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St. Joseph’s/Candler is a 714-bed, national Magnet-designated facility for nursing excellence, with a focus on the latest technologies and research. St. Joseph’s Hospital and Candler Hospital are the anchor hospitals for the not-for-profit health system serving 33 counties in southeast Georgia and the South Carolina Low Country. It is the largest and only faith-based institution in the region.

Challenge

Like many health systems, St. Joseph’s/Candler in Savannah, GA was grappling with the complex issue of pharmaceutical reimbursement in an old fashioned way: trying to resolve challenges via spreadsheets, emails and phone calls. Pharmacy and finance personnel had great rapport, but worked in silos. Similarly, data resided in a variety of separate systems, which were difficult to audit. Coding issues, incorrect multipliers and new drugs missing from the formulary meant that the organization was missing  opportunities for optimal reimbursement and increasing compliance risk.

Solution

Pharmacy ChargeLink®.

Results

  • Both hospitals were able to address coding issues and incorrect multipliers on pharmacy charges
  • The software identified a coding error that led to $126,884 in missing charges over a 6-month period
  • Seamless integration with the hospitals’ MEDITECH health information system
  • The technology created a framework to enhance organizational workflow
  • The team is now proceeding with auditing their formulary as well as 340B pricing and purchases

“From a financial perspective, Pharmacy ChargeLink delivers all the pieces you need and puts them in one place to resolve issues. We’ve seen a great ROI on the decision to purchase this tool. The user interface is very friendly. There’s a logical flow to it. It makes sense, it’s prioritized, and it’s just a really slick tool to get you where you need to be.”

Margaret T. Govelitz, MBA, Revenue Integrity Manager

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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.

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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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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => University Medical Center Health System [post_excerpt] => Craneware’s Chargemaster Toolkit® to automate chargemaster maintenance and Bill Analyzer for improved charge capture. [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => university-medical-center-health-system [to_ping] => [pinged] => [post_modified] => 2018-07-19 13:56:16 [post_modified_gmt] => 2018-07-19 13:56:16 [post_content_filtered] => [post_parent] => 0 [guid] => https://public.craneware.com/?p=27131 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) ) [post_count] => 1 [current_post] => -1 [in_the_loop] => [post] => WP_Post Object ( [ID] => 27131 [post_author] => 2 [post_date] => 2018-05-02 17:50:46 [post_date_gmt] => 2018-05-02 17:50:46 [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.

[/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

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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="3.0.106" background_layout="light"]

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"]

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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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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Madison Memorial Hospital [post_excerpt] => [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => madison-memorial-hospital [to_ping] => [pinged] => [post_modified] => 2018-06-22 15:03:22 [post_modified_gmt] => 2018-06-22 15:03:22 [post_content_filtered] => [post_parent] => 0 [guid] => https://public.craneware.com/?p=27121 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) ) [post_count] => 1 [current_post] => -1 [in_the_loop] => [post] => WP_Post Object ( [ID] => 27121 [post_author] => 2 [post_date] => 2018-05-02 17:25:45 [post_date_gmt] => 2018-05-02 17:25:45 [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="3.0.106" background_layout="light"]

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"]

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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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Madison Memorial Hospital

Madison Memorial is a full-service, non-profit community hospital in Rexburg, Idaho with 69 licensed beds. Challenge Compliance, workflow and maximizing revenue all needed improvement. The organization’s previous chargemaster...

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An award-winning 25-bed rural Critical Access Hospital (CAH) located in Ulster County, New York, providing a broad range of medical specialties.

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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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Ready to learn more?

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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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Ready to learn more?

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Ellenville Regional Hospital

An award-winning 25-bed rural Critical Access Hospital (CAH) located in Ulster County, New York, providing a broad range of medical specialties. Challenge Create a current, efficient chargemaster as an essential part of EHR...

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