Pinpointing Revenue Risk and Opportunity Across the Hospital Enterprise
By 2020, fee-for-value reimbursement is projected to represent more than 80% of your revenue -- up from just 14% in 2010. The shifting reimbursement landscape requires that hospitals have comprehensive insight into how clinical operations and coding affect the bottom line.
In this webinar, the presenters share their perspectives into how organizations can leverage analytics to navigate changes in reimbursement. You'll understand how executive-level insight across the enterprise helps uncover revenue risks and opportunities from a single, big-picture view of your data. Learn how to:
- Improve case mix through analytics and benchmarking that identify coding discrepancies
- Minimize compliance risk and prevent audit take-backs by identifying revenue at risk
- Prepare for ICD-10 and prioritize the physicians and procedures with the greatest documentation complexity and reimbursement risk
- Create enterprise alignment with collaborative planning tools and track CDI programs against key revenue metrics and ROI goals
- Optimize revenue by rooting out and recovering underpaid claims and missed charges
Patient Access provides critical real-time analytics information during the patient registration and payment clearance processes. With intuitive dashboards and simple step-by-step checklists, front office staff are able to accurately estimate patient cost, improving pre-service collections and reducing back end denials.
The powerful Population Health analytics tool provides unmatched insight into understanding high-risk patient populations. By aggregating data on costs, quality and efficiency measures across multiple sources, it proactively identifies gaps in care and segments at-risk populations, cutting clinical costs and ensuring viability in a fee-for-quality system.
To ensure your financial viability, you need insight into the revenue cycle so you can boost cash collections, reduce bad debt, stop denials, enhance productivity, and guide business strategy. Business Office provides the analytics you need to identify revenue bottlenecks and manage reimbursement trends so you can focus your resources on what matters most: providing quality patient care.
Healthcare reimbursement is changing. By 2020, fee-for-value reimbursement is projected to represent 83% of your revenue—up from 43% today and 14% in 2010. Clinical operations will become vital to your bottom line. It is at the mid-cycle—the point between patient access and the business office—where improvement initiatives will have the greatest impact. Revenue Integrity gives you complete visibility into documentation and coding performance—and that of your peers. So you can quickly spot opportunities to improve revenue capture, minimize audit risk, and measure and monitor the impact of ICD-10 on your revenue.