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Charge Process Review for Surgery Departments
The surgery department is typically the most significant revenue generator for most hospitals, yet effective charge capture is often lacking. Surgery pricing can be outdated or may not directly relate to actual utilization costs. Charge capture procedures may be broken or non
existent. By simplifying the charge capture process, M. Leco & Associates can increase billing accuracy and reduce lost revenue. We can usually increase surgery department annual net revenue by $80 per case.
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Annual # of
Surgical Cases |
2,000 |
5,000 |
10,000 |
Total Annual
Net Revenue Increase |
$160,000 |
$400,000 |
$800,000 |
- We implement a well-defined, objective, system of tiered surgery charges that are based on your costs and the resources utilized.
- We insure that your charging procedures are all compliant with APC charging guidelines and other regulatory standards.
- We establish procedural charges that accurately capture all supply costs.
- We correct your surgery department chargemaster to insure more accurate billing.
- We provide a competitive pricing analysis to help you formulate strategic pricing policies.
- We update your physician preference cards and tie them to your charging systems to automatically capture all legitimate charges.
- We establish billing codes to insure capture of all pass-thru charges for implantables and other
reimbursable supplies
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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