#Epic

Leverage Epic to Optimize Revenue Cycle

 Revenue cycle optimization is a common area of interest for our Epic clients looking to leverage advanced Epic functionality to improve workflows, productivity and ultimately financial performance.
 Culbert Healthcare Solution’s approach for Epic Revenue Cycle Optimization includes a holistic review of the entire patient experience beginning with patient access and flowing through the clinical encounter and the downstream billing and A/R management processes. Based on our experience, common goals for revenue cycle optimization include:

 

  • Improving patient access, particularly access to specialist services,
  • Enhancing the patient experience,
  • Maximizing physician and resource productivity,
  • Eliminating delays in charge triggering and claim lag,
  • Improved clean claims,
  • Ensuring appropriate and thorough coding to bill for all services rendered, and to reduce billing errors and compliance risks,
  • Reducing payment lag, particularly for Self Pay balances,
  • Improve consistency in reporting throughout the enterprise.

For complex healthcare organizations, common areas for improving their use of Epic to improve revenue cycle performance can often be derived from:

  1. Visit Type setup (consolidation and standardization)
  1. Evaluation of EpicCare charge triggering infrastructure (OPC or Navigators for Charge Capture)
  1. Optimizing advanced Epic tools including Preference Lists, SmartSets, Order Panels, Order Transmittal and Results Routing
  1. Charge Router setup and Error Pool management
  1. Resolute Work Queue setup and structure
  1. Physician / Clinic Engagement, Education and Change Management