80% of polled healthcare executives believe their teams are not using effective technology to improve patient care.
PROVIDER CASE Automated Reporting was designed specifically to use the case data facilities are already generating and then let you generate billing info with minimal effort! Facilities and Provider Groups can both use these automated billing reports to verify what each provider’s daily deployment looked like for the month to ensure quick and accurate billing.
In a world of AI I have seen provider time written off because they forgot to log into a computer in a surgical procedure, or not paid because they relieved another provider mid-case, etc. It is estimated over $100 Billion (with a B!) in revenue is written off or missed by hospitals and provider groups every year. Think about this for a moment. Hospitals getting free labor from providers because the provider didn't log their time correctly? I don't know about you but I do NOT like working for FREE.
We created the Provider-Case Automated Reporting system specifically for provider groups that bill medical facilities, hospitals, and surgical centers directly. Our system is not intended for general practice and hospital patient billing. That being said, when a billing system or process is outdated, the provider group or hospital suffers from the billing mistakes like mismatched procedures, providers not logging in when covering shifts at community hospitals or surgical centers, and forgetting to stay current on charting. At the end of the day its not just the provider who's paycheck is effected, inefficient billing automation effects the overall success of your provider group. In 2022 we have more automation in healthcare than ever before. Electronic patient charting generates a massive flow of data inside health networks making it easier than ever to automate patient billing and reporting. But if you are using outdated tools you might be missing out on big money!
What Should Your Provider Billing and Reporting Systems be Doing for You?
Key Areas
Workflow Automation
First and foremost your medical billing software should be pulling XML or HL7 data from Electronic Medical Record patient charting systems (EMR) and building out a digital picture of a providers day. Billing automation can estimate 90-95% of your provider billing for you!
Turnaround Time
The speed and efficiency in which provider groups can bill facilities plays a big factor in the business's ability to thrive. The more efficient the process the quicker your provider group gets paid, increases your cash flow, keeps providers happy and focused.
Data Analysis Tools
There are probably cashflow kinks and untouched revenue that you’re unintentionally leaving on the floor of the OR. Workflows like being able to identify split cases, and automatically applied shift rate vs hourly are key. Additionally reports like total hours by provider/facility/shift/deployment, etc. help you see gaps in deployment coverage as well as where cases are not being billed correctly.
Cost/Time Reduction
Gone are the days of having an office full of billing staff pouring through stacks of patient cases and keeping messy spreadsheets. Your automated medical billing system should do all the heavy lifting, allowing for minimal staff headcount and effort to handle billing.
Positive Outcomes
Time to Payment
MidWest Anesthesia typically took 15+ days to submit billing for the previous month for 120 providers in 9 locations. Using PROVIDER CASE they have been able to expand to 200+ providers in 17 partner locations and reduced the time to bill by 7 days.
This not only allows them to capture revenue more quickly, it allowed their team more time to focus on more important tasks, and providers are happier being paid sooner with better accuracy.
Increased Accuracy
MidWest Anesthesia has reduced the amount of time spent making corrections to provider pay after the fact. Issues with provider billing has also decreased significantly. By giving providers access to review they daily/monthly case reports they can make changes to their cases and charting before billing has been submitted. Billing Analysts email the report with a single click as they confirm the providers monthly cases. Providers have a more vested interested in helping ensure their cases are accurate while the cases are still fresh, and easier visibility to look at their month.
Preferred Anesthesia Partners estimated an increase in $450,000 yearly revenue once automated case data started feeding their billing systems using our data feed partners. The revenue increase was attributed to cases, shifts, and hours that were simply being overlooked.
Looking forward it is easy to see that billing automation tools are necessary and give provider groups a competitive edge in recruiting and keepings talented providers. PROVIDER CASE Automated Reporting is here to help you achieve these goals.
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