RemitWeb (RW) Payment Analysis Solution: root-cause
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- Gordon Boone
- 8 years ago
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1 RemitWeb (RW) Payment Analysis Solution: RemitWeb is an easy-to-use, Internet web-based management software system that analyzes your hospital s remittance patterns and helps identify root-cause problems within your revenue cycle. The reporting tools allow you to easily chart or export any data element into Microsoft Excel, to view information ranging from valuable high level denial trend comparisons to drill-down line-item-level payment reports. RemitWeb bridges the gap between the Clinical and Fiscal areas by providing a comprehensive set of reports/analysis that covers your hospital s entire Revenue Cycle. Tired of using disparate applications from multiple vendors? HRS offers a single-source platform that allows healthcare organizations to effectively locate and recover lost revenue by increase efficiencies within their billing practices providing them with detailed reports on revenue and denial trends, collection aging, and payment status.
2 RemitWeb Denial Reporting Tool Drill down to the root cause of your denials with Line Level Detail
3 WHY CHOOSE HRS RemitWeb PAYMENT SOLUTIONS SOFTWARE? HRS provides the only solution that is affordable and can be implemented in under one month HRS does the heavy lifting Hospital resources can focus on using the data rather than managing a complex system Reporting is comprehensive. Client feedback is the primary source for many of the reports Current technologies that address the issues and the needs of today
4 RemitWeb Clinical Reporting Tool Powerful reports are delivered on ANY user s pc throughout your hospital!
5 RemitWeb Online Features Web-Based Technology Imports all 835 data from all payers, and matches it with hospital-specific data Provides both Claim and Line-Level detail Helps you analyze Multi-Facility Denials In One Location On Line Intuitive Ad-Hoc filtering available on most extract fields for special studies Compare actual payment detail to contracts RAC Detail Remit Report will provide all historical 835 remittance detail for accounts flagged with the N432 Remark Code Use the data to: Develop a hospital-wide Denial Management Process Analyze denial trends Determine the root cause within your billing cycle. Identify problems and develop system edits to stop the bleeding Trend codes that were previously identified to determine if system edits were successful Pinpoint department level denials Healthcare Revenue Strategies, LLC. Chuck Duncan, CEO/CTO cduncan@healthcarerevenuestrategies.com,
6 Denial Trending by Payer/Category General Information:
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8 Actual HRS Client Denial Trending January 09 July 09 Recent HRS Client Success Story 38.3% Reduction - YTD 11.00% 9.00% 10.68% 9.91% Percentage of Total Claims Denied by Volume - ALL 7.00% 5.00% 6.49% 6.57% 8.38% 7.11% 6.59% Denied 3.00% 1.00% Jan Feb Mar Apr May June July 38.3% Volume Decrease Jan - Jul % Percentage of Total Claims Denied by Dollar - ALL 13.00% 14.23% 11.00% 9.00% 7.00% 10.46% 9.38% 8.53% 9.94% 10.13% 10.05% Denied 5.00% 3.00% 1.00% Jan Feb Mar Apr May June July 29.3% Dollar Decrease Jan - Jul 09 **MAIN 4 = Medicare, BCBS, HPHC, and Tufts Page 1
9 HRS Actual Case Study Timeframe 10/19 - First Install/Setup Meeting 10/27 - Technical Training (System Fully Functional - LIVE) 11/6 - Report Training 1 (Users running their own reports using standard templates). System was functional in 10 days. Users were trained and running their own reports within 3 weeks. HRS notified on 11/13 that they had already found issues and resolved them. Here is a quick run down of what I have found so far. Undefined 99 codes identified as Dental procedures. The fix has been put in place in billing. The dollar amount was in the ball park of 10k. Also found was the Barium swallow that requires a ref# from Blue Cross. The fix has been put in place by informing the department to obtain one when booking the appointment with the office. The dollar amount is in the ball park of 2k. There are more that I have identified but haven't quite fixed yet but this program has definitely helped us see the light in the darkness of denials!
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