Life After 40Best Practices for Revenue Best Practices for Revenue Cycle ManagementCycle Management
Life After 40 ProjectNational Family Planning & Reproductive Health Association
2013 NFPRHA Regional Meeting – Saint Louis, MO
The Authors
Susan Gadon Daryn Eikner
2
The Case Study
3
4
la40resources.org
Why do this study?5
The Participants
6
Bridgercare
The Center
Planned Parenthood Arizona
• Thirteen locations in:• Chandler
• Flagstaff
• Glendale
• Mesa
• Phoenix
• Prescott Valley
• Scottsdale
• Tempe
• Tucson
• Yuma
• Roughly 35,000 claims per year
7
• Two locations in:• San Luis Obispo
• Arroyo Grande
• 11.8 FTE
• Roughly 10,000 claims per year
8
• One location in:• Bozeman, MT
• 13.6 FTEs
• Roughly 8,000 claims per year
9
The Revenue
Cycle
10
What data and key indicators does your agency collect?
How do you use the data to effectively manage your revenue cycle processes?
11
PPAZ Charge Trend
12
PPAZ Payment Trend
13
PPAZ Transactions and Charges
14
PPAZ Days in A/R
15
16
PPAZ Accounts Receivable
Bridgercare Clearinghouse Checklist
17
Bridgercare Payment Reconciliation Checklist
18
Bridgercare Increase In Third-party Payer Revenue
FY 12 FY13FY 13 Total Amount. Total Amount. % Amt. D Prev. Yr.July $29,272.14 $21,221.38 -27.50%August $25,796.75 $44,397.80 72.11%September $33,548.58 $47,379.23 41.23%October $9,903.84 $46,053.73 365.01%November $15,929.87 $37,578.69 135.90%December $12,769.50 $47,258.75 270.09%January $18,767.23 $10,403.23 -44.57%February $19,244.62 $42,637.84 121.56%March $30,450.58 $48,878.85 60.52%April $20,745.55 $59,773.20 188.13%May $5,322.33 $40,721.49 665.11%June $79,113.40 $79,156.54 0.05%
Year $300,864.39 $525,460.73 153.97%
FY 12 = July '11-june '12 FY 13= july '12-june '13
19
Clearinghouse Dashboard
20
Shifts Made In Staffing Structure Due To Changes Within Revenue Cycle
Processes
21
What new positions were
created?
What positions
were eliminated?
What p
ositio
ns
were ch
anged?
What skills
transfe
rred fr
om
one position to
another?
Questions?