Ohio Health
Southampton Hospital
Golden Valley Memorial Healthcare
Firelands Regional Medical Center
St. Joseph’s/Candler
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"Craneware’s Chargemaster Toolkit identified a $3.6 million revenue opportunity from 55 radiology charges that were priced below the Medicare APC."
- University Health Care System, Augusta, Georgia
Automate Chargemaster Management
Independent research confirms that 64% of hospitals use error-prone manual processes for chargemaster updates, and that nearly all only review the complete chargemaster with finance annually or after a specific event. Yet when a charge doesn’t exist in the chargemaster, there is ultimately no reimbursement – and chargemaster and charge capture errors lead to significant lost revenue and a risk of non-compliance.
Chargemaster Toolkit® – named by KLAS as #1 in the Revenue Cycle – Chargemaster Management market category twelve years in a row and an HFMA Peer Reviewed solution – addresses this issue with chargemaster management automation that helps eliminate variances in data and prevents revenue leakage. Chargemaster Toolkit is a flexible, easy-to-use solution that continually updates chargemaster data to ensure ongoing charge accuracy and consistency.
Chargemaster Toolkit is packaged with Craneware’s Online Reference Toolkit®, a browser-based tool that provides instant access to the most current clinical, financial, coding, and regulatory information and an optional Supplies Assistant search module. More than a thousand hospitals and healthcare providers rely on Chargemaster Toolkit to:
- optimize reimbursement by identifying chargemaster incompleteness/inaccuracy
- increase operational efficiency by automating chargemaster management
- manage workflow based on the organization’s change-validation control processes
- track interdepartmental routing, approvals, and communication to provide an accurate audit trail
Discover a better, more comprehensive way to manage the chargemaster
- Discover where revenue is at risk.
- Discover opportunities to increase revenue.
- Discover charges less than allowable.
- Discover unbilled clinical services.
- Discover where significant comparative pricing discrepancies exist with competitors.
- Discover high-risk compliance issues.
Convert charge capture errors that lead to significant revenue loss
- Convert coding errors into paid services.
- Convert lesser of payments into full payments.
- Convert appropriate billable services not realized into revenue.
- Understand what best practices identify as billable services and add them to your CDM.
Optimize reimbursement
- Sustain a healthy chargemaster.
- Assure pricing is in line with competitors.
- Protect revenue earned from audit take-backs.
- Be continuously aware of high-risk compliance issues that put revenue at risk.
Extensions to the product include:
Chargemaster Toolkit Discovery Viewer
- View and filter records with detail by location, service line, volume, revenue, and usage
- Eliminate duplicate data
- Access to comparative pricing
Chargemaster Toolkit® Corporate Discovery Viewer
- Establish and continuously manage corporate standard chargemaster files across your enterprise
- Support system-wide communications and reports
Chargemaster Toolkit Implementation
Craneware Professional Services provides an implementation service for Chargemaster Toolkit that delivers a quick return on investment and ongoing benefits from using the software with expert consultation and effective business process design.
Chargemaster Maintenance Process Assessment, Design and Implementation
Craneware’s Professional Services offers your team ongoing support to help move the chargemaster from clean-up to management mode for improved chargemaster management and control processes. The engagement starts with an onsite visit, followed by quarterly conference calls and reports, and includes year-end and annual reviews. The Professional Services team implements changes identified through the initial review and assists with year-end updates to help ensure a complete, accurate chargemaster.
Chargemaster Quality Review and Education
The Chargemaster Quality Review and Education service is offered through Craneware Professional Services. Craneware’s chargemaster experts will serve as temporary resources to help your organization optimize the chargemaster process via Chargemaster Toolkit. Through engaging Craneware’s Professional Services team, best practices are established and training is implemented for improved financial results. Out of this engagement, your organization will benefit from experienced project management, proven processes, and training shown to optimize financial performance and efficiency.
[/et_pb_text][et_pb_button button_url="http://host.craneware.com/af2?LinkID=CH00096645eR00000003AD" url_new_window="on" button_text="Download Fact Sheet" button_alignment="center" _builder_version="3.2.2" custom_button="on" button_text_color="#ffffff" button_bg_color="#0066cc" button_border_width="0" button_border_radius="10" button_use_icon="off" button_text_color_hover="#ffffff" button_bg_color_hover="#66cc00" button_border_radius_hover="10" custom_margin="10px|||" /][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Chargemaster Toolkit® [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => chargemaster-toolkit [to_ping] => [pinged] => [post_modified] => 2018-07-09 13:33:13 [post_modified_gmt] => 2018-07-09 13:33:13 [post_content_filtered] => [post_parent] => 0 [guid] => https://public.craneware.com/?p=27677 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [1] => WP_Post Object ( [ID] => 27697 [post_author] => 2 [post_date] => 2018-06-29 17:23:04 [post_date_gmt] => 2018-06-29 17:23:04 [post_content] => [et_pb_section bb_built="1" next_background_color="#000000"][et_pb_row _builder_version="3.2.2" use_custom_width="on" custom_width_px="750px"][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2"]"Without the Craneware tools, I feel like in some areas we would be “blind.” Applications like Pharmacy ChargeLink and Supplies ChargeLink allow us to marry together data and analyze it simply and effectively. When there is an issue I need to contact support for, they respond almost immediately and I have a very high confidence it will be resolved."
- Dayna Woerner, Revenue Cycle Integrity Analyst, Marin General Hospital
Optimize Drug Reimbursement
Ever-rising drug costs and ever-changing regulations likely make it difficult for your organization to receive proper reimbursement for the pharmaceuticals it administers, with the problem complicated by gaps in data moving between the systems that manage pharmacy purchases and patient billing. When pharmacy reimbursement codes are absent, incomplete, or incorrect, reimbursement will be denied, lowered, or delayed, and your hospital may increase its compliance risk.
What’s missing in your hospital’s reimbursement for drugs?
Pharmacy ChargeLink® solves these issues by ensuring that administered medications are accurately coded, billed, and reimbursed at an optimal level. By synching the drug purchase history and the chargemaster and addressing the gaps that cause revenue leakage, Pharmacy ChargeLink helps you identify revenue opportunities and create defensible pricing strategies. Its volume reconciliation tool compares the units purchased with the volume you’ve actually billed, to identify charge-capture problems and better manage potential compliance risks. Key features:
- Pharmacy ChargeLink detects codable drugs that are missing from the chargemaster, and identifies problems with billing units and route of administration. It alerts you when Medicare payments may not cover costs and identifies drug charges that are misaligned with your pricing strategies.
- Built-in workflow and change-management processes allow updates from pharmacy staff to be signed-off by reimbursement and pricing specialists. Recommended changes are integrated with the workflow approval process to increase efficiency and communication between pharmacy and finance staff.
- Pharmacy ChargeLink connects to the Micromedex® RED BOOK™ database for information and pricing data on prescription drugs and over-the-counter medications. This enables your staff to perform alternative-drug searches, benchmark pricing, and generate spend analyses and statistical summaries.
Pharmacy ChargeLink Implementation
Craneware Professional Services provides an implementation service that delivers a quick return on investment and ongoing benefits from using the software with expert consultation, best practices and effective business process design. The engagement includes a review and analysis of the previous 12 months’ pharmacy purchase history and of the chargemaster’s pharmacy data, onsite training, strategic reporting, and more.
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Ready to learn more?
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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Pharmacy ChargeLink® [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => software-pharmacy-revenue-integrity [to_ping] => [pinged] => [post_modified] => 2018-07-02 18:01:17 [post_modified_gmt] => 2018-07-02 18:01:17 [post_content_filtered] => [post_parent] => 0 [guid] => https://public.craneware.com/?p=27697 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [2] => WP_Post Object ( [ID] => 27703 [post_author] => 2 [post_date] => 2018-06-27 17:27:56 [post_date_gmt] => 2018-06-27 17:27:56 [post_content] => [et_pb_section bb_built="1" next_background_color="#000000"][et_pb_row _builder_version="3.2.2" use_custom_width="on" custom_width_px="750px" custom_margin="||30px|"][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2"]
Establish Defensible, Competitive Pricing
Ensuring that prices not only cover costs, but are also defensible, transparent, and competitive, is an ongoing healthcare challenge. With reimbursements shrinking and more cost shifting to consumers, the ability to adapt quickly is essential to optimized pricing. Industry research reveals that 10 to 25 percent of a hospital’s total business is charge-related, and that even a modest price increase can improve operating margin.
Pricing Analyzer™ simplifies and automates the price-modeling process, providing the speed and flexibility you need to adapt to dynamic market conditions. It helps your organization readily assess the potential impact of pricing and market changes, such as revenue shortfalls, while ensuring that pricing is transparent, defensible, and competitive.
Pricing Analysis for Transparent, Defensible and Competitive Pricing
To enable strategic pricing, Pricing Analyzer integrates data from disparate systems and automatically generates pricing models that factor in regulatory, reimbursement, cost, and market information. You’re then able to:
- calculate payor mix and price sensitivity to assess the impact of changes
- create and compare multiple pricing scenarios down to the service line, or aggregate to the facility
- measure pricing against current industry benchmarks and competitors
- evaluate and adjust pricing based on inflationary factors
- provide complete documentation to key stakeholders and auditors
Pricing Analyzer Implementation Services
Craneware Professional Services provides an implementation service for Pricing Analyzer to ensure a successful implementation for quick return on investment. This implementation service establishes an effective business process that ensures ongoing software benefits. Our team will assist in establishing the baseline for price modeling and alternative pricing models, onsite training, and reports that identify high opportunity areas, revenue and payor graphs, and recommended processes.
Pricing Consulting Engagement
Craneware also offers a Pricing Analysis Review service for customers who have traditionally outsourced this role in the past. Our pricing consultants will perform a comprehensive pricing review, establish and compare alternative price models, and recommend appropriate pricing for new service lines and departments.
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[/et_pb_text][et_pb_image global_parent="25686" src="https://craneware.wpengine.com/wp-content/uploads/2018/03/twitter-share.png" url="https://twitter.com/home?status=" align="center" module_class="share-icon twitter" _builder_version="3.2.2" /][et_pb_image global_parent="25686" src="https://craneware.wpengine.com/wp-content/uploads/2018/06/linkedin_share.png" url="https://www.linkedin.com/shareArticle?mini=true&url=" align="center" module_class="share-icon linkedin" _builder_version="3.2.2" /][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built="1" background_color="#2d79c2" module_class="cta-background" _builder_version="3.0.106" use_background_color_gradient="on" background_color_gradient_start="#296ab0" background_color_gradient_end="#2b71ba" background_color_gradient_type="radial" prev_background_color="#ffffff" global_module="20823"][et_pb_row global_parent="20823" _builder_version="3.0.47" background_size="initial" background_position="top_left" background_repeat="repeat"][et_pb_column type="4_4"][et_pb_text global_parent="20823" background_layout="dark" _builder_version="3.0.106" text_font="|600|||||||" text_text_color="#ffffff" header_2_font_size="30px"]Ready to learn more?
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Charge capture analytics that identify risks to revenue and compliance
In today’s evolving healthcare climate, payment models continue to change from the traditional fee-for-service model to more blended payment methods causing risks to revenue and compliance. Regulatory and payment information changes constantly, and if your systems aren’t updated in a timely manner, claims can be filled with coding errors, missed charges, and compliance issues. All of these items can lead to lost revenue for your organization.
Trisus Claims Informatics, a retrospective charge capture analytical tool, identifies high-impact areas of risk for your team to investigate. This solution was created with the user in mind, based on customer feedback and requirements, and combined with analysis of over 200 million billed claims. By importing both claims and remit data sets from your patient accounting system, Trisus Claims Informatics uses prescriptive analytics on your own data resulting in higher accuracy of issues found. You can also see the potential gross impact of an issue, giving you quantitative data on potential revenue loss.
Trisus Claims Informatics helps you identify these risks through:
- Drill-down dashboards to quickly identify high-impact issues
- Root-cause analysis wizard which walks the user through the steps of auditing to correct the issue at the source
- Issue grid that is easily sorted, grouped, and filtered
- Potential gross impact identifying potential revenue loss
- Actual impact to display actual revenue loss after remittance
This robust tool is built on our next-generation cloud-based platform, Trisus, allowing for daily imports of your claim and remit data, as well as frequent updates from Craneware to quickly adapt to industry and regulatory changes. These features, combined with the most accurate and current reference data in the industry, ensure your team’s success with post-bill audits.
During implementation, our consultants, who have a passion for revenue integrity, visit your organization on-site and perform a sample audit to identify your top five high-impact issues. Our consultant works with your team to audit, discuss corrective action plan development, and how to implement the plans. Our methodology includes training, workflow development, customized rules, and report creation, positioning your team for success.
[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="3.2.2" use_custom_width="on" custom_width_px="750px"][et_pb_column type="4_4"][et_pb_button _builder_version="3.2.2" button_text="Download Fact Sheet" button_url="http://host.craneware.com/af2?LinkID=CH00096645eR00000194AD" url_new_window="on" button_alignment="center" custom_button="on" button_text_color="#ffffff" button_bg_color="#0066cc" button_border_width="0" button_border_radius="10" button_use_icon="off" button_text_color_hover="#ffffff" button_bg_color_hover="#66cc00" button_border_radius_hover="10" custom_margin="10px|||" /][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Trisus® Claims Informatics [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => trisus-claims-informatics [to_ping] => [pinged] => [post_modified] => 2018-07-02 18:02:43 [post_modified_gmt] => 2018-07-02 18:02:43 [post_content_filtered] => [post_parent] => 0 [guid] => https://public.craneware.com/?p=29535 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [4] => WP_Post Object ( [ID] => 27699 [post_author] => 2 [post_date] => 2018-06-26 17:24:48 [post_date_gmt] => 2018-06-26 17:24:48 [post_content] => [et_pb_section bb_built="1" next_background_color="#000000"][et_pb_row _builder_version="3.2.2" use_custom_width="on" custom_width_px="750px"][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2"]"The audit trail in Physician Revenue Toolkit helps us track what change was requested by whom and when. With RAC and payor audits increasing, we have the proof we need to support our charges."
- Heidi Wyman, Chargemaster Specialist, Billings Clinic
Physician Chargemaster Management for Optimal Reimbursement and Compliance
Are you challenged with capturing physician productivity, profitability, and return on investment for physician services? Are you a provider organization struggling further still with managing chargemaster and fee schedule files from various billing systems? In either case, Craneware helps you gain much-needed visibility into business processes to ensure optimal reimbursement for services provided.
The Physician Revenue Toolkit® and Physician Revenue Toolkit – Corporate help ensure consistent, accurate pricing and coding for optimal reimbursement and compliance by identifying potential coding mistakes, compliance-related coding errors, flawed price positioning, and compliance issues within physician chargemaster/fee schedule line items. All of the toolkits are based on the same logic as Craneware’s Chargemaster Toolkit® and are packaged with Online Reference Toolkit®, which serves as a comprehensive, automated source of clinical, coding, financial, and regulatory information for physician billing. Each toolkit provides:
- simplified creation and modification of charge line items in the physician chargemaster/fee schedule
- imbedded workflow for a more efficient, accountable, and manageable change request process
- a defensible audit trail to track and justify chargemaster changes to support compliance
- a fee schedule application for viewing and comparing current pricing against published state and national rates
- browser-based access of up-to-date coding and regulatory reference resources specific to physician billing
- a web-based portal for two-way communication between chargemaster and departmental staff
Physician Revenue Toolkit proactively manages your charges, codes, RVUs, fee schedules, and related information, helping to capture lost revenue, support compliance, set competitive pricing, and establish a defensible audit trail.
Download fact sheet
Physician Revenue Toolkit – Corporate helps healthcare organizations standardize and maintain multiple physician chargemaster and fee schedule files across disparate billing systems to ensure consistent, accurate pricing and coding.
Download fact sheet
Implementation for Physician Revenue Toolkit
Craneware Professional Services provides an implementation services for Physician Revenue Toolkit that ensure a quick return on investment and ongoing benefits with expert consultation and effective business process design.
Corporate Standardization Services
Craneware’s Professional Services consultants provide project management expertise to help the organization adopting Physician Revenue Toolkit or Physician Revenue Toolkit – Corporate to create a standard for physician billing and define processes. As these systems can accommodate different corporate business models, the Professional Services team will determine the most favorable process for your organization.
[/et_pb_text][et_pb_button _builder_version="3.2.2" button_text="Download Fact Sheet" button_alignment="center" button_url="http://host.craneware.com/af2?LinkID=CH00096645eR00000039AD" custom_button="on" button_text_color="#ffffff" button_bg_color="#0066cc" button_border_width="0" button_border_radius="10" button_use_icon="off" button_text_color_hover="#ffffff" button_bg_color_hover="#66cc00" button_border_radius_hover="10" custom_margin="40px|||" /][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section bb_built="1" _builder_version="3.0.89" custom_padding="0px|||" prev_background_color="#000000" next_background_color="#2d79c2" global_module="25686"][et_pb_row global_parent="25686" module_class="social-share-blog" _builder_version="3.0.90" background_size="initial" background_position="top_left" background_repeat="repeat" module_alignment="center"][et_pb_column type="4_4"][et_pb_divider global_parent="25686" color="#d7d7d7" height="5px" _builder_version="3.2" max_width="80%" module_alignment="center" custom_padding="||40px|" /][et_pb_text global_parent="25686" _builder_version="3.0.106" module_alignment="center"]Share the Love!
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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Physician Revenue Toolkit® [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => software-physician-charge-capture [to_ping] => [pinged] => [post_modified] => 2018-07-02 18:03:10 [post_modified_gmt] => 2018-07-02 18:03:10 [post_content_filtered] => [post_parent] => 0 [guid] => https://public.craneware.com/?p=27699 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [5] => WP_Post Object ( [ID] => 31221 [post_author] => 2 [post_date] => 2018-06-25 19:44:32 [post_date_gmt] => 2018-06-25 19:44:32 [post_content] => [et_pb_section bb_built="1" module_class="article-post" _builder_version="3.0.106" next_background_color="#000000"][et_pb_row use_custom_width="on" custom_width_px="750px" _builder_version="3.2.2"][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2"]
Today’s Healthcare Challenges
In a world of uncertain reimbursement models and the never ending rise in healthcare costs, we can no longer solely rely on revenue management. In any industry, successful organizations are those that know their true costs and control them. Craneware is proud to announce the development of Trisus® CARE which integrates financial, clinical, and operational data at the patient registration level to provide insight into true costs. This game-changing approach to activity-based costing introduces manufacturing cost management techniques into healthcare, which will revolutionize the healthcare industry.
As the healthcare industry moves away from a fee-for-service model and heads toward a value-based approach, outcomes are increasingly evaluated on both cost and quality of care. The importance of understanding cost across the hospital, department, and medical condition is essential to detecting possibilities for cost saving opportunities. Traditionally, healthcare IT systems have relied on estimations of costs and other surrogate markers to approximate the cost against revenue streams such as DRGs. This has led to a poor understanding of whether revenue covers costs by medical condition. When negotiating with payors, providers are at a significant disadvantage by not knowing their true costs.
Trisus® CARE levels that playing field. Those providers that fail to implement a true cost analytics solution are at a competitive disadvantage compared to those that have, resulting in lost market share from poor strategic and process improvement decisions. Trisus® CARE sheds light on how individual process variations made by physicians produce different profit margins by medical condition. The power of the tool comes from the ability to use these insights to drive clinical process improvements that not only maximize clinical outcomes, but also financial outcomes.
Analytics You Can Trust Trisus®
CARE is a cost analytics decision support tool that integrates revenue, 15% of every $ goes to revenue cycle inefficiency1 cost, clinical, and hospital operational information for each patient encounter, throughout the journey of their medical condition, accumulating all patient costs from patient activities and services consumed during their care. Trisus® CARE is patient-centric and provides information at a patient level that facilitates the aggregation of cost, revenue, and P/L by hospital service, DRG, and physician. Overall, it provides data for service line analytics and gives the ability to view physician practice variability. The solution also facilitates the benchmarking of services across multiple dimensions (hospital, physician specialty, cost center, physician, DRG, etc.).
Trisus® CARE generates custom visualizations. Visualizations are dynamic, interactive reports that change with each user-applied selector. As users continue to refine their search criteria, visualizations actively change on screen to display the changing effect of the selections.
As a result, Trisus® CARE empowers your organization to perform your own analysis and implement clinical and operational decisions through the use of the solution’s data discovery tools.
The Value Proposition of Trisus® CARE
- True Patient Cost – Understanding the true cost of care in order to determine the profitability by individual patient or by medical condition. It provides the visibility of total cost by specialty, physician, or registration number.
- Contract Management – Negotiating fee-for-service contracts and supporting the development of bundled payment strategies.
- Resource Consumption – A horizontal cost tracking analysis that exposes resource consumption and specific cost information by medical condition or DRG, physician, or service line.
- Physician Variability – The necessary tools to expose variations in individual care practices or variations in care at the sub-specialty level across hospitals within a system.
- Hospital Services Analysis – Activity and cost information for each individual service center (radiology, cath lab, OR, etc.), linking it with the horizontal perspective of service line (medical condition).
- Process Improvement – Initiation of activities and projects to improve performances in an actionable and measureable way.
- Data Discovery – In-depth data discovery metrics to be quickly exported in both reporting and presentation formats.
- Cultural Change – Promoting conversation regarding utilization of hospital resource regarding patient care, which triggers changes in operational processes and ultimately promotes more efficient physician behavior.
Benefits of Trisus® CARE
- Cloud-based solution hosted securely on MS Azure
- No hardware or software installation required
- Customized, client-specific queries written to extract all data
- Visualizations are updated automatically with new monthly customer data feeds
- Support of CHI Team to manage the following:
- Initial implementation data extraction
- Monthly data processing and modeling
- Provision of reports for analysis and data discovery
- Quick implementation lasting approximately 3-6 months depending on size of organization
- Easy access by any mobile device, tablet, or desktop making data available anytime . . . anywhere
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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Trisus® CARE [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => open [post_password] => [post_name] => trisus-care [to_ping] => [pinged] => [post_modified] => 2018-07-02 18:03:25 [post_modified_gmt] => 2018-07-02 18:03:25 [post_content_filtered] => [post_parent] => 0 [guid] => https://public.craneware.com/?p=31221 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [6] => WP_Post Object ( [ID] => 27711 [post_author] => 2 [post_date] => 2018-06-25 17:34:00 [post_date_gmt] => 2018-06-25 17:34:00 [post_content] => [et_pb_section bb_built="1" next_background_color="#000000" _builder_version="3.2.2"][et_pb_row _builder_version="3.2.2" use_custom_width="on" custom_width_px="750px" custom_margin="||30px|"][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2"]
"Without the Craneware tools, I feel like in some areas we would be “blind.” Applications like Pharmacy ChargeLink and Supplies ChargeLink allow us to marry together data and analyze it simply and effectively. When there is an issue I need to contact support for, they respond almost immediately and I have a very high confidence it will be resolved."
- Dayna Woerner, Revenue Cycle Integrity Analyst, Marin General Hospital
Improving Supplies Reimbursement
If your hospital isn’t receiving all the reimbursement it legitimately should for medical/surgical supplies, it’s almost certainly because supply charges aren’t captured and billed correctly. The underlying cause is usually disparity among the purchasing, item master, and billing systems – and the resulting lost or incorrect data means revenue leakage in the supply chain.
Supplies ChargeLink® solves these problems by performing an automated review of your systems to find irregularities where codable medical-surgical devices have been bought but don’t appear in the chargemaster, or appear with the wrong charge, quantity discrepancies, or coding compliance problems. After identifying these issues, Supplies ChargeLink generates the reference data needed to fix them and improve charge capture. If your organization uses Craneware’s Chargemaster Toolkit®, users simply right-click to enter the corrected data into an automated workflow that rolls up to the chargemaster.
Linking Supply Chain and Revenue Cycle
Supplies ChargeLink optimizes reimbursement for codable supplies with its ability to:
- identify purchased supplies missing from the chargemaster
- correct missing or invalid coding information
- identify supplies where expected reimbursement is less than the purchase price
- identify possible charge-capture issues where an item’s purchase volume greatly exceeds the volume billed
By eliminating the inconsistencies that invariably exist between a hospital’s item master and its chargemaster, Supplies ChargeLink helps ensure accurate pricing, coding, and billing of patient-chargeable supplies.
Supplies ChargeLink Implementation
Craneware Professional Services provides an implementation service for Supplies ChargeLink that ensures a quick return on investment and ongoing benefits with expert consultation and effective business process design.
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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Supplies ChargeLink® [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => supplies-chargelink [to_ping] => [pinged] => [post_modified] => 2018-07-02 18:04:01 [post_modified_gmt] => 2018-07-02 18:04:01 [post_content_filtered] => [post_parent] => 0 [guid] => https://public.craneware.com/?p=27711 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [7] => WP_Post Object ( [ID] => 27709 [post_author] => 2 [post_date] => 2018-06-24 17:32:39 [post_date_gmt] => 2018-06-24 17:32:39 [post_content] => [et_pb_section bb_built="1" next_background_color="#000000"][et_pb_row _builder_version="3.2.2" use_custom_width="on" custom_width_px="750px" custom_margin="||30px|"][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2"]
"Thank you for providing the info I needed! I just wanted to share that I sent a supply for review and was super impressed to receive such a prompt response with all the info I needed! It’s one thing to be told, but totally cool for what you were told to actually work. I am a happy camper right now!”
- Teresa Fielding, CDM Coordinator, Archibold Medical Center
Searchable Supplies Charge Data
New supplies are being introduced into the market at an unprecedented rate. And it’s critical that they be accurately reflected in the chargemaster to ensure proper revenue reimbursement and compliance.
But each new supply can demand an hour of staff time to research the required coding information. Simply put, your staff can’t keep up with the high volume of code searches that need to be performed.
Gain Immediate Access to Supplies Charge Data
With Supplies Assistant, manually researching for coding information is a thing of the past. With this searchable database available at your fingertips, you can quickly and easily get the coding information needed to add new supplies to the chargemaster.
Supplies Assistant is Craneware’s proprietary supplies coding search function that delivers HCPCS codes, UNSPSC codes, manufacturer, description, catalog ID, and other reference information – in a single screen.
- Increase productivity and decrease staff labor
With Supplies Assistant, 60 minutes of research can be reduced to less than 60 seconds. - Coding information is updated weekly
Our all-inclusive supplies catalog includes focus on implants and devices. - Accessible from anywhere, anytime
Everyone has instant access via desktop and mobile devices. - Trust Craneware’s Data Experts
Proprietary content is maintained with Craneware’s highest quality standards.
Integrated with Craneware Solutions
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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Supplies Assistant [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => supplies-hcpcs-coding-lookup [to_ping] => [pinged] => [post_modified] => 2018-07-02 18:04:17 [post_modified_gmt] => 2018-07-02 18:04:17 [post_content_filtered] => [post_parent] => 0 [guid] => https://public.craneware.com/?p=27709 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [8] => WP_Post Object ( [ID] => 27693 [post_author] => 2 [post_date] => 2018-06-23 17:20:05 [post_date_gmt] => 2018-06-23 17:20:05 [post_content] => [et_pb_section bb_built="1" next_background_color="#000000"][et_pb_row _builder_version="3.2.2" use_custom_width="on" custom_width_px="750px" custom_margin="||30px|"][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2"]
"With Craneware’s Online Reference Toolkit®, keeping up with coding and regulatory changes is so much easier – no searching through outdated manuals and making copious notes. The software saves time and supports compliance. Our staff would never give it up!"
- Angela Confoey, Corporate Director, Revenue Management, Steward Health Care System
Coding and Regulatory Information to Improve Revenue Integrity
Printed reference books quickly become outdated, and don’t help your staff manage memos and emails related to coding, compliance, medical necessity, and other regulatory changes that impact coding and charging accuracy. Fortunately, all the information you need is now readily available in a single, online resource.
Craneware’s Online Reference Toolkit®, which is Peer Reviewed by HFMA, is a browser-based tool that provides quick access to comprehensive clinical, coding, financial, and regulatory references, enabling improved collaboration between clinical and financial staff and accurate coding and charging. CPT® Assistant is fully integrated with Online Reference Toolkit to provide additional access to all prior references and CPT manual information. As an integrated component of Chargemaster Toolkit®, Physician Revenue Toolkit®, Pharmacy ChargeLink®, and Supplies ChargeLink®, the Online Reference Toolkit is readily accessible to your organization when you adopt any of those solutions.
Rely on Online Reference Toolkit to:
- deliver clinical coding reference specific to your needs
- promote effective collaboration and reduce risk
- provide instant, direct access to CPT Assistant
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[/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section] [post_title] => Online Reference Toolkit® [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => software-billing-and-coding-reference [to_ping] => [pinged] => [post_modified] => 2018-07-02 18:04:40 [post_modified_gmt] => 2018-07-02 18:04:40 [post_content_filtered] => [post_parent] => 0 [guid] => https://public.craneware.com/?p=27693 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) ) [post_count] => 9 [current_post] => -1 [in_the_loop] => [post] => WP_Post Object ( [ID] => 27677 [post_author] => 2 [post_date] => 2018-06-30 17:07:25 [post_date_gmt] => 2018-06-30 17:07:25 [post_content] => [et_pb_section bb_built="1" _builder_version="3.0.47"][et_pb_row use_custom_width="on" custom_width_px="750px" custom_margin="||30px|" _builder_version="3.2.2"][et_pb_column type="4_4"][et_pb_text _builder_version="3.2.2"]
"Craneware’s Chargemaster Toolkit identified a $3.6 million revenue opportunity from 55 radiology charges that were priced below the Medicare APC."
- University Health Care System, Augusta, Georgia
Automate Chargemaster Management
Independent research confirms that 64% of hospitals use error-prone manual processes for chargemaster updates, and that nearly all only review the complete chargemaster with finance annually or after a specific event. Yet when a charge doesn’t exist in the chargemaster, there is ultimately no reimbursement – and chargemaster and charge capture errors lead to significant lost revenue and a risk of non-compliance.
Chargemaster Toolkit® – named by KLAS as #1 in the Revenue Cycle – Chargemaster Management market category twelve years in a row and an HFMA Peer Reviewed solution – addresses this issue with chargemaster management automation that helps eliminate variances in data and prevents revenue leakage. Chargemaster Toolkit is a flexible, easy-to-use solution that continually updates chargemaster data to ensure ongoing charge accuracy and consistency.
Chargemaster Toolkit is packaged with Craneware’s Online Reference Toolkit®, a browser-based tool that provides instant access to the most current clinical, financial, coding, and regulatory information and an optional Supplies Assistant search module. More than a thousand hospitals and healthcare providers rely on Chargemaster Toolkit to:
- optimize reimbursement by identifying chargemaster incompleteness/inaccuracy
- increase operational efficiency by automating chargemaster management
- manage workflow based on the organization’s change-validation control processes
- track interdepartmental routing, approvals, and communication to provide an accurate audit trail
Discover a better, more comprehensive way to manage the chargemaster
- Discover where revenue is at risk.
- Discover opportunities to increase revenue.
- Discover charges less than allowable.
- Discover unbilled clinical services.
- Discover where significant comparative pricing discrepancies exist with competitors.
- Discover high-risk compliance issues.
Convert charge capture errors that lead to significant revenue loss
- Convert coding errors into paid services.
- Convert lesser of payments into full payments.
- Convert appropriate billable services not realized into revenue.
- Understand what best practices identify as billable services and add them to your CDM.
Optimize reimbursement
- Sustain a healthy chargemaster.
- Assure pricing is in line with competitors.
- Protect revenue earned from audit take-backs.
- Be continuously aware of high-risk compliance issues that put revenue at risk.
Extensions to the product include:
Chargemaster Toolkit Discovery Viewer
- View and filter records with detail by location, service line, volume, revenue, and usage
- Eliminate duplicate data
- Access to comparative pricing
Chargemaster Toolkit® Corporate Discovery Viewer
- Establish and continuously manage corporate standard chargemaster files across your enterprise
- Support system-wide communications and reports
Chargemaster Toolkit Implementation
Craneware Professional Services provides an implementation service for Chargemaster Toolkit that delivers a quick return on investment and ongoing benefits from using the software with expert consultation and effective business process design.
Chargemaster Maintenance Process Assessment, Design and Implementation
Craneware’s Professional Services offers your team ongoing support to help move the chargemaster from clean-up to management mode for improved chargemaster management and control processes. The engagement starts with an onsite visit, followed by quarterly conference calls and reports, and includes year-end and annual reviews. The Professional Services team implements changes identified through the initial review and assists with year-end updates to help ensure a complete, accurate chargemaster.
Chargemaster Quality Review and Education
The Chargemaster Quality Review and Education service is offered through Craneware Professional Services. Craneware’s chargemaster experts will serve as temporary resources to help your organization optimize the chargemaster process via Chargemaster Toolkit. Through engaging Craneware’s Professional Services team, best practices are established and training is implemented for improved financial results. Out of this engagement, your organization will benefit from experienced project management, proven processes, and training shown to optimize financial performance and efficiency.
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