Healthcare Revenue Cycle Blitz

by Tom Caswell

Sometimes you just have to blitz. In football terms a blitz is when you throw extra players into the pass rush to disrupt the quarterback.  Synernet has launched a revenue cycle blitz with great success to uncover the root causes of cash flow delays including an evaluation of the processes surrounding provider enrollment, charge capture and coding.

The Healthcare Financial Management Association (HFMA) defines revenue cycle:

All administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue.”

So why a blitz of revenue cycle? Successful revenue cycle management starts with an understanding that healthcare billing is a coordinated process of disparate departments working together to generate an accurate claim for payment in the shortest time frame.

To get to the root cause of cash flow issues, a revenue cycle blitz forces departments to come together and evaluate processes against best practices. Our experience tells us that a disruptive event,”blitz”, is needed to gain agreement from stakeholders on process changes, benchmarks, acceptable time lines and strategies to achieve an agreed upon metric.

A quote after a recent Revenue Cycle Blitz.

“You have far exceeded my expectations.”

Process Improvement – from 3 days to 20 minutes

“It took 10 minutes to print the packets for the 8 physicians and another 5-10 to get them into the FedEx packet to send out for initial applicants for both enrollment and credentialing.” Synernet automated a manual process, reducing the time from 3 days to 20 minutes.

Good people can’t overcome bad processes put in place over time.  A Revenue Cycle Blitz forces change where it is needed most – processes, benchmarks and communication.

About the author: Tom Caswell explores the impact of emerging technologies on the end user and healthcare.  You can reach Tom Caswell at tcaswell@synernet.net

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