Omaha Increases ED Net Revenue by $1.25 Million Per Year
April 17, 2011
Posted by chcablogadmin in : Financial Viability
Leaders at Children’s Hospital & Medical Center (Omaha), concerned that facility E/M level of services distribution did not accurately reflect ED resources, agreed to an assessment by Clinical Coding Solutions (CCS). The assessment of their charging and coding process included a comprehensive review of 75 emergency department patient charts and itemized bills. The analysis identified opportunities to potentially increase revenue by implementing a facility E/M tool to accurately reflect resources expended and capture missed charges, specifically involving injections and infusions.
CHMC’s assessment identified an estimated increase in net revenue of $1.06 million and achieved $1.25 million. Children’s was also able to implement CCS coding analysis to achieve increased compliance and documentation of care. For example, CCS assisted the hospital by identifying undocumented infusion start and stop times and x-rays in which there was a failure to note which specific extremity was involved.
Clinical Coding Solutions’ methodology and algorithm for coding pediatric claims, helps participating hospitals perform more accurate and thorough coding of Emergency Department claims, Observation and Urgent Care claims coding services are available now as well. CHCA Owner Hospitals can receive a free onsite assessment, providing a complete and useful analysis of additional revenue opportunities. Two options are offered for participation in CCS services — outsourcing of claims coding or use of the proprietary tools by in-house staff. Participating hospitals pay CCS by number of claims, not by percent of revenue. CHCA Owner Hospitals who choose to participate through CHCA benefit from a pricing advantage and from administrative fees ultimately being returned as patronage dividends.
For more information about Clinical Coding Solutions, contact Edna Rindner (edna.rindner@chca.com).
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