KNOW G2N A COMPANY PROFILE

Transcription

1 KNOW G2N A COMPANY PROFILE

2 KNOW G2N A COMPANY PROFILE I felt that getting accurate coding established early was key to our plan to optimize our reimbursement. CFO Trios Health Kennewick, Washington G2N provides medical record coding and consulting to support healthcare providers in the gross to net cycle. Hospitals and physicians are supported in their need for timely and accurate coding as they address coding backlogs, regulatory changes and a shortage of quality coders. G2N provides peace of mind. We focus on compatibility, compliance and performance to meet your needs. Founded by coding and revenue cycle experts with a passion to serve, G2N offers many options to meet your needs. We are flexible, dependable, and provide consistent results. We know the revenue cycle and can help you streamline and optimize your process. A well-functioning gross-to-net cycle hard wires health care providers for success. Financial pressures on healthcare providers require optimal, compliant processes for timely and accurate reimbursement. At the core of the process, proper coding and codingrelated services anchor optimal payment and swift turn-around times. Hospitals, physicians, and healthcare systems enjoy improved processes, net revenue, and compliance with G2N s assistance. G2N understands the revenue cycle. We know that well-documented care processes earn correct coding and payment. The gross to net cycle is challenged by the evolution of changes in people, computer systems, and regulatory requirements. G2N is equipped to serve you where you are. We are available to back you up and to provide your complete coding needs. G2N has worked with over 100 providers to assist them in the pursuit of an honest & healthy bottom line. See how we can help you! Manchester Rd., Suite 201 Saint Louis, Missouri Fax info@g2n.org

3 G2N SERVICES MEDICAL RECORD CODING I knew of the quality of coding we had been getting from G2N over time, and our reimbursement reflected it. Vice President, CFO Phelps County Regional Medical Center Rolla, Missouri Discover a coding resource that meets your goals, operates smoothly within your system, and satisfies your need for reliable service. G2N is structured and staffed to serve the healthcare industry exclusively, but more than that, our fresh approach ties our objectives to yours, netting you enhanced compatibility, compliance and performance. Here s how: Flexibility We adapt our procedures to your coding guidelines, and we can accommodate any record structure paper, electronic, or hybrid. With electronic access we code and abstract directly into your system, making the integration seamless. Add to that our experienced coding for a broad spectrum of medical specialties and you ll see that we re ready to tackle any variable you might have. G2N offers remote medical coding to greater enhance flexibility and accommodate client needs. Dependability G2N excels in continuity and accountability because we remove variables such as vacations and sick leave. Instead, we employ teams of AHIMA-credentialed and AAPC-certified coders who undergo ongoing training to stay current on changing regulations. That means we re up to speed on ICD-10, too so you ll be ready when the transition arrives. Results It s all about preventing, reducing or eliminating backlogs and our clients will testify not only to G2N s ability to keep your numbers on target, but also to their confidence in our compliance record. That trust begins with G2N s internal coding auditing process, which achieves a 95% to 98% accuracy rate as independently verified by those hospitals that have audited our work. Our internal quality assurance focus also ensures our clients are provided the highest level of accuracy. When all is said and done, our bottom line is the bottom line. Get Started It s easier than you might think to explore the benefits of medical record coding services from G2N. A quick call to Client Services at gets the ball rolling or, if you prefer, just send us an at info@g2n.org.

4 G2N SERVICES CONSULTING SERVICES G2N kept us focused on key revenue cycle projects and delivered results that continue to sustain us. Chief Financial Officer Forest General Hospital Hattiesburg, Mississippi What Sets Us Apart: When hospitals and physician practices take advantage of our complete slate of revenue-cycle-related services, the most important result is peace of mind. Our clients deal with a staggering variety of systems, regulatory amendments and employee skill sets. That s why G2N s implementation plans are always customized, multi-disciplinary and thorough. We ensure that the implementation will dovetail with your resources, plus, we set forth new processes that foster proper payment in a manner that is easy for you and your staff to maintain. Know too that our commitment to your success isn t limited to just processes and procedures. Results depend on timeliness as well. When you engage us for services we share your sense of urgency and strive to not only meet, but beat deadlines. Chargemaster Review And Maintenance G2N s experienced consultants accomplish compliance risk reduction and establish a solid foundation for charge capture. Given our focus on provider revenue cycle improvement and thorough understanding of current healthcare regulations and pricing trends, we are able to offer unique analytical insight for the optimum use of the charge description master (CDM). G2N thoroughly examines HCPCS/CPT, revenue codes, descriptions, and pricing for every charge item. Department manager education regarding key changes is included in each review. In addition, we offer a customizable CDM maintenance program that promotes ongoing CDM integrity. Continuation Services Continuation services provide access to revenue cycle experts on an ongoing basis. We work with facilities to retain the gains made from G2N projects, and to stay current with regulatory changes. Consistent with G2N s commitment to equip providers for ongoing changes in the revenue cycle, we offer providers access for recurring needs: Pre- and post-bill charge capture audits Chargemaster maintenance Help desk Preferred pricing for consulting Market Price Analysis Across-the-board price increases may not maximize ROI; whereas, significant net revenue yields can be obtained through strategic pricing. G2N s ability to compare line item pricing to like market entities often results in meaningful increases in profit margin, while ensuring fair prices. G2N clients define the market comparison group, set limits on price changes and control pricing decisions. As an independent consulting group, G2N can offer these services to providers while main-

5 taining the confidentiality key to pricing decisions. G2N can also link pricing decisions to charity and self-pay policies, which are increasingly important. Physician Practice Solutions Solid revenue cycle solutions are critical in physician practices. Regulatory and reimbursement interactions need solid documentation. The demands placed on a practice are increasing, and time to problemsolve and implement changes can be limited. Medical group administrators, clinics, nursing and support staff all require expertise in reaching goals and staying compliant. G2N physician practice-focused consultants are adept at minimizing clients risk exposure, as well as digging deep for operational process solutions and additional revenue. Our E/M Coding and Auditing Services include: Baseline coding and compliance audits Auditing CPT surgical coding Auditing diagnosis coding as it supports Medical Necessity Compliance risk assessments of physician services Education on medical documentation principles Compliance assistance for the elements of E/M Auditing E/M services Education when aberrant E/M coding patterns are identified Auditing Consultation services Critical Care services coding and billing 1995 versus 1997 Documentation Guidelines Incident to for non-physician practitioner services Auditing shared visits Modifier 25 usage Coding E/M visits by time for counseling and coordination of care Billing for E/M services during the global period Use of modifiers 57, 24, 54, 55 and modifier usage in general Education for initial preventive physical examination and wellness visits Locum Tenens coding and billing Practice Acquisition/Due Diligence Revenue Cycle Hospitals and health systems trust our expertise for special projects or ongoing training of their revenue cycle teams. Frequently requested services include: Patient financial services process improvement Patient access operational improvement Net revenue increases or expense reduction Charge capture reviews of specific clinical areas Revenue cycle audit services Many revenue cycle services can be customized to address specific objectives: Business office and patient access assessments Specific process changes and policy revisions Charity and bad debt process/policy revisions Denial process improvements Coaching for revenue cycle managers Revenue cycle training for management and staff G2N can tailor a revenue cycle package to address your organization s unique needs for support. Special Projects G2N s consultants have significant, practical hospital experience. Clients often access our expertise for specific special projects. Our most frequently requested services include: Streamline operations Improve net revenue Gross to net charge capture reviews Compliance readiness programs Hospital revenue cycle assessments Serve as Independent Review Organization (IRO) Point-of-service collection projects HIM operational assessments Charity policy revisions Interim CFO support Additionally, G2N has broad experience in gross to net charge capture assessments and reviews. Many of our engagements identify opportunities and develop action plans delivering net revenue improvement ranging from $150,000 to $950,000.

6 G2N SERVICES ICD-10-CM/PCS CODING SUPPORT The volume of new information could have been overwhelming but G2N made it easy to follow They explained everything, and answered questions. On-site ICD-10 Training Attendee Golden Valley Memorial Healthcare Clinton, Missouri Our ICD-10 plan acts as preventive medicine, with strategies that are timely, pertinent and effective. The implementation date is coming, and the stakes are very high. For every benefit of the new system, an unprepared organization will encounter pitfalls that may include: Higher claim rejection and denial rates Additional delays in processing authorizations and reimbursements Improper claims payment Decreased coder productivity and increased coding backlogs Compliance issues Inaccurate coding data based on insufficient documentation Soaring numbers of physician queries Decreased cash flow With so much to do, and so little time to do it, how do you implement process changes, provide awareness education for the entire organization, execute intense training for your coding team, and still prevent, reduce and/or eliminate backlogs? G2N is ready to back you up throughout this process. G2N s plan provides leadership and guidance for key ICD-10 components while offering much needed support throughout the training phase, as well as during and after implementation. We are committed to ensuring your readiness by October 1, Coder Training We can provide core ICD-10 training for your staff. Our face-to-face method can be done at your site or ours. Our AHIMA-approved trainers will get you on the right track before you start dual coding. Coding Support We recognize that in addition to training, clients also need support in order to achieve a successful ICD-10 implementation. G2N is ready to provide that support with the following services: Remote ICD-9-CM coding prior to the effective date that augments productivity during ICD-10 training of your coding staff.

7 ICD-10 Training Timeline G2N can provide both ICD-9 and ICD-10 coding support throughout the entire implementation process. ICD-9-CM coding services for clients that plan to double code prior to implementation. This effective model provides an analysis of MS-DRGs and reimbursement patterns and allows coding professionals to practice using the ICD-10 systems. We can also supply dual coding services. During Phase 4 the period after implementation G2N offers ICD-10 coding resources and guidance to help prevent, minimize or eliminate backlogs caused by any decrease in productivity. The numerous complexities that are involved in the ICD-10 rollout, along with the complications that it could present, call for expert guidance and proven strategies. G2N provides practical, reliable solutions with our exceptional team of AHIMAapproved ICD-10-CM/PCS trainers. Add in the reference materials and resources we provide, and you ll see why G2N is the go-to resource before, during and after the transition Manchester Rd., Suite 201 Saint Louis, Missouri Fax info@g2n.org

8 THE G2N TEAM LEADERSHIP Adds value beyond my wildest dreams. Chief Financial Officer Memorial Hospital of Texas County Guymon, Oklahoma AHIMA-approved ICD-10-CM/ PCS Trainer Jennifer Kennebeck MBA, RHIA, CCS, CCS-P Senior VP, Coding Operations Jenny heads up coding services, manages consulting projects and oversees CDM and Continuation Services. A diverse revenue cycle background based in health information management equips her to make critical connections between rules, systems, people and processes. She helps organizations develop practical solutions for net revenue integrity and compliance. For Jenny, the goal of every project is to enable our clients to be the best. To ensure that they remain the best she gives them the resources and tools needed to stay on top. Jenny s desire to provide comprehensive services has led her to become an AHIMA-certified ICD-10-CM/PCS Trainer, and is assisting in the development of G2N s ICD-10 resources. Jenny s drive to get to the bottom of issues is reflected in her leisure time. She is, as she puts it, into that whole genealogy thing, and has traced her family back to their arrival from Germany, in Broad experience in, and a deep understanding of hospital health information management makes Karri ideal to lead quality activities for G2N s coding services. That same background also fits the bill for her other role, managing consulting projects for our clients. Karri s insights into people, processes and data help focus efforts on core objectives of revenue cycle management. Add to that her conscientious character and detail-oriented approach, and you achieve harmony with regulatory compliance and action. AHIMA-approved ICD-10-CM/ PCS Trainer Karri Murphy, RHIA, CCS Senior VP, Coding Quality Assurance kmurphy@g2n.org Staying abreast of changes, is a must with Karri, that s why she has become an AHIMA-certified ICD-10-CM/PCS trainer, and is involved in the development of G2N s ICD-10 resources. When Karri isn t checking the facts one more time you might find her training for a half-marathon. She s always a step ahead!