Located in South Florida, Jupiter Medical Center is an independent, not-for-profit 207-bed regional medical center. In 2016, CMS awarded its highest 4-star rating for quality of care to the facility, placing it among the top 10 percent of hospitals in Florida.
Challenge
Legacy revenue cycle management systems were unable to efficiently update chargemaster (CDM) data and ensure ongoing charge accuracy and consistency. Denied bills and rework were common practice, and the hospital was missing revenue opportunities and increasing compliance risk.
Solution
Chargemaster Toolkit®, Online Reference Toolkit® and Supplies Assistant
Results
- Increased the validity of 12,649 CDM line items from 36% to 99.89% and identified and fixed potential compliance issues.
- Enhanced revenue opportunities by eliminating hundreds of revenue and modifier mismatches. Corrected pricing errors alone resulted in an annualized increase in $1.3 million from multiple payors and various departments.
“As an independent, not-for-profit facility, every dollar is essential to our long-term viability. Thanks to the new capabilities Craneware provides, we are optimizing our financial performance in ways that were never before possible. Lee’s work, combined with the capabilities of Craneware’s solutions, has had a significant positive impact on the financial health of our hospital.”
Dale Hocking, Chief Financial Officer
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