More Related Content
Similar to Baptist Medical Associates and Baptist Urgent Care Outsource Model Helps Physician Group Improve Collections (20)
Recently uploaded (20)
Baptist Medical Associates and Baptist Urgent Care Outsource Model Helps Physician Group Improve Collections
- 1. Case Study At a Glance Organization Baptist Medical Associates Baptist Medical Associates/ and Baptist Urgent Care Baptist Urgent Care Louisville, Ky. Outsource Model Helps Physician Group Serving one hospital and Improve Collections 28 ambulatory centers Together, Baptist Medical Associates that to keep pace with the growth from 75+ full-time physicians and its affiliate, Baptist Urgent Care, a collections standpoint, additional make up a large, multi-specialty revenue cycle support would be needed. 24,000 claims/month physician group aligned with Louisville, Ky.-based Baptist Healthcare System. We knew strategically that we would The group employs more than 75 be experiencing continued growth, Solution Spotlight physicians and bills about 24,000 both in the number of offices and the McKesson Revenue claims per month. Baptist Healthcare, number of physicians, Smith says. Management Solutions the parent organization, operates So we wanted to find a partner that 519-bed Baptist Hospital East and could rapidly stabilize and improve the 28 other care facilities in Kentucky. core revenue cycle functions as we Critical Issues brought new groups on. The objective Rapid growth in both locations In 2008, Baptist Medical Associates/ was for us to be freed up to focus on and physicians Urgent Care was growing rapidly. As business development and continued a result, the group needed support in practice acquisition. Inherent internal revenue cycle several key areas of the revenue cycle limitations most notably claims submission, Answers Inadequate business intelligence A/R follow-up and collections. In In 2005 Baptist Medical Associates and reporting response to Baptist Medicals specific had implemented Horizon Practice requirements, McKesson deployed a Plus, McKessons integrated practice customized, outsourced billing support management solution. As a result, the Results model that allowed the practices to group sought a revenue cycle support Supported successful physician continue doing their own coding service that included expertise in the network growth and charge entry while creating new Horizon Practice Plus application. external safeguards to strengthen Average monthly charges increased A/R management. 56.5% over a 12-month period Smith acknowledges that some anxiety initially existed among both managers A/R days currently at 32.4 Challenges and physicians about ceding claims Aged A/R > 120 days is 16.6% According to Revenue Cycle Director management duties to McKesson. Katherine P. Smith, Baptist Medical I think thats to be expected any Improved self-pay collections process Associates was aggressively acquiring time youre making significant changes practices in 2008 to expand its to the revenue cycle process, Smith geographic footprint and specialty mix. says, adding that one common concern Over a 12-month period, the number of was that the group could experience physicians in the group nearly doubled. a sharp drop in collections during the System and group executives realized transition period.
- 2. Case Study Were extremely pleased Results Along with the financial improvements, With McKesson managing claims the partnership has helped Baptist with McKessons performance Medical Associates benefit from management responsibilities, there in all areas. Were an was no revenue fall-off and collections stronger financial reporting. Based on actually improved quickly. Today, report design developed by Baptist, organization that strives for Baptist Medical Associates is reaping McKesson implemented customized, monthly reporting scorecards excellence and one where the benefits of its unique partnership with McKesson. The groups average for individual practices and the the status quo is never good monthly charges increased by 56.5% organization as a whole. According over a 12-month period and credit to Elizabeth M. North, Director of enough. So the fact that Reimbursement for Baptist Hospital balances fell by 25.5%. McKesson has been able to East, the reports are far superior The collaborative management process to anything the organization had deliver at this very high level previously used and are a vital tool for between McKesson and Baptist has is completely consistent with supported organizational growth and improving business decisions. Were resultant gains in monthly charges. extremely pleased with McKessons our culture and a real positive McKessons implementation of a performance in all areas, North says. from a financial management robust denial management system and the development of a rigorous Were an organization that strives for standpoint. and systematic patient collection excellence and one where the status process likewise have strengthened quo is never good enough. So the fact that McKesson has been able to deliver Elizabeth M. North the revenue cycle. McKesson further at this very high level is completely Director of Reimbursement boosted claims management by deploying Ambulatory Claims Manager, consistent with our culture and a real Baptist Hospital East a web-based claims editing and status positive from a financial management solution from RelayHealth速. standpoint. McKesson Provider Technologies 5995 Windward Parkway Alpharetta, GA 30005 Copyright 息 2010 McKesson Corporation and/or one of its subsidiaries. RelayHealth is a registered trademark of McKesson Corporation and/or one of its subsidiaries. Horizon Practice Plus is a trademark of McKesson Corporation and/or one of its subsidiaries. All other product or company names mentioned may be trademarks, service marks or www.mckesson.com/officebasedservices registered trademarks of their respective companies. PRT426-06/10 1.800.877.0132