You are not alone

GE Healthcare’s Financial Management Consulting services provide valuable insights into your financial workflows.

Draw on the full depth and breadth of GE Healthcare’s expertise to optimize your IT solutions, which can help accelerate your revenue cycle and increase the productivity of your employees.

- Productivity Assessment
- Workflow Process Consulting
- Eligibility Workflow Optimization
- Point of Service Optimization
- Self-Pay Optimization
- Performance Manager

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Financial Workflow Consulting

Overview

In the era of healthcare reform, revenue cycle workflows have become increasingly complex, representing operational and educational challenges for the business office and IT personnel alike.  Our consultants provide valuable insights into your specialized financial workflow, drawing on the full depth and breadth of GE Healthcare’s expertise to optimize your IT systems.

Customers report that our consulting services have helped them achieve the following financial and operational improvements:

  • Recovery time on 3-4 FTEs within one year1
  • Improved top line revenue performance on the order of $1M annually in Medicaid account recovery and reduced the cost of rework associated with managing denied and rejected claims within six months2
  • Significantly improved self-pay collections linked to front-end workflows within one year3

Overview

Note: Optimization and Performance Manager services are currently available for Centricity Business customers only.

1Schumacher Group Medical Billing
2St. Vincent Health
3Glens Falls Hospital


Workflow Process

Increase your revenue cycle productivity

By measuring the relevant key performance indicators within the billing process, we are able to evaluate the performance of your workflows and compare them with relevant benchmark data.  As a result, you will know how competitive your operations are.  We will recommend and help implement changes that can reduce operational bottlenecks and help you to adapt to new technologies and organizational changes. Making these changes can result in increased productivity and efficiency, allowing your staff to spend more time on what really matters: enhancing the care of your patients.

Workflow Process

Quote-UT-Medical

Self-Pay Optimization

Improve the effectiveness and efficiency of self-pay balance collections

Based on a structured methodology, Self Pay Optimization includes monthly performance reviews, workouts focused on your organization’s KPIs, as well as targeted action plans to help improve the effectiveness and efficiency of self-pay balance collections.

Features

  • Delivery of baseline metrics and assessment of system performance and workflows
  • Solutions deployment to help you achieve your goals and minimize the impact to your IS resources
  • Plan for metrics monitoring
  • Recurring performance reviews that drive the highest level of value and improvement back to your organization
  • Long-term partnership with our team of workflow consultants and technical leads.

Key Performance Indicators

Self Pay Optimization

What can Self Pay Optimization service bring to your organization?

  • Analysis of current self-pay A/R metrics
  • Implementation of technology solutions to support automation
  • Workflow process consulting to enable streamlined collections across the revenue cycle
  • On-going performance monitoring 

Performance Manager

The power of analytics to drive performance

Through our Performance Manager service, we can help improve the revenue cycle and increase productivity across your organization by leveraging data analytics in concert with the advanced features of Centricity Business.

Features

  • An ongoing collaboration intended to provide you with the tools and support to help top issues affecting your profitability and cash flow
  • Links together Key Performance Indicators (KPIs) in the areas of rejection and denial trending, clean claims rates, lag days, payment posting performance, as well as performance benchmarking in the areas of eligibility, claims, and remit processing
  • Includes real-time monitoring, monthly reviews, workouts focused on your organization’s KPIs, and targeted action plans to help drive down denials, improve efficiency, and maintain line of sight into your top issues

Key Performance Indicators

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Schumacher Group Medical Billing

What can Performance Manager bring to your organization?

  • Facts and figures to enable management decisions
  • Peer to peer benchmarking and performance analysis
  • Optimized and sustainable processes
  • Improved workflows based on GE’s best-practice models
  • Optimized electronic claim and remittance processing
  • Maximized use of advanced capabilities within Centricity Business

Eligibility Workflow Optimization

Reduce eligibility-related denials and write-offs

Through a metrics driven approach, our Eligibility Workflow Optimization service provides custom-tailored tools and support to drive eligibility performance improvement.

Features

  • Links together Key Performance Indicators (KPIs) in the areas of eligibility response automation, utilization and verification rates, along with denials
  • Includes on-site, workflow-specific consultative services; ongoing monitoring of KPIs; as well as customer-specific action plans that are reviewed with your team on a monthly basis

Key Performance Indicators

Eligibility Workflow Optimization KPI01

Quote-WatsonWhat can Eligibility Workflow Optimization bring to your organization?

  • Facts and figures to support management decisions
  • Historical benchmarking and performance analysis
  • Optimized and sustainable eligibility processes
  • Improved workflows based on GE’s best-practice models
  • Maximized use of advanced capabilities within Centricity Business

Point of Service Optimization

Improve collection processes at point of service

Centricity Business Point of Service Optimization provides you with the tools and support needed to assure successful patient collections at the time of service. Our team helps you evaluate your system setup, configuration and workflows based on our best practice model. That information enables us to provide guidance on design and implementation decisions as well as technical resources to drive your implementation.

Features

  • Enables organizations to automatically pull service-specific data from eligibility responses to end users at the point of service
  • An essential component of ‘low touch’ billing, enabling users to have the right information at the right time
  • Helps increase the accuracy of collections and greatly reduce the effort associated with obtaining them
  • Adds critical functionality to your EDI eligibility transactions, enabling organizations to automatically pull service-specific data from eligibility responses to end users at the point of service

Key Performance Indicators

PointService-Optimization-KPI01

Quote-GlensFallsWhat can Eligibility Workflow Optimization bring to your organization?

  • Improved accuracy of point of service collections
  • Reduced effort associated with identifying the correct patient liability amount
  • Valuable metrics to evaluate point of service collections performance and accuracy
  • Standardized front end workflows across the enterprise
  • Expedited implementation of improved workflows based on GE Healthcare’s best-practice models
  • Improved workflows based on GE’s best-practice models
  • Maximized use of advanced capabilities within Centricity Business

Productivity Assessment

Through our Productivity Assessment service, we conduct a technical and business review of your IT system performance and workflow effectiveness.  From that, we highlight recommendations that can be used for current and future state planning to help improve workflows and system performance.

The Productivity Assessment focuses on 6 key areas of IT infrastructure and workflow effectiveness.  You have the flexibility to choose any or all of these 6 areas for your assessment.  Based on your current Centricity solution(s), all may not be relevant. 

IT InfrastructureIT Infrastructure
Identifies key drivers of system performance, such as storage capacity, memory, and asset utilization, in conjunction with a business continuity preparedness review.


<img alt="Monitor" src="/~/media/images/product/product-categories/healthcare-it/icons/icon-monitor.jpg?la=en" style="width: 68px; height: 75px; float: left;" />Application Configuration
Analyses system configuration components, such as application customization, interfaces, modules and reporting capabilities. 


Application CompetencyApplication Competency
Evaluates user application skills and competency to identify staffing and education needs. 


Application CompetencyScheduling Workflow
Examines workflow processes that occur in advance of exams/procedures, including order entry, scheduling, and patient registration.


Clinical WorkflowClinical Workflow
Observes clinical workflow processes including IT & clinical procedure alignment, clinical throughput, and other relevant key performance indicators based on department specific requirements.


Financial WorkflowFinancial Workflow
Reviews billing workflow metrics and processes, including days in A/R, adjusted net collection, and denial rate.


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