In Epic’s 2012 version and even more in the 2014 version, Epic has focused on improving the Revenue Cycle making processes more efficient to keep the health of the Revenue Cycle intact. Below are a few items that clients are finding beneficial as they have or are in process of upgrading.
Charge Reconciliation Process
New reports released in 2012 and enhanced in 2014 are crucial to help the operational owners efficiently review the revenue stream and ensure issues are identified and resolved quickly. Some examples include:
- Inpatient department managers can now be sure that all charges balance, similar to functionality outpatient department managers have used for quite a while. Clients are reporting the benefits of this being available natively in Epic versus a custom report generated for manager’s review. The report is the Enterprise Encounter Charge Reconciliation report and gives more detail than is available in other reports that customers have been using.
- A new Reporting Workbench Report for Inpatient Note Charge Reconciliation is another example. This report shows physician notes that are missing corresponding charges. This assists in identification of specific users, departments or overarching trends that should be addressed. Because this report is run via Reporting Workbench, it can be available from a user’s Radar Dashboard for quick access.
- A new Coding Quality Report identifies charges that can be removed from manual review by coders, allowing more time for the most important charge review.
Dashboards have a continued focus across all applications in the 2014 version. As more clients use Epic’s reporting tools, they are constantly pushing for increased functionality and efficiency, especially in this area. Dashboards make monitoring the revenue cycle more efficient and visual, giving users the ability to drill down right to the details.
- Self-Pay becomes a focus across both Professional and Hospital Billing this release with new components and a dashboard for use in each application. The self-pay enhancements allow clients to manage the metrics with drilldown support to obtain additional detail.
- Additional sorting capabilities for dashboards have proven helpful for many clients within three of the end of day dashboards HB staff use. The increased flexibility and options for grouping has been beneficial for clients with non-traditional grouping of their revenue cycle staff.
- The ability for Office Managers to focus staff in the most needed areas has also become more efficient in 2014. The Pending AR component gives insight into all areas of the Revenue Cycle visually, indicating areas that are higher than expected.
Billing and Insurance
- Many organizations are looking to MyChart for many clinical and regulatory reasons (Meaningful Use requirements, Risk Management, etc.), however, several organizations are also implementing revenue cycle features if those have not been part of their roadmap previously. So clients are simply continuing to implement enhancements available with each version. Many organizations have found success with integration of patient statements, paperless payment options as well as transparency with self-pay amounts and pricing estimates included via MyChart. As patients continue to be technologically savvy, they are requiring their healthcare providers to offer the same type of services other industries offer via the Internet. What we have seen – organizations are responding!
While the items above are highlights for the Revenue Cycle in 2014, there are several other enhancements that clients are taking advantage of based on organizational initiatives for 2014 and 2015.