Revenue Stabilization

CFB Reduction

High frequency edits require large amounts of manual review by end users, taking resources away from higher priority efforts. Reducing redundant and unnecessary edits can free up these end users to focus their attention on more substantial issues. In addition, high dollar edits can hold up valuable AR dollars and prevent prompt submission of high expected value claims. Lastly, timely submission of claims can be impacted in cases where accounts are held up by edits across the billing cycle. Anchor can perform a thorough review of all edits (charge review, DNB, claim edits) to highlight areas where editing can be updated. Potential solutions will involve changes to edits, added automation to prevent editing, and review of upstream workflows with end users to reduce edit volume downstream.

Charge Reconciliation Report

Establishing Charge Baselines (Pre Go-Live)

Evaluate status of charge champion program, Epic reporting, and baselines/tracker creation (account for day of week, seasonality, pricing variation)
Analyze baseline data to refine Epic baselines at the Cost Center (HB) and Bill Area (PB) level
Include rollups and crosswalks to legacy reporting groups
Build out detailed procedure level tracker using Epic CDM/Crosswalk
Work with Epic team to build out Epic reporting infrastructure to support data collection for charge tracking post Epic go-live
Collaborate with executive leadership to establish goals and reporting distribution

Charge Champion Program (Pre Go-Live)

Work with operational leaders to understand current state of program development
Construct or review charge champion lists and associated ownership
Review/communicate roles and responsibilities of charge champions
Build ownership and knowledge around charge capture methods and interfaces
Educate charge champions on their ownership of related charge review and other Epic WQs
Lead group and individual sessions with leads to ensure they are prepared to use Epic reporting tools and understand initial stabilization effort as well as ongoing responsibilities

Revenue Reconciliation Calls & Breakout Sessions (Pre Go-Live)

Identify key variance and drill-down into workflow or technology issues
Leverage procedure-level tracker to further pinpoint root cause
Work with clinical and billing teams to prioritize issues and drive towards resolution

Revenue Guardian Checks

Understand scope of Epic build and ensure ownership of edits has been signed off on.