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Charge Process Review for Emergency Departments
Hospital emergency departments typically lose a significant amount of revenue due to ineffective charge capture. We can help increase annual net revenue by $20 per patient visit in a average emergency department . By improving the charge capture process, we increase billing accuracy, reduce lost revenue and insure regulatory compliance.
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Annual # of
Patient Visits |
10,000 |
25,000 |
50,000 |
Total Annual
Net Revenue Increase |
$200,000 |
$500,000 |
$1,000,000 |
- We implement a well-defined, objective, acuity assignment system that improves accuracy and reduces revenue loss from incorrect billing.
- We insure that your charging procedures are all compliant with APC charging guidelines and other regulatory standards and prepare a written charge protocol manual for your emergency department.
- We establish procedure based pricing packages to eliminate all lost supply charges on non-Medicare bills.
- We correct your charge master to insure more accurate emergency department billing.
- We provide a competitive pricing analysis to help you formulate strategic pricing policies.
- If the ED Physicians are employed by the hospital, we will also examine the charge capture and billing procedures of the physician component. We will recommend and implement changes to improve the accuracy of your physician billing, and will train all of your staff physicians on proper documentation according to the latest CMS guidelines.
At the beginning of our engagement, we thoroughly analyze your existing charge-capture procedures and recommend specific improvements. Upon your acceptance of the proposed modifications, we redesign your system, implement the recommended changes, in-service train your charging staff and present you with a fully documented protocol manual.
We monitor the revenue and usage reports for your emergency department at least 24 months after implementation to insure charging compliance by your staff. You will clearly see the financial benefit from the Charge Process Improvements. We are willing to base your fee on our performance.
Click here to view a typical implementation plan.
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