivable days reduced from 81 to 45.2 • Facility write offs reduced from 3.2 % to less than 0.5 % of revenue • Professional write offs reduced from 2.8% to less than 0.5 % of revenue

  17. Conclusion • Questions

More Related