Cycle Dashboard. G2N, Inc. Honest & Healthy Bottom Lines

Size: px
Start display at page:

Download "Cycle Dashboard. G2N, Inc. Honest & Healthy Bottom Lines"

Transcription

1 Managing Operations By A Revenue Cycle Dashboard

2 Mission of G2N We work to ensure America s healthcare providers have honest & healthy bottom lines in order to continue to fulfill their mission of improving community health. 2

3 CPE Certificates This webinar qualifies for 1 CPE credit. Please complete our short survey of 8 questions that t will appear at the end of the webinar in order to receive your certificate. t Your certificate will be ed to you.

4 Kathy L. Hughes, CHFP, FHFMA Kathy has 35 years of healthcare revenue cycle experience in both health systems and independent hospitals MBA from Southern Illinois University Past President, Greater St Louis Chapter, HFMA Certified Healthcare Financial Professional Fellow in HFMA 4

5 Kathy L. Hughes, CHFP, FHFMA Senior Client Partner for G2N, Inc. G2N provides coding, chargemaster, and other revenue cycle consulting services 5

6 Agenda What is a dashboard? Examples HFMA MAP Keys Definitions/Formulas for revenue cycle indicators Current benchmarks and averages Managing to a dashboard d 6

7 Agenda A good work plan to improve your numbers Questions 7

8 Dashboards

9 Why a Dashboard? 9

10 What is a dashboard? It is not the same thing as a numerical report It can also be different than a scorecard It is a visual tool that provides at-a-glance views into key measures relevant to a particular objective or business process in our case, the revenue cycle. 10

11 What is a dashboard? A way to improve understanding of revenue cycle results through h a series of pictures, tables, or graphs A way to identify variances between goals and actual results A way to guide taking appropriate action 11

12 What is a dashboard? 12

13 What is a dashboard? 13

14 What is a dashboard? Revenue Cycle Task Force Dashboard Key Performance Indicator Target Jul-09 Variance Aug-09 Variance Sep-09 Variance Days in A/R 44 Bad Debt % of Gross Revenue 4.70% % of Net Revenue 8.00% Charity Care % Gross Revenue 0.90% %N Net trevenue 2.00% Denials as a % of Gross Revenue 0.9% Cash Collection as a % of Net Revenue 100.0% Cash Collection as a % of Gross Revenue 94.00% Total DNFB Days of AR 7 14

15 What is a dashboard? Revenue Cycle Task Force Dashboard Key Performance Indicator Target Jul-09 Variance Aug-09 Variance Sep-09 Variance Days in A/R 44 Bad Debt % of Gross Revenue 4.70% % of Net Revenue 8.00% Charity Care % Gross Revenue 0.90% % Net Revenue 2.00% Denials as a % of Gross Revenue 0.9% Cash Collection as a % of Net Revenue 100.0% Cash Collection as a % of Gross Revenue 94.00% Total DNFB Days of AR 7 15

16 What is a dashboard? 16

17 What is a dashboard? Revenue Cycle Task Force Dashboard Key Performance Indicator Targ Jul- Varia Aug- Vari Sep- Vari et 09 nce 09 ance 09 ance July Point of Service Cash Days in A/R 44 Bad Debt % of Gross Revenue % of Net Revenue Charity Care % Gross Revenue % Net Revenue 4.70 % 8.00 % 0.90 % 2.00 % Denials as a % of Gross Revenue 09% 0.9% Cash Collection as a % of Net Revenue Cash Collection as a % of Gross Revenue % % Radiology Surgery Admitting ED Total DNFB Days of AR 7 17

18 Polling Question #1 Does your organization produce a revenue cycle scorecard or dashboard? d? Yes No We are working on producing one I m not sure 18

19 Basic Net Days in AR (update monthly) Previous days total cash (daily) % aging g over 90 days (update monthly) Previous days point of service cash (daily) DNFB (weekly) 19

20 More Advanced # or $ of denials (daily) % of clean claims (daily) % of bad debt (monthly) % of charity (monthly) % of patients pre-registered(daily) registered(daily) 20

21 For the Over-Achievers Conversion rate inpatient uninsured to payer source Days in total discharged not submitted to payer (DNSP) Net days revenue in credit balances Initial denial rate for zero pays Initial denial rate for partial pays Denials overturned by appeal 21

22 Polling Question #2 If you have a dashboard or scorecard, how many revenue cycle indicators do you include? 5 or less 6 to 10 More than 10 We don t have one yet or I m not sure 22

23 Industry Indicators

24 HFMA MAP Keys Healthcare Financial Management Association Several years ago convened a task force of industry experts to examine industry key performance indicators Software application in which you load your data and have access to a dashboard 24

25 HFMA MAP Keys MAP=Measure, Apply, Perform Hundreds of healthcare entities participate Your dashboard compares your data to your selected peer group and national averages and benchmarks Get more information at 25

26 Definitions for Revenue Cycle Indicators 25 different indicators Insurance Verification Rate Total number of verified encounters/total number of registered encounters A high percentage should indicate that your first billing going out the door is going to the correct insurance company Less rework 26

27 Definitions for Revenue Cycle Indicators Conversion Rate of Uninsured Inpatient to Payer Source Total inpatient discharges converted that were registered as uninsured/total t initially iti uninsured inpatient discharges Good indicator of the success of your financial counselors Could also mean that registration staff are not asking enough questions about insurance 27

28 Definitions for Revenue Cycle Indicators Days in Total Discharged Not Submitted to Payer (DNSP) (gross $ in DNFB+ gross $ in Final Billed Not Submitted)/average daily gross revenue DNFB indicator of delays in medical record coding or registration areas Even after the account gets coded and drops, it may hit billing edits 28

29 Definitions for Revenue Cycle Indicators Initial Denial Rate for Zero Pays # of zero paid claims/# of claims billed Indicates your ability to comply with payer requirements or the payer s ability to adjudicate claims correctly Could calculate across all payers or for each major payer 29

30 Definitions for Revenue Cycle Indicators Initial Denial Rate for Partial Pay # of partially paid claims/# of claims billed Indicates your ability to comply with payer requirements or the payer s ability to adjudicate claims correctly Calculate across all payers or for each major payer 30

31 Definitions for Revenue Cycle Indicators Denials Overturned by Appeal Number of appealed claims paid/total number of claims appealed and finalized or closed Use both technical and clinical appeals Success of your appeal process Could break down further to determine success of clinical or technical 31

32 Definitions for Revenue Cycle Indicators Cost to Collect Total revenue cycle costs/total cash collected New definition Revenue cycle now includes access, business office, medical records Benchmark was 2% or less Per HFMA, now 3% or less 32

33 Benchmarks and Averages

34 Don t Do This 34

35 HFMA High Performers in Rev Cycle 2012 Awardees 17 hospitals with measurable revenue cycle excellence Diverse size, payer mix, and markets Top quartile performance 35

36 HFMA High Performers in Rev Cycle Net Days in AR 33.2 Point of Service Cash Collection 22% Aged AR 90 days and greater 11.3% Days in Discharged Not Final Billed 4.9 Days in Final Billed Not Submitted.37 Bad Debt Write Offs 1.3% of gross revenue 36

37 Medians in 2012 Net Days in AR 39.0 Point of Service Cash Collection 13.6% Aged AR 90 days and greater 22.9% Days in Discharged Not Final Billed 6.0 Days in Final Billed Not Submitted.77 Bad Debt Write Offs 2.1% of gross revenue 37

38 Most Submitters 90 th Percentile Net Days in AR 57.2 Point of Service Cash Collection 1.4% Aged AR 90 days and greater 39% Days in Discharged Not Final Billed 10.8 Days in Final Billed Not Submitted 3.2 Bad Debt Write Offs 5.4% of gross revenue Lots of room for improvement! 38

39 Polling Question #3 Where do your Net Days in AR fall? 33 or below 34 to to to 57 Above 57 I m not sure 39

40 Managing g to a Dashboard

41 Managing to a Dashboard

42 Managing to a Dashboard All revenue cycle participants (CFO, medical records, patient t access, patient t accounts staff) should know the goals and results Helps build the revenue cycle team when all are aware and know how they fit into the result Keeps people p motivated

43 Managing to a Dashboard Communicate, Communicate, Communicate You don t have to do all of the work! Having other staff members or departments contribute data is an education for them and builds commitment to the goal of improving the revenue cycle The more indicators you have, the more you will know, but BALANCE is the key. 43

44 Managing to a Dashboard Get support from administration Pull members of the team together Get input on dashboard and what they would like to see What, Who, When 44

45 Managing to a Dashboard Daily Weekly Monthly All

46 Managing to a Dashboard Who? What? Source Formula Result When? Sue in Finance Net Days in AR Financial Statement Net AR Ave daily net revenue Number Dale in Point of Daily POS % 3 rd Registration Service Cash Collections Collection Report Total for payments Total patient Billing team lead FBNS 15 th of month business day after end of Month cash month Sara in HIM DNFB AR system Gross $ in NFB Ave daily gross rev Claim $ in FBNS Number End of day scrubber Ave daily each report gross rev Friday Number End of day each Friday 46

47 Dashboard Graph for POS Collections 47

48 Managing to a Dashboard 48

49 Managing to a Dashboard Facilitator role Key person in revenue cycle CFO Reviews dashboard, communicates to others, facilitates meetings for improvement Doesn t have to be on-site Administration i ti support 49

50 Polling Question #4 If your facility has a dashboard or scorecard for revenue cycle, have you found it difficult to get everyone to take ownership for it? No, several different departments or people contribute to it Yes, it all falls to me! We don t have a revenue cycle dashboard I m not sure 50

51 A Work Plan To Improve

52 A Work Plan to Improve Action Plan Holds people or departments accountable Keeps everyone on track Another communication tool 52

53 Setting Goals for Specific for Measurable for Attainable for Relevant for Time-specific

54 A Work Plan to Improve Dashboard starts the plan What are the targets and how do we get there Everyone is involved and knows the goal Action plan breaks down the get there into logical parts Assign the parts and get their input on due dates 54

55 A Work Plan to Improve Action plan is documented and readily accessible to group Revisions and changes are captured (dates, reason), documented, and communicated Should be an ongoing g process Celebrate your successes! 55

56 Example Action Plan Item # Revenue Cycle Goal 1 Increase clean claim rate from 85% to 90% by 12/31/2013 Action Item Updates Assigned To Due Date Run error report from claim scrubber for past month Team Lead, Billing Bring copies for next meeting on 7/9/2013 Bring to 7/9/2013 meeting 12/31/2013 for past month meeting on Run list of edits we are using in scrubber Claim scrubber administrator from IS 56

57 Example Action Plan Item # Revenue Cycle Goal 2 Increase POS cash collections from 1% to 2% by 6/30/2014 Action Item Updates Assigned To Set up window cash for 6/30/2014 radiology department and train Lead in cash posting Due Date 7/15/2013 Add Sueincash 7/15/2013 radiology to daily cash posting logs posting Develop and hold training for all POS staff Collection Manager 9/1/

58 Polling Question #5 Does your facility currently have an action plan and group that t is working on improving i your revenue cycle indicators? Yes No I m not sure 58

59 Summary Dashboards are just one form of communication Benchmarks and averages are available if you want them or just track progress against your own history Dashboards and action plans for improvement keep everyone on task and focused on the goals 59

60 Questions?

61 For More Information Kathy Hughes G2N, Inc

62 For More Information This webinar qualifies for 1 CPE credit. Please complete our short survey of 8 questions that t will appear at the end of the webinar in order to receive your certificate. t Your certificate will be ed to you.

HFMA MAP Keys Patient Access Measure:

HFMA MAP Keys Patient Access Measure: HFMA MAP Keys Patient Access Pre-Registration Rate Trending indicator that patient access processes are timely, accurate, and efficient Indicates revenue cycle efficiency and effectiveness N: number of

More information

Northeastern Pennsylvania Chapter, HFMA February 21, 2014. hfmamap.org

Northeastern Pennsylvania Chapter, HFMA February 21, 2014. hfmamap.org KEYS to Revenue Cycle Improvements: HFMA's Approach Sandra Wolfskill, FHFMA Director, Healthcare Finance Policy Revenue Cycle MAP Healthcare Financial Management Association Northeastern Pennsylvania Chapter,

More information

Revenue Cycle Management

Revenue Cycle Management Revenue Cycle Management ~Becoming a patient focused but metrics driven Revenue Cycle team~ Presented by: Kimberly Moore Director, Health Care Revenue Cycle Consulting 701.239.8673 kmoore@eidebailly.com

More information

A Measure of Success Using KPIs to Accelerate Revenue Cycle Performance

A Measure of Success Using KPIs to Accelerate Revenue Cycle Performance A Measure of Success Using KPIs to Accelerate Revenue Cycle Performance Sandy Richman, Director of Advisory Services Daniel Bergantz, Director of Advisory Services PNC Healthcare March 23, 2015 Today s

More information

9/28/2015. HFMA s Patient Friendly Billing Focus. Initiatives: Best Practices. Agenda. Iowa Hospital Association Annual Meeting October 6, 2015

9/28/2015. HFMA s Patient Friendly Billing Focus. Initiatives: Best Practices. Agenda. Iowa Hospital Association Annual Meeting October 6, 2015 HFMA s Patient Friendly Billing Initiatives: Best Practices Iowa Hospital Association Annual Meeting October 6, 2015 Sandra Wolfskill, FHFMA Director Healthcare Finance Policy HFMA Agenda Meet Jack! HFMA

More information

Leveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance

Leveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance Leveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance Matt Seefeld CEO & Co-Founder mseefeld@interpointpartners.com www.interpointpartners.com (404)446-0051

More information

The Road to Performance. Evaluating Metrics and Benchmark Trends in the Revenue Cycle June 2012

The Road to Performance. Evaluating Metrics and Benchmark Trends in the Revenue Cycle June 2012 The Road to Performance Evaluating Metrics and Benchmark Trends in the Revenue Cycle June 2012 1. philosophy 2. resources 3. framework 2 Confidential Services 3 Confidential Services 4 Confidential Services

More information

The Power of Business Intelligence in the Revenue Cycle

The Power of Business Intelligence in the Revenue Cycle The Power of Business Intelligence in the Revenue Cycle Increasing Cash Flow with Actionable Information John Garcia August 4, 2011 Table of Contents Revenue Cycle Challenges... 3 The Goal of Business

More information

Top Performing PFS Sustaining Revenue Cycle Excellence. Greg West COO, Healthcare Resource Group

Top Performing PFS Sustaining Revenue Cycle Excellence. Greg West COO, Healthcare Resource Group Top Performing PFS Sustaining Revenue Cycle Excellence Greg West COO, Healthcare Resource Group Competition target Why so few super bowl repeats Free agents turnover Rule changes laws and regs and industry

More information

Top Ten Questions. Time and Energy. Robin Bradbury 800-355-0410 robin@ereso.com

Top Ten Questions. Time and Energy. Robin Bradbury 800-355-0410 robin@ereso.com Robin Bradbury 800-355-0410 robin@ereso.com Top Ten Questions 1. What are the key measures for the Revenue Cycle? 2. How do you document and share this information with the Revenue Cycle staff? 3. What

More information

REVENUE CYCLE IMPROVEMENT

REVENUE CYCLE IMPROVEMENT EVIDENCE-BASED REVENUE CYCLE IMPROVEMENT Suzanne Lestina Director, Revenue Cycle MAP Healthcare Financial Management Association REVENUE CYCLE IMPROVEMENT. It is a violation of federal copyright law to

More information

Revenue Cycle Objectives Challenges Management Goals and Expected Benefits Sample Metrics Opportunities Summary Solution Steps

Revenue Cycle Objectives Challenges Management Goals and Expected Benefits Sample Metrics Opportunities Summary Solution Steps Common Findings Revealed: Revenue Cycle Review John Bartell, RN, BSN, Partner Tina Nazier, MBA, Director Wipfli LLP Topics for Discussion Revenue Cycle Objectives Challenges Management Goals and Expected

More information

Effective Revenue Cycles Are No Accident

Effective Revenue Cycles Are No Accident Effective Revenue Cycles Are No Accident ICAHN Boot Camp October 10, 2014 Jerrie K. Weith, FHFMA, CMPE, CMOM Learning Objectives Characteristics of Best Performers Efficient Encounters = Revenue Cycle

More information

Using Six Sigma Concepts to Improve Revenue Cycle

Using Six Sigma Concepts to Improve Revenue Cycle Using Six Sigma Concepts to Improve Revenue Cycle Presented by Joseph Koons, MHSA, FHFMA, CRCE-I Managing Director, Revenue Cycle Centra Health Lynchburg Virginia March 4, 2014 Agenda Introduction to

More information

NEVADA RURAL HOSPITAL BENCHMARKING INITIATIVE AND NEVADA RURAL HOSPITAL REVENUE CYCLE INITIATIVE

NEVADA RURAL HOSPITAL BENCHMARKING INITIATIVE AND NEVADA RURAL HOSPITAL REVENUE CYCLE INITIATIVE NEVADA RURAL HOSPITAL BENCHMARKING INITIATIVE AND NEVADA RURAL HOSPITAL REVENUE CYCLE INITIATIVE Nevada Rural Hospital Benchmarking Two core, cross cutting initiatives undertaken by Nevada Flex Program

More information

Back 2 Basics: Revenue Cycle: KPI, Risk Factors, and Compliance

Back 2 Basics: Revenue Cycle: KPI, Risk Factors, and Compliance Back 2 Basics: Revenue Cycle: KPI, Risk Factors, and Compliance March 25, 2010 Claudia Birkenshaw Garabelli, MSA President Modern Management Muse, Inc -- the ART of HealthCare Finance 1 Our Time Together

More information

Making Revenue Cycle Outsourcing an Organization Wide Responsibility

Making Revenue Cycle Outsourcing an Organization Wide Responsibility Making Revenue Cycle Outsourcing an Organization Wide Responsibility Michael S. Browning Chief Financial Officer Madison County Hospital Jeffrey Ellerbrock Consultant (formerly with The Outsource Group)

More information

Key Performance Indicators for Physician Practices. Sam Eddy Director, Physician Practice Consulting, QHR

Key Performance Indicators for Physician Practices. Sam Eddy Director, Physician Practice Consulting, QHR Key Performance Indicators for Physician Practices Sam Eddy Director, Physician Practice Consulting, QHR You can ask a question by clicking the blue? icon or through the orange speech bubble icon. 2 Evaluate

More information

Understanding Revenue Cycle Strategy How to Optimize Process and Performance

Understanding Revenue Cycle Strategy How to Optimize Process and Performance Understanding Revenue Cycle Strategy How to Optimize Process and Performance White Paper 1.800.4BEACON BeaconPartners.com BOSTON CLEVELAND SAN FRANCISCO TORONTO The revenue cycle can no longer be seen

More information

Our Journey to the MAP Award. Thursday, March 19, 2015

Our Journey to the MAP Award. Thursday, March 19, 2015 Our Journey to the MAP Award Thursday, March 19, 2015 Mission As a Catholic Healthcare Ministry, we provide comprehensive and compassionate care that improves the health of the people we serve. Snapshot

More information

Physician Revenue Cycle and Compliance Preparing for the OIG

Physician Revenue Cycle and Compliance Preparing for the OIG Physician Revenue Cycle and Compliance Preparing for the OIG 2014 Summer Institute Indiana Chapter, HFMA Katie Gilfillan Director HFP, Physician and Clinical Practice Sandra Wolfskill, FHFMA Director,

More information

The ROI of IT: Best Billing Practices

The ROI of IT: Best Billing Practices The ROI of IT: Best Billing Practices 1 R O S E M A R I E N E L S O N M G M A H E A L T H C A R E C O N S U L T I N G G R O U P The information and materials provided and referred to herein are not intended

More information

Protect and Improve Profitability in Your Practice. Positioning Your Organization for a RAC Audit

Protect and Improve Profitability in Your Practice. Positioning Your Organization for a RAC Audit Protect and Improve Profitability in Your Practice Positioning Your Organization for a RAC Audit 2011 Annual Educational Seminar March 9, 2011 Presented By: Cindy Tipton-Cain, Exec. Director Physician

More information

5 KPIs That Require Revenue Cycle Managers' Attention. Devendra Saharia FEATURE STORY. healthcare financial management association www.hfma.

5 KPIs That Require Revenue Cycle Managers' Attention. Devendra Saharia FEATURE STORY. healthcare financial management association www.hfma. SEPTEMBER 2014 healthcare financial management association www.hfma.org FEATURE STORY 5 KPIs That Require Revenue Cycle Managers' Attention Devendra Saharia Devendra Saharia REPRINT September 2014 healthcare

More information

Revenue Cycle Executive Roundtable Preparing for ICD-10: Staying the Course

Revenue Cycle Executive Roundtable Preparing for ICD-10: Staying the Course Revenue Cycle Executive Roundtable Preparing for ICD-10: Staying the Course Presented by Industry Leaders Moderated by 3M HIS and HFMA A 3M Health Information Systems (HIS) Sponsored Webinar April 17,

More information

Accelerating your Revenue Cycle: From Patient Encounter Through Account

Accelerating your Revenue Cycle: From Patient Encounter Through Account Accelerating your Revenue Cycle: From Patient Encounter Through Account Resolution Anders Health Care Webinar Series July 17th, 2013 Jerrie K. Weith, FHFMA, CMPE Chastity D. Werner, RHIT, CMPE, NCP Learning

More information

ADMINISTRATIVE POLICY AND PROCEDURE

ADMINISTRATIVE POLICY AND PROCEDURE ADMINISTRATIVE POLICY AND PROCEDURE SUBJECT: FINANCIAL AID POLICY NUMBER: JF14.1 OWNER: Office of the President EFFECTIVE REVISED SUPERSEDES: DATE: 4/86 DATE: 02/12/14 REFERENCE: PURPOSE: Montefiore Medical

More information

BILLING MANAGER INDICATORS: HOW DOES YOUR ORGANIZATION STACK UP?

BILLING MANAGER INDICATORS: HOW DOES YOUR ORGANIZATION STACK UP? CPAs & ADVISORS experience direction // BILLING MANAGER INDICATORS: HOW DOES YOUR ORGANIZATION STACK UP? OHIO ASSOCIATION OF COMMUNITY HEALTH CENTERS ~ 2014 ANNUAL CONFERENCE Wednesday, March 12, 2014

More information

treating technology as a luxury?

treating technology as a luxury? FEBRUARY 2007 healthcare financial management Steven H. Berger treating technology as a luxury? 10 necessary tools If you ve been thinking that technology for improving healthcare financial management

More information

Revenue Cycle Maximization

Revenue Cycle Maximization Revenue Cycle Maximization www.claimremedi.com Revenue Cycle Maximization Presented by: Peter Bowhall CEO Andrea Neace ClaimRemedi, Inc. Santa Rosa, CA FQHC Revenue Cycle At its core is the Claim Revenue

More information

SUSTAINING REVENUE INTEGRITY WITH EMR IMPLEMENTATION

SUSTAINING REVENUE INTEGRITY WITH EMR IMPLEMENTATION 1 SUSTAINING REVENUE INTEGRITY WITH EMR IMPLEMENTATION MICHAEL BRENNAN SENIOR MANAGER CAROLINE RADER ZNANIEC EXPERIENCED MANAGER AHIA 32 nd Annual Conference August 25-28, 2013 Chicago, Illinois www.ahia.org

More information

The Power of Revenue Management

The Power of Revenue Management The Power of Revenue Management Presented By Judy Capko Capko & Company www.capko.com The Power of Revenue Management 6/13/07 1 About the Speaker The Power of Revenue Management 6/13/07 2 The Speaker:

More information

Creating a Virtual CBO while guaranteeing AR performance. University of Maryland Medical System Case Study

Creating a Virtual CBO while guaranteeing AR performance. University of Maryland Medical System Case Study Creating a Virtual CBO while guaranteeing AR performance University of Maryland Medical System Case Study Today s objectives Do you really need to convert your hospital information system?» Alternatives

More information

Sponsored by MiraMed Global Services. How to Proactively Address Coding Challenges

Sponsored by MiraMed Global Services. How to Proactively Address Coding Challenges Sponsored by MiraMed Global Services How to Proactively Address Coding Challenges Sponsored by: Sponsored by MiraMed Global Services 2 CPE Credit Continuing Education Email: Donna Fincher dfincher@holliscobb.com

More information

EMDEON REVENUE OPTIMIZATION SERVICES

EMDEON REVENUE OPTIMIZATION SERVICES EMDEON REVENUE OPTIMIZATION SERVICES TRANSFORM PREVIOUSLY WRITTEN-OFF PAYER UNDERPAYMENTS INTO REALIZED REVENUE Simplifying the Business of Healthcare Simplifying the Business of Healthcare Helping increase

More information

CAH Revenue Cycle Assessment Project 2012

CAH Revenue Cycle Assessment Project 2012 CAH Revenue Cycle Assessment Project 2012 Our Mission: To protect and improve the health and environment of all Kansans. The first step in improving a process is measuring current performance. How did

More information

The following online training module will provide a general overview of the Vanderbilt University Medical Center s (VUMC) technical revenue cycle.

The following online training module will provide a general overview of the Vanderbilt University Medical Center s (VUMC) technical revenue cycle. The following online training module will provide a general overview of the Vanderbilt University Medical Center s (VUMC) technical revenue cycle. This Revenue Cycle Overview training will establish a

More information

Certified Healthcare Financial Professional

Certified Healthcare Financial Professional Certified Healthcare Financial Professional Certification Basics Friday, February 25, 2016 Courtney Stevenson, MSA WA/AK HFMA Certification Committee Co-Chair Agenda Module I The Business of Healthcare

More information

Rural Hospital Performance Improvement (RHPI) Project

Rural Hospital Performance Improvement (RHPI) Project Rural Hospital Performance Improvement (RHPI) Project Best Practice Concepts in Revenue Cycle Management August 8, 2014 600 East Superior Street, Suite 404 Duluth, Minnesota 55802 Phone: 218-727-9390 info@ruralcenter.org

More information

Evidence-Based Revenue Cycle Improvement

Evidence-Based Revenue Cycle Improvement Evidence-Based Revenue Cycle Improvement An HFMA MAP Educational Program SM Participant s Guide SM Participant s Guide Evidence-Based Revenue Cycle Improvement An HFMA MAP Educational Program Introduction

More information

Retrospective Denials Management

Retrospective Denials Management Retrospective Denials Management Weaving together the Clinical, Technical, and Legal Components Glen Reiner, RN, BSN, VP of Clinical Operations Nicole Guido, VP Business Development Our goals for our time

More information

Inseparable: Strategies for Integrating EHR & Revenue Cycle for Financial Success Carmen Sessoms, FHFMA

Inseparable: Strategies for Integrating EHR & Revenue Cycle for Financial Success Carmen Sessoms, FHFMA Inseparable: Strategies for Integrating EHR & Revenue Cycle for Financial Success Carmen Sessoms, FHFMA AVP of Product Management EHR + RCM = Inseparable For patients, the clinical and financial experiences

More information

1.1 Applicable Entities: This policy applies to Texas Health Rockwall. 1.2 Applicable Departments: This policy applies to all departments.

1.1 Applicable Entities: This policy applies to Texas Health Rockwall. 1.2 Applicable Departments: This policy applies to all departments. Policy Name: Charity Care Program Owner : President, VP Revenue Cycle Effective Date: 6/19/13 Approved By: Texas Health Rockwall Board of Trustees Last Reviewed Date: 10/16/2013 ; 2/4/14 Page 1 of 11 1.0

More information

Seven revenue-driving best practices

Seven revenue-driving best practices NextGen Revenue Cycle Management Seven revenue-driving best practices 1 2 3 4 5 6 7 Self-pay Collections Measuring Performance Claims Scrubbing Track and Prevent Denials Create and Enforce Write-off Policy

More information

ADMINISTRATIVE POLICY AND PROCEDURE

ADMINISTRATIVE POLICY AND PROCEDURE ADMINISTRATIVE POLICY AND PROCEDURE SUBJECT: FINANCIAL AID POLICY NUMBER: OWNER: Office of the President EFFECTIVE REVISED SUPERSEDES: DATE: DATE: 11/1/2015 REFERENCE: PURPOSE: Montefiore Mount Vernon

More information

REVENUE CYCLE MANAGEMENT : A DEEPER DIVE

REVENUE CYCLE MANAGEMENT : A DEEPER DIVE REVENUE CYCLE MANAGEMENT : A DEEPER DIVE 2016 TABLE OF CONTENTS Introduction The Participants Revenue Cycle Steering Committee Personnel Accounting Platform Service Outsourcing Performance Metrics Accounts

More information

POST ACA REVENUE CYCLE TRANSFORMATION

POST ACA REVENUE CYCLE TRANSFORMATION POST ACA REVENUE CYCLE TRANSFORMATION Agenda Intro Revenue cycle features ACA impact areas What did we expect? UDS and PMG data analytics Top to-do items Summary WWW.GOPMG.COM ICD 10 Update* Encounters

More information

Assessment Project Executive Summary Presentation. September 13, 2012

Assessment Project Executive Summary Presentation. September 13, 2012 Kansas Revenue Cycle Assessment Project Executive Summary Presentation September 13, 2012 Prepared by: Steve Boline, Regional CFO Holly Hansen, COO Nevada Rural Hospital Partners Revenue Cycle Improvement

More information

Residency Status Not Required Residency status is not a consideration for eligibility in WFH s Community Care Program.

Residency Status Not Required Residency status is not a consideration for eligibility in WFH s Community Care Program. POLICY & PROCEDURE Subject: Patient Financial Assistance/Community Care Program Classification: Policy Owner: Illinois Regional CFO Approved Sr. VP, CFO Approved By: Regional CEO Effective: January 1,

More information

Revenue Cycle Management

Revenue Cycle Management Revenue Cycle Management The Keys to Revenue Cycle Success: Aligning People, Process and Technology Presented by: Marie Murphy Revenue Cycle Manager 701.476.8321 mcmurphy@eidebailly.com Agenda Introductions

More information

Self-Pay in an ACA World: Optimizing Resources with Soarian Tools, Workflows and Partners

Self-Pay in an ACA World: Optimizing Resources with Soarian Tools, Workflows and Partners Self-Pay in an ACA World: Optimizing Resources with Soarian Tools, Workflows and Partners Kathy Peterson, FHFMA Director of Patient Financial Services October 11, 2015 Our focus today Marketplace changes

More information

Engaging Touch Free Practices; Carolinas HealthCare System

Engaging Touch Free Practices; Carolinas HealthCare System Engaging Touch Free Practices; Carolinas HealthCare System A Case Study on Automation in the Revenue Cycle Elizabeth P. Staas, Recondo Technology Jonathan Johnson, Carolinas HealthCare System Hello, I

More information

Keeping the Reimbursement Train on Track

Keeping the Reimbursement Train on Track EXECUTIVE BRIEFING Keeping the Reimbursement Train on Track By Kelley Blair MA, vice president at Craneware Professional Services and Linda Corley, MBA, CPC, corporate compliance officer, Dell Services

More information

EXPERTISE OF CONSULTANTS

EXPERTISE OF CONSULTANTS We appreciate the opportunity to introduce our services to Ingram Micro. We believe that you will find Jackson Thornton Healthcare Consultants to be uniquely qualified because of the extensive knowledge

More information

Revenue Cycle Management: Tips & Tools

Revenue Cycle Management: Tips & Tools Revenue Cycle Management: Tips & Tools 2010 Annual Educational Seminar March 10, 2010 Presented By: Cindy Tipton, Coding & Compliance Director cindy_tipton@med3000.com What is the Revenue Cycle or Life

More information

Impact of Productivity on Revenue Prepared for Elsevier by Nadinia Davis, MBA, CIA, CPA, RHIA, CHDA, CCA, FAHIMA. March 27, 2013

Impact of Productivity on Revenue Prepared for Elsevier by Nadinia Davis, MBA, CIA, CPA, RHIA, CHDA, CCA, FAHIMA. March 27, 2013 Impact of Productivity on Revenue Prepared for Elsevier by Nadinia Davis, MBA, CIA, CPA, RHIA, CHDA, CCA, FAHIMA March 27, 2013 Agenda Review the ICD-10-CM/PCS timeline Identify possible revenue cycle

More information

Speaker Bio. About Robin Bradbury Founder and President re solution

Speaker Bio. About Robin Bradbury Founder and President re solution Speaker Bio About Founder and President is the founder and President of (www.ereso.com), a revenue cycle optimization organization providing solutions for the business challenges faced by health care providers.

More information

Information Integrity in the Revenue Cycle! Order Entry, All Subsystems and The Charge Description Master

Information Integrity in the Revenue Cycle! Order Entry, All Subsystems and The Charge Description Master Information Integrity in the Revenue Cycle! Order Entry, All Subsystems and The Charge Description Master 2011 Our Philosophy: We are a firm believer in information integrity. Therefore we perform on or

More information

6/6/2012. Best Practices to Improve Billing and Collections. Overview. On the Front End. Lisa Rock, President National Medical Billing Services

6/6/2012. Best Practices to Improve Billing and Collections. Overview. On the Front End. Lisa Rock, President National Medical Billing Services Best Practices to Improve Billing and Collections Lisa Rock, President National Medical Billing Services June 15, 2012 10 th Annual Orthopedic, Spine and Pain Management Driven ASC Conference: Improving

More information

Get Exam Ready. Attention Potential HFMA Certification Candidates! HFMA Certification Candidate Practicum

Get Exam Ready. Attention Potential HFMA Certification Candidates! HFMA Certification Candidate Practicum Get Exam Ready HFMA Certification Candidate Practicum Attention Potential HFMA Certification Candidates! Thursdays February 5, 2015 March 12, 2015 12:00 pm to 2:00 pm cst The Certification Practicum is

More information

Rejection Prevention. How Actionable Data Can Drive Results in Your Revenue Cycle

Rejection Prevention. How Actionable Data Can Drive Results in Your Revenue Cycle Rejection Prevention How Actionable Data Can Drive Results in Your Revenue Cycle Objectives Build a data collection strategy in denials and rejections that drives action and ultimately improved results

More information

Engaging Touch Free Practices Carolinas HealthCare System - A Case Study on Automation in the Revenue Cycle

Engaging Touch Free Practices Carolinas HealthCare System - A Case Study on Automation in the Revenue Cycle Engaging Touch Free Practices Carolinas HealthCare System - A Case Study on Automation in the Revenue Cycle Elizabeth P. Staas, Recondo Technology Katie Davis, Carolinas HealthCare System Who we are Elizabeth

More information

MGMA Cost Survey: 2014 Report Based on 2013 Data. Key Findings Summary Report

MGMA Cost Survey: 2014 Report Based on 2013 Data. Key Findings Summary Report MGMA Cost Survey: 2014 Report Based on 2013 Data % MGMA Cost Survey: 2014 Report Based on 2013 Data Each year, MGMA surveys its members and nonmembers to obtain the most recent cost and revenue data. This

More information

Revenue cycle measurement strategies

Revenue cycle measurement strategies Revenue cycle measurement strategies Thursday, Oct. 3, 2013 To download slides: Click the Content button and then Files in the lower left-hand corner of your screen. Welcome! Important webcast notes You

More information

Current Trends in Revenue Cycle Performance Benchmarks, Outsourcing and Reform

Current Trends in Revenue Cycle Performance Benchmarks, Outsourcing and Reform Current Trends in Revenue Cycle Performance Benchmarks, Outsourcing and Reform 1 Discussion Outline Discussion Objectives and Approach Process Definition Leading Practice Comparison Trends in Outsourcing

More information

How a Pre-Service Center at MetroHealth System Improved Satisfaction, Efficiency, and Revenue

How a Pre-Service Center at MetroHealth System Improved Satisfaction, Efficiency, and Revenue How a Pre-Service Center at MetroHealth System Improved Satisfaction, Efficiency, and Revenue Craig Richmond The MetroHealth System Associate Chief Financial Officer & Vice President, Revenue Cycle Introduction

More information

Excerpt From The Small (Under $10 Million Revenues) Private Company Executive Compensation Digest 2013-2014

Excerpt From The Small (Under $10 Million Revenues) Private Company Executive Compensation Digest 2013-2014 Excerpt From The Small (Under $10 Million Revenues) Private Company Executive Compensation Digest 2013-2014 Table of Contents Section Executive Summary 4 Chief Executive Officer (CEO) 10 President 27 Senior

More information

TransUnion Healthcare Solutions Overview

TransUnion Healthcare Solutions Overview TransUnion Healthcare Solutions Overview Thank you for your interest in TransUnion Healthcare. We invite you to use this booklet as a quick reference guide. Included is a brief overview of TransUnion Healthcare

More information

POLICY AND PROCEDURE POLICY NUMBER: CHS-RMC-03 POLICY LEVEL: CHS

POLICY AND PROCEDURE POLICY NUMBER: CHS-RMC-03 POLICY LEVEL: CHS Payment and Healthcare Assistance Policy RESPONSIBLE DEPARTMENT: Finance PREPARED BY: Scott Kitchen Director Clinical and Business Intelligence POLICY NUMBER: CHS-RMC-03 POLICY LEVEL: CHS APPROVED BY:

More information

healthcare services, provided that a member, in good standing, of SJMH s medical staff determines the need for such medical care treatment.

healthcare services, provided that a member, in good standing, of SJMH s medical staff determines the need for such medical care treatment. St. James Mercy Hospital Policy Section: General Information Policy Name: Charity Care/Financial Assistance Developed by: Dave Capone Date: 2/1/07 Page 1 of 13 PURPOSE St. James Mercy Health (SJMH) is

More information

Revenue Cycle InsIGHTS PRE-REGISTRATION: WORKING THE HEALTH CARE REVENUE CYCLE AT THE EARLIEST PATIENT ENCOUNTER

Revenue Cycle InsIGHTS PRE-REGISTRATION: WORKING THE HEALTH CARE REVENUE CYCLE AT THE EARLIEST PATIENT ENCOUNTER Revenue Cycle InsIGHTS Patient Access PRE-REGISTRATION: WORKING THE HEALTH CARE REVENUE CYCLE AT THE EARLIEST PATIENT ENCOUNTER Executive Summary According to publications from the Healthcare Financial

More information

Employed Physicians: Leadership Strategies for a Winning Organization

Employed Physicians: Leadership Strategies for a Winning Organization Employed Physicians: Leadership Strategies for a Winning Organization Ray Chorey Southeastern Ohio Regional Medical Center President and CEO Thomas Ferkovic SS&G Healthcare Managing Director Practice Comparison

More information

Financial Assistance Program AKA Charity Care/Uncompensated Care Program

Financial Assistance Program AKA Charity Care/Uncompensated Care Program Policy POLICY NO. 100. 85300.600 EFFECTIVE 12/90 REVISED 03/2014 Page 1 of 12 SUBJECT: APPLICATION: PURPOSE: POLICY: Financial Assistance Program AKA Charity Care/Uncompensated Care Program All Departments

More information

Managing and Enhancing Hospital Revenue Cycles 1

Managing and Enhancing Hospital Revenue Cycles 1 Managing and Enhancing Hospital Revenue Cycles Introduction Though providing high-quality care with improved health outcomes remains the primary concern of hospitals of all sizes, geography, and demographics,

More information

Patient Account Services. Patient Reference & Frequently Asked Questions. Admissions

Patient Account Services. Patient Reference & Frequently Asked Questions. Admissions Patient Account Services Patient Reference & Frequently Asked Questions Admissions Each time you present for a new medical service, a new account number will be assigned. You will be asked to pay any patient

More information

What the New Health Economy Means for your Revenue Cycle

What the New Health Economy Means for your Revenue Cycle www.pwc.com/healthcare What the New Health Economy Means for your Revenue Cycle South Carolina HFMA Annual Institute Our Agenda for Today I. Today s Revenue Cycle The Case for Change II. Healthcare Reform

More information

University Healthcare Administrative Policy

University Healthcare Administrative Policy Page 1 of 6 APPROVED BY: Signatures on File FINANCIAL POLICY (UH) is a not-for profit teaching hospital committed to providing quality health care services. In order to provide necessary medical services

More information

Give Your Revenue Cycle a Boost Techniques to Improve Collections for Your Physician Practices

Give Your Revenue Cycle a Boost Techniques to Improve Collections for Your Physician Practices Give Your Revenue Cycle a Boost Techniques to Improve for Your Physician Practices Presented by: Alta Partners, LLC Stan Kasmarcak Susannah Selnick Lacy Sharratt June 8, 2015 2015 Ohio Hospital Association

More information

Your Revenue Cycle It s not just billing anymore. Presented by: Candy Edie, MBA, CRCE-I

Your Revenue Cycle It s not just billing anymore. Presented by: Candy Edie, MBA, CRCE-I Your Revenue Cycle It s not just billing anymore Presented by: Candy Edie, MBA, CRCE-I POSITIONS Staff Accountant Chief Financial Officer Financial Systems Analyst Patient Access Director Patient Financial

More information

Cost Containment Strategies for Hospitals and Health Systems

Cost Containment Strategies for Hospitals and Health Systems Cost Containment Strategies for Hospitals and Health Systems Healthcare reforms and the consequent strain on hospital funds have created a growing cost containment problem for hospitals and health systems

More information

Days in Accounts Receivable Days in Accounts Receivable Greater Than 120 Days Adjusted Collection Rate Denial Rate Average Reimbursement Rate

Days in Accounts Receivable Days in Accounts Receivable Greater Than 120 Days Adjusted Collection Rate Denial Rate Average Reimbursement Rate 1 Many providers are under the impression they can assess the financial health of their practice by evaluating cash flow only. However, cash flow is just one factor. You don't have to be a finance expert

More information

Our Lady of Lourdes Health Care Services, Inc. and Affiliates Administrative and General Policy POLICY NUMBER: AS0019CCP. PAGE NUMBER: 1 of 9

Our Lady of Lourdes Health Care Services, Inc. and Affiliates Administrative and General Policy POLICY NUMBER: AS0019CCP. PAGE NUMBER: 1 of 9 Administrative and General Policy PAGE NUMBER: 1 of 9 ACCOUNTABILITY: OBJECTIVES: POLICY: President and Chief Executive Officer RELATION TO MISSION: Our Lady of Lourdes, a Catholic Health System a member

More information

ICD-10 Transition Countdown: Ready, Set, Code Your Complete Strategic Readiness Guide

ICD-10 Transition Countdown: Ready, Set, Code Your Complete Strategic Readiness Guide Please stand by There are several attendees still waiting to log in ICD-10 Transition Countdown: Ready, Set, Code Your Complete Strategic Readiness Guide April 4, 2012 To download slides: click on Presentation

More information

7 Ways to Enhance Your Radiology Group's Revenue Cycle

7 Ways to Enhance Your Radiology Group's Revenue Cycle 7 Ways to Enhance Your Radiology Group's Revenue Cycle Introduction Every radiologist would prefer to be reading charts than spend time thinking about their practice s revenue cycle management processes.

More information

Financial Assistance Policy Effective 1.01.2015 Wheeling Hospital

Financial Assistance Policy Effective 1.01.2015 Wheeling Hospital Financial Assistance Policy Effective 1.01.2015 Wheeling Hospital Responsibility Financial Assistance is not considered to be a substitute for personal responsibility. Patients are expected to cooperate

More information

The Economics of Outsourcing Billing, Collections, and Contracting. Tom Chirillo President & CEO HealthCare Business Solutions

The Economics of Outsourcing Billing, Collections, and Contracting. Tom Chirillo President & CEO HealthCare Business Solutions The Economics of Outsourcing Billing, Collections, and Contracting Tom Chirillo President & CEO HealthCare Business Solutions Goals of Today s Presentation Establish how important Billing, Collections,

More information

Revenue Cycle. An operational overview and some ideas of how to negotiate the complex roads ahead. HFMA ROAD SHOW SUTTER CENTER FOR HEALTH PROFESSIONS

Revenue Cycle. An operational overview and some ideas of how to negotiate the complex roads ahead. HFMA ROAD SHOW SUTTER CENTER FOR HEALTH PROFESSIONS HFMA ROAD SHOW SUTTER CENTER FOR HEALTH PROFESSIONS Presented by: Steve Thompson and the PFS Revenue Cycle Committee January 7, 2008 Revenue Cycle An operational overview and some ideas of how to negotiate

More information

UNIVERSITY OF ILLINOIS HOSPITAL MANAGEMENT POLICY AND PROCEDURE. Objective

UNIVERSITY OF ILLINOIS HOSPITAL MANAGEMENT POLICY AND PROCEDURE. Objective APPROVAL DATE: December 18, 2013 EFFECTIVE DATE: January 1, 2014 UNIVERSITY OF ILLINOIS HOSPITAL MANAGEMENT POLICY AND PROCEDURE SUBJECT: Hospital Financial Assistance for Uninsured Patients PAGE: Page

More information

USC NORRIS CANCER HOSPITAL KECK HOSPITAL OF USC OPERATING POLICIES

USC NORRIS CANCER HOSPITAL KECK HOSPITAL OF USC OPERATING POLICIES MANUAL: Patient Access POLICY #: Financial Assistance and Discount Policy PERSONNEL COVERED: AUTHORIZED APPROVAL: PAGE: 1 OF 10 PURPOSE To strive to be the trusted leader in quality health care that is

More information

Patient Financial Services Financial Assistance Policy

Patient Financial Services Financial Assistance Policy Patient Financial Services Financial Assistance Policy Departments: Billing, Patient Accounts, Registrations Subject: Patient Financial Assistance Policy: It is CarolinaEast Medical Center policy to provide

More information

with hfma certification programs

with hfma certification programs B E CO M E C E RT I F I E D with hfma certification programs Validate your skills and knowledge Enhance your credibility in the industry Suppor t your professional development Demonstrate a high level

More information

NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES EHR MEDICAID INCENTIVE PROGRAM FOR ELIGIBLE HOSPITALS

NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES EHR MEDICAID INCENTIVE PROGRAM FOR ELIGIBLE HOSPITALS NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES EHR MEDICAID INCENTIVE PROGRAM FOR ELIGIBLE HOSPITALS BACKGROUND AND OVERVIEW 2 Medicaid Electronic Health Record (EHR) Incentive Payment Program Background

More information

Granville Health System

Granville Health System Approved by: Granville Health System FINANCIAL POLICY Effective Date: Revised Date(s): FINANCIAL POLICY - DRAFT 09-16-2014 Granville Health System is a not-for profit hospital committed to providing quality

More information

Policy: Charity Care Application Policy # 4.70 Department: Patient Access Policy Manual: USMD Hospital Revenue Cycle Manual Effective date:

Policy: Charity Care Application Policy # 4.70 Department: Patient Access Policy Manual: USMD Hospital Revenue Cycle Manual Effective date: Approved by: Page: 1 SCOPE: This policy applies to USMD Hospitals. PURPOSE: USMD Hospitals will provide charity care to patients who incur a significant financial burden as a result of receiving medically

More information

The Power of Metrics Part Two. By Rob Borchert, CPAM Altarum Institute: Revenue Cycle Management Practice

The Power of Metrics Part Two. By Rob Borchert, CPAM Altarum Institute: Revenue Cycle Management Practice The Power of Metrics Part Two By Rob Borchert, CPAM July 2009 The Power of Metrics Part Two By Rob Borchert, CPAM Altarum Institute: Revenue Cycle Management Practice July 2009 THE POWER OF METRICS PART

More information

Patient Access. The Big Opportunity

Patient Access. The Big Opportunity Patient Access The Big Opportunity Evolution of the Revenue Cycle Over the last 10 15 years the industry has Increased Awareness Understanding Recognition Leading to.. Use of Key Performance Indicators

More information

FINANCIAL ANALYTICS IN MANAGED CARE CONTRACTING MOVING BEYOND THE DOUBLE DIGIT INCREASE

FINANCIAL ANALYTICS IN MANAGED CARE CONTRACTING MOVING BEYOND THE DOUBLE DIGIT INCREASE FINANCIAL ANALYTICS IN MANAGED CARE CONTRACTING MOVING BEYOND THE DOUBLE DIGIT INCREASE John M. Brault, FHFMA jbrault@somerset-healthcare.com Gregg P. Leff gleff@med-metrix.com Overview How to Move Beyond

More information

A Primer on Ratio Analysis and the CAH Financial Indicators Report

A Primer on Ratio Analysis and the CAH Financial Indicators Report A Primer on Ratio Analysis and the CAH Financial Indicators Report CAH Financial Indicators Report Team North Carolina Rural Health Research and Policy Analysis Center Cecil G. Sheps Center for Health

More information

HFMA s 2011 Certification Program. Contents

HFMA s 2011 Certification Program. Contents HFMA s 2011 Certification Program Contents The New CHFP Program Pages 2 3 The CHFP Exam Pages 3 6 Studying Pages 6 8 CHFP Exam Content Pages 8 10 Miscellaneous Page 10 Should you have additional questions,

More information

Beyond the Basics: Accelerating the Revenue Cycle Through Advanced KPI s

Beyond the Basics: Accelerating the Revenue Cycle Through Advanced KPI s Optimizing the business of healthcare Beyond the Basics: Table of Contents Overview 1 The Importance of Metrics 1 Taking the Next Step 1 Baseline KPI s 2 Why Advanced KPI s 2 Advanced KPI s In Action 3

More information