With 424 inpatient beds, Firelands Regional Medical Center in Sandusky, Ohio, is the area’s largest and most comprehensive resource for quality medical care. Established by the consolidation of three separate hospitals, the not-for-profit facility is locally managed and is the only full-service medical center in Erie County.
Challenge
In a not-for-profit hospital environment focused on delivering high quality care to patients, all departments at Firelands Regional Medical Center were seeking ways to save money and optimize revenue. Because its chargemaster was out-of-date, the pharmacy struggled to make significant changes because there was no efficient way to verify whether charges were accurate. Like many health care facilities, prices were adjusted by across-the-board percentage increases rather than based on actual costs. Progress was further inhibited because the pharmacy and revenue cycle management lacked a shared platform to address cross-departmental issues.
Solution
Pharmacy ChargeLink®, Chargemaster Toolkit®, Bill Analyzer, Online Reference Toolkit
Results
- Identified net revenue of $2 million ($6 million gross) in uncaptured charges over an 18-month period with a focus on pharmacy and oncology.
- Identified net revenue of $850,000 ($2.2 million gross) after a cost-to-charge review, removing outdated drug acquisition costs and updating to actual costs and markup.
- Addressed incorrect multipliers and HCPCS coding issues, identified missing charges, and deactivated out-of-date charges.
- Aligned consistent pricing to decrease disparities in drug charging between inpatient units and cancer center, increasing patient satisfaction.
- Helped the hospital form a cross-functional team that continues to improve revenue integrity and compliance across pharmacy and finance.
“We’ve all learned how important it is for pharmacy and revenue cycle to have the relationship that we now have – that’s what makes us so successful.”
Tracey Moyer, Pharmacy Analyst and Buyer
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[post_date] => 2018-05-02 17:50:46
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[post_content] => [et_pb_section bb_built="1" _builder_version="3.0.106" next_background_color="#ffffff" background_color="rgba(227,227,227,0.2)" use_background_color_gradient="on" background_color_gradient_start="#ffffff" background_color_gradient_end="#e3e3e3"][et_pb_row][et_pb_column type="4_4"][et_pb_image _builder_version="3.0.106" src="https://craneware.wpengine.com/wp-content/uploads/2018/05/UMC-logo.png" show_in_lightbox="off" url_new_window="off" use_overlay="off" align="center" always_center_on_mobile="on" force_fullwidth="off" show_bottom_space="on" /][et_pb_image _builder_version="3.0.106" src="https://craneware.wpengine.com/wp-content/uploads/2018/05/UMC.jpg" show_in_lightbox="off" url_new_window="off" use_overlay="off" always_center_on_mobile="on" force_fullwidth="off" show_bottom_space="on" border_radii="|10px|10px|10px|10px" box_shadow_style="preset1" align="center" filter_hue_rotate="6deg" /][/et_pb_column][/et_pb_row][et_pb_row][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2" background_layout="light"]
413‐bed teaching hospital (Level 1 trauma center with 50+ percent of billings in Medicare and Medicaid) plus more than 40 clinics, labs and other facilities, all serving Texas Tech University Health Sciences Center, West Texas and Eastern New Mexico.
[/et_pb_text][et_pb_button button_url="#" button_text="Get Started" button_alignment="center" background_layout="dark" _builder_version="3.0.90" custom_button="on" button_text_size="18" button_text_color="#ffffff" button_bg_color="#66bf48" button_border_color="#66bf48" button_border_radius="10" button_use_icon="off" /][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built="1" module_id="case-study-content" _builder_version="3.0.90" prev_background_color="rgba(227,227,227,0.2)" next_background_color="#e6eaee"][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_text _builder_version="3.0.106" background_layout="light"]
Challenge
Increase accuracy and completeness of charge capture to improve net revenue and improve compliance; streamline workflow through automation.
Solution
Craneware’s Chargemaster Toolkit® to automate chargemaster maintenance and Bill Analyzer for improved charge capture.
Results
Total gross and net revenue doubled in first year for the charges added by the Revenue Integrity Department (over $1 million recovered in Emergency alone) and has remained at elevated level since; chargemaster maintenance now automated, resulting in greater accuracy.
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“Chargemaster Toolkit made it possible for us to consistently capture charges, regardless of patient status – and to capture all charges, then let automation determine exceptions.”
Micky Allen, Director of Revenue Integrity
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[post_title] => University Medical Center Health System
[post_excerpt] => - Chargemaster Toolkit®
- Bill Analyzer
413‐bed teaching hospital (Level 1 trauma center with 50+ percent of billings in Medicare and Medicaid) plus more than 40 clinics, labs and other facilities, all serving Texas Tech University Health Sciences Center, West Texas and Eastern New Mexico.
[/et_pb_text][et_pb_button button_url="#" button_text="Get Started" button_alignment="center" background_layout="dark" _builder_version="3.0.90" custom_button="on" button_text_size="18" button_text_color="#ffffff" button_bg_color="#66bf48" button_border_color="#66bf48" button_border_radius="10" button_use_icon="off" /][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built="1" module_id="case-study-content" _builder_version="3.0.90" prev_background_color="rgba(227,227,227,0.2)" next_background_color="#e6eaee"][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_text _builder_version="3.0.106" background_layout="light"]Challenge
Increase accuracy and completeness of charge capture to improve net revenue and improve compliance; streamline workflow through automation.
Solution
Craneware’s Chargemaster Toolkit® to automate chargemaster maintenance and Bill Analyzer for improved charge capture.
Results
Total gross and net revenue doubled in first year for the charges added by the Revenue Integrity Department (over $1 million recovered in Emergency alone) and has remained at elevated level since; chargemaster maintenance now automated, resulting in greater accuracy.
[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_blurb module_class="case-study-blurb" _builder_version="3.0.106" body_font_size="20" body_text_color="#2d79c2" url_new_window="off" use_icon="off" use_circle="off" use_circle_border="off" icon_placement="top" use_icon_font_size="off" background_layout="light"]“Chargemaster Toolkit made it possible for us to consistently capture charges, regardless of patient status – and to capture all charges, then let automation determine exceptions.”
Micky Allen, Director of Revenue Integrity
[/et_pb_blurb][/et_pb_column][/et_pb_row][et_pb_row][et_pb_column type="4_4"][et_pb_button button_url="http://host.craneware.com/af2?LinkID=CH00096645eR00000060AD" button_text="Download Case Study" button_alignment="center" background_layout="dark" _builder_version="3.0.106" custom_button="on" button_text_size="18" button_text_color="#ffffff" button_bg_color="#66bf48" button_border_color="#66bf48" button_border_radius="10" button_use_icon="off" url_new_window="on" button_icon_placement="right" /][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built="1" background_color="#e6eaee" _builder_version="3.0.90" prev_background_color="#ffffff" next_background_color="#2d79c2"][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_text _builder_version="3.0.90"]You might also like...
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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => University Medical Center Health System [post_excerpt] =>
- Chargemaster Toolkit®
- Bill Analyzer
Posts Per Page: 1
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University Medical Center Health System
- Chargemaster Toolkit®
- Bill Analyzer
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[post_content] => [et_pb_section bb_built="1" _builder_version="3.0.106" next_background_color="#ffffff" background_color="rgba(227,227,227,0.2)" use_background_color_gradient="on" background_color_gradient_start="#ffffff" background_color_gradient_end="#e3e3e3"][et_pb_row][et_pb_column type="4_4"][et_pb_image _builder_version="3.0.106" src="https://craneware.wpengine.com/wp-content/uploads/2018/05/MAMH-logo.png" show_in_lightbox="off" url_new_window="off" use_overlay="off" align="center" always_center_on_mobile="on" force_fullwidth="off" show_bottom_space="on" /][et_pb_image _builder_version="3.0.106" src="https://craneware.wpengine.com/wp-content/uploads/2018/05/MAMH.jpg" show_in_lightbox="off" url_new_window="off" use_overlay="off" always_center_on_mobile="on" force_fullwidth="off" show_bottom_space="on" border_radii="|10px|10px|10px|10px" box_shadow_style="preset1" align="center" filter_hue_rotate="6deg" /][/et_pb_column][/et_pb_row][et_pb_row][et_pb_column type="4_4"][et_pb_text _builder_version="3.0.106" background_layout="light"]
Madison Memorial is a full-service, non-profit community hospital in Rexburg, Idaho with 69 licensed beds.
[/et_pb_text][et_pb_button button_url="#" button_text="Get Started" button_alignment="center" background_layout="dark" _builder_version="3.0.90" custom_button="on" button_text_size="18" button_text_color="#ffffff" button_bg_color="#66bf48" button_border_color="#66bf48" button_border_radius="10" button_use_icon="off" /][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built="1" module_id="case-study-content" _builder_version="3.0.90" prev_background_color="rgba(227,227,227,0.2)" next_background_color="#e6eaee"][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2"]
Challenge
Compliance, workflow and maximizing revenue all needed improvement. The organization’s previous chargemaster management solution did not provide departments with visibility into the chargemaster process.
Solution
Update chargemaster with automated systems by implementing Craneware’s Chargemaster Toolkit® and Pharmacy ChargeLink® solutions. Added Craneware’s Bill Analyzer for an even greater ROI.
Results
Anticipated yearly ROI of more than $327,000.
[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_blurb module_class="case-study-blurb" _builder_version="3.0.106" body_font_size="20" body_text_color="#2d79c2" url_new_window="off" use_icon="off" use_circle="off" use_circle_border="off" icon_placement="top" use_icon_font_size="off" background_layout="light"]
“We’re a small hospital and we don’t have a lot of staff available for extensive chargemaster management. Craneware pulls the data together for us and gives us a strategic view into our costs and charges, something we didn’t have before. Craneware’s solutions are very helpful, especially when it comes to understanding revenue and usage.”
Patsy Fowler, Reimbursement Specialist and CDM Manager
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You might also like...
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Ready to learn more?
[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row global_parent="20823" module_class="callout-btns" _builder_version="3.0.106"][et_pb_column type="1_2"][et_pb_button global_parent="20823" button_url="/contact" button_text="Contact Us" background_layout="dark" module_class="footer-cta-btn" _builder_version="3.0.106" custom_button="on" button_text_size="17" button_text_color="#ffffff" button_bg_color="#66bf48" button_border_color="#66bf48" button_border_radius="5" button_use_icon="off"]
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[post_title] => Madison Memorial Hospital
[post_excerpt] => - Chargemaster Toolkit®
- Pharmacy ChargeLink®
- Bill Analyzer
Madison Memorial is a full-service, non-profit community hospital in Rexburg, Idaho with 69 licensed beds.
[/et_pb_text][et_pb_button button_url="#" button_text="Get Started" button_alignment="center" background_layout="dark" _builder_version="3.0.90" custom_button="on" button_text_size="18" button_text_color="#ffffff" button_bg_color="#66bf48" button_border_color="#66bf48" button_border_radius="10" button_use_icon="off" /][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built="1" module_id="case-study-content" _builder_version="3.0.90" prev_background_color="rgba(227,227,227,0.2)" next_background_color="#e6eaee"][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2"]Challenge
Compliance, workflow and maximizing revenue all needed improvement. The organization’s previous chargemaster management solution did not provide departments with visibility into the chargemaster process.
Solution
Update chargemaster with automated systems by implementing Craneware’s Chargemaster Toolkit® and Pharmacy ChargeLink® solutions. Added Craneware’s Bill Analyzer for an even greater ROI.
Results
Anticipated yearly ROI of more than $327,000.
[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_blurb module_class="case-study-blurb" _builder_version="3.0.106" body_font_size="20" body_text_color="#2d79c2" url_new_window="off" use_icon="off" use_circle="off" use_circle_border="off" icon_placement="top" use_icon_font_size="off" background_layout="light"]“We’re a small hospital and we don’t have a lot of staff available for extensive chargemaster management. Craneware pulls the data together for us and gives us a strategic view into our costs and charges, something we didn’t have before. Craneware’s solutions are very helpful, especially when it comes to understanding revenue and usage.”
Patsy Fowler, Reimbursement Specialist and CDM Manager
[/et_pb_blurb][/et_pb_column][/et_pb_row][et_pb_row][et_pb_column type="4_4"][et_pb_button button_url="http://host.craneware.com/af2?LinkID=CH00096645eR00000057AD" button_text="Download Case Study" button_alignment="center" background_layout="dark" _builder_version="3.0.106" custom_button="on" button_text_size="18" button_text_color="#ffffff" button_bg_color="#66bf48" button_border_color="#66bf48" button_border_radius="10" button_use_icon="off" url_new_window="on" button_icon_placement="right" /][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built="1" background_color="#e6eaee" _builder_version="3.0.90" prev_background_color="#ffffff" next_background_color="#2d79c2"][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_text _builder_version="3.0.90"]You might also like...
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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Madison Memorial Hospital [post_excerpt] =>
- Chargemaster Toolkit®
- Pharmacy ChargeLink®
- Bill Analyzer
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Madison Memorial Hospital
- Chargemaster Toolkit®
- Pharmacy ChargeLink®
- Bill Analyzer
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[post_content] => [et_pb_section bb_built="1" _builder_version="3.0.106" next_background_color="#ffffff" background_color="rgba(227,227,227,0.2)" use_background_color_gradient="on" background_color_gradient_start="#ffffff" background_color_gradient_end="#e3e3e3"][et_pb_row][et_pb_column type="4_4"][et_pb_image _builder_version="3.0.106" src="https://craneware.wpengine.com/wp-content/uploads/2018/05/ERH-logo.jpg" show_in_lightbox="off" url_new_window="off" use_overlay="off" align="center" always_center_on_mobile="on" force_fullwidth="off" show_bottom_space="on" /][et_pb_image _builder_version="3.0.106" src="https://craneware.wpengine.com/wp-content/uploads/2018/05/ERH.jpg" show_in_lightbox="off" url_new_window="off" use_overlay="off" always_center_on_mobile="on" force_fullwidth="off" show_bottom_space="on" border_radii="|10px|10px|10px|10px" box_shadow_style="preset1" align="center" filter_hue_rotate="6deg" /][/et_pb_column][/et_pb_row][et_pb_row][et_pb_column type="4_4"][et_pb_text _builder_version="3.0.106" background_layout="light"]
An award-winning 25-bed rural Critical Access Hospital (CAH) located in Ulster County, New York, providing a broad range of medical specialties.
[/et_pb_text][et_pb_button button_url="#" button_text="Get Started" button_alignment="center" background_layout="dark" _builder_version="3.0.90" custom_button="on" button_text_size="18" button_text_color="#ffffff" button_bg_color="#66bf48" button_border_color="#66bf48" button_border_radius="10" button_use_icon="off" /][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built="1" module_id="case-study-content" _builder_version="3.0.90" prev_background_color="rgba(227,227,227,0.2)" next_background_color="#e6eaee"][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_text _builder_version="3.0.106" background_layout="light"]
Challenge
Create a current, efficient chargemaster as an essential part of EHR implementation for meaningful use.
Solution
Craneware’s Chargemaster Toolkit® - CAH to automate chargemaster management and Online Reference Toolkit® to provide instant access to regulatory resources that are updated on a weekly basis.
Results
Gross revenues in the Emergency Department (ED) increased by 20 percent and rejected and denied claims were reduced by a combined 80 percent.
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“With Chargemaster Toolkit - CAH, our rejected and denied claims were reduced by a combined 80 percent. As a result, our gross accounts receivable days decreased from more than 120 days to 75 days.”
Patricia Gavis, CFO
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[post_title] => Ellenville Regional Hospital
[post_excerpt] => - Chargemaster Toolkit® – CAH
- Online Reference Toolkit®
An award-winning 25-bed rural Critical Access Hospital (CAH) located in Ulster County, New York, providing a broad range of medical specialties.
[/et_pb_text][et_pb_button button_url="#" button_text="Get Started" button_alignment="center" background_layout="dark" _builder_version="3.0.90" custom_button="on" button_text_size="18" button_text_color="#ffffff" button_bg_color="#66bf48" button_border_color="#66bf48" button_border_radius="10" button_use_icon="off" /][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built="1" module_id="case-study-content" _builder_version="3.0.90" prev_background_color="rgba(227,227,227,0.2)" next_background_color="#e6eaee"][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_text _builder_version="3.0.106" background_layout="light"]Challenge
Create a current, efficient chargemaster as an essential part of EHR implementation for meaningful use.
Solution
Craneware’s Chargemaster Toolkit® - CAH to automate chargemaster management and Online Reference Toolkit® to provide instant access to regulatory resources that are updated on a weekly basis.
Results
Gross revenues in the Emergency Department (ED) increased by 20 percent and rejected and denied claims were reduced by a combined 80 percent.
[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_blurb module_class="case-study-blurb" _builder_version="3.0.106" body_font_size="20" body_text_color="#2d79c2" url_new_window="off" use_icon="off" use_circle="off" use_circle_border="off" icon_placement="top" use_icon_font_size="off" background_layout="light"]“With Chargemaster Toolkit - CAH, our rejected and denied claims were reduced by a combined 80 percent. As a result, our gross accounts receivable days decreased from more than 120 days to 75 days.”
Patricia Gavis, CFO
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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Ellenville Regional Hospital [post_excerpt] =>
- Chargemaster Toolkit® – CAH
- Online Reference Toolkit®
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Ellenville Regional Hospital
- Chargemaster Toolkit® – CAH
- Online Reference Toolkit®