Life After 40
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Life After 40 Best Practices for Best Practices for Revenue Revenue Cycle Management Cycle Management Life After 40 Project National Family Planning & Reproductive Health Association 2013 NFPRHA Regional Meeting – Saint Louis, MO
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Best Practices for Revenue Cycle Management. Life After 40. Life After 40 Project National Family Planning & Reproductive Health Association 2013 NFPRHA Regional Meeting – Saint Louis, MO. The Authors. Susan Gadon. Daryn Eikner. The Case Study. la40resources.org. Why do this study?. - PowerPoint PPT Presentation
Transcript of Life After 40
Life After 40Best Practices for Revenue Best Practices for Revenue Cycle ManagementCycle Management
Life After 40 ProjectNational Family Planning & Reproductive Health Association
2013 NFPRHA Regional Meeting – Saint Louis, MO
The Authors
Susan Gadon Daryn Eikner
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The Case Study
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la40resources.org
Why do this study?5
The Participants
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Bridgercare
The Center
Planned Parenthood Arizona
• Thirteen locations in:• Chandler
• Flagstaff
• Glendale
• Mesa
• Phoenix
• Prescott Valley
• Scottsdale
• Tempe
• Tucson
• Yuma
• Roughly 35,000 claims per year
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• Two locations in:• San Luis Obispo
• Arroyo Grande
• 11.8 FTE
• Roughly 10,000 claims per year
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• One location in:• Bozeman, MT
• 13.6 FTEs
• Roughly 8,000 claims per year
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The Revenue
Cycle
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What data and key indicators does your agency collect?
How do you use the data to effectively manage your revenue cycle processes?
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PPAZ Charge Trend
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PPAZ Payment Trend
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PPAZ Transactions and Charges
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PPAZ Days in A/R
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PPAZ Accounts Receivable
Bridgercare Clearinghouse Checklist
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Bridgercare Payment Reconciliation Checklist
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Bridgercare Increase In Third-party Payer Revenue
FY 12 FY13FY 13 Total Amount. Total Amount. % Amt. D Prev. Yr.July $29,272.14 $21,221.38 -27.50%August $25,796.75 $44,397.80 72.11%September $33,548.58 $47,379.23 41.23%October $9,903.84 $46,053.73 365.01%November $15,929.87 $37,578.69 135.90%December $12,769.50 $47,258.75 270.09%January $18,767.23 $10,403.23 -44.57%February $19,244.62 $42,637.84 121.56%March $30,450.58 $48,878.85 60.52%April $20,745.55 $59,773.20 188.13%May $5,322.33 $40,721.49 665.11%June $79,113.40 $79,156.54 0.05%
Year $300,864.39 $525,460.73 153.97%
FY 12 = July '11-june '12 FY 13= july '12-june '13
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Clearinghouse Dashboard
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Shifts Made In Staffing Structure Due To Changes Within Revenue Cycle
Processes
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What new positions were
created?
What positions
were eliminated?
What p
ositio
ns
were ch
anged?
What skills
transfe
rred fr
om
one position to
another?
Questions?
