Choosing a health care provider is determined by the quality of care received. Most physicians are affiliated with more than one health care center and try to fit in the busy setting of their jurisdiction. They are the determiners of situations and therefore time is a major factor in cases of life and death.
Revenue cycle process plays a major role in charge identification since documentation of care provided is at times inaccurate. Billing data and harmonizing their itinerary could be a bit weighty because of the doctors’ busy schedule. In 2005 the audit report showed in different chart audits which were like a needle in a haystack since the revenue integrity team was not established as it is today.
Today the revenue departments goal is to make sure that all medical practitioners are documenting for all services they are providing and any errors are transferred back for corrections. Here are five ways hospitals can improve the capturing of charge
Leverage IT systems
There’s always an automatic drop of charges whenever the information systems get leveraged. If EGK is done, then the patient incurs all the costs, and if EGK was not done, then the charges are dropped at the point of order. If a physician does not finish documentation or the system is not conducive then the charges will never drop.
It is important to educate employees on specific rules and regulations rules like CMS, current procedural terminology codes that change regularly. It is also vital for employees to get acquitted with the swiftness that is required during radiology and even cardiology. The hospital should also put more emphasis around bundling and unbundling CPT changes.
Invest in a capture system
Some applications can get installed in mobile phones and can help improve charge capture. The app ensures timely reporting of the data and the billing agency. pMD is a mobile app that helps medical practitioners to access their billing records. A mobile device supports the application with the aim of enabling entry of patients’ data and billing requirements. This move helps the doctor keep in touch with their patients anywhere and anytime.
Hospitals may also use other standalone software integrated with EMR to acquire the correct charges.
Perform regular billing audits
Accounting on the number of patients admitted, discharged and those who were received on emergency help carry out regular audits. It also gets recommended that hospitals do regular audits for technical departments to see how they fair.
Reviewing billing workflow helps process multiple streams of revenue. This ensures that the right charge gets identified at the right time.
Deploy consistent charge standards across departments and make communication part of the process
The hospital should have central charging policies. Different departments can work together if there is consistent charge across all the departments. Vital reports like pre and post billing exceptions that shows missing or incorrect codes and charges.
Effective Communication that links departments such as clinical department charge description master, interdisciplinary teams will help ensure incorrect and missing charges are identified.