10. Day 3
Compile
view
Day 12
Finalize
scrubbing
Day 15
Submit to
payer
Day 20-25
Receive from
payer
Day 25-30
Review with
payer
AR
Reps
phoneÂ
follow Up
review Â
codingÂ
denials
medicalÂ
recs/doc
reviewÂ
feeÂ
schedules
reviewÂ
providerÂ
set up
updateÂ
info
fileÂ
appeals
payerÂ
portalÂ
follow up
accessÂ
subÂ
systems
18.  Work each invoice and clearly document the reason why we believe the claim was processed incorrectly
update payer statusupdate status
19.  Review status field ie: “02eval” – previous month’s carry over
20.  Sort by Balance to review high/low or Division to review patterns
21.  Sort by Corr (charge correction flag) –> Y or Note? –> Y
22.
23.
24.  Scripting of payer notes
 Response to our report
 Capturing most recent note from both Orlando health and insurance
 Going through our secxond round of calls with the insurance directly from the
recon view
 Benefits
 Review only invoices outstanding
 Changes are real time
 We are in control
33. Centricity Business Revised Positioning
and Differentiators
A proven, next generation
healthcare revenue cycle
management
solution that supports
traditional and
accountable care
reimbursement models for
greater profitability,
efficiency and enhanced
quality of care.
Interoperable
High performance
Enterprise ready
34. • Integrated inpatient and ambulatory
revenue cycle management across multiple
locations for improved transparency and
efficiency
• Support for multiple reimbursement models
including: fee for service, capitation, pay
for performance and shared savings for
accurate reimbursements and higher
profitability
• Versatile, scalable revenue cycle tools and
workflows to support operational
excellence across the continuum of care
Centricity Business
Enterprise Ready
35. Centricity Business
High Performance
• Automated, exception based workflows
that provide faster, cleaner claims and
accelerated revenue collection
• Ability to manage increasing patient
responsibility with integrated tools to
manage patient access and revenue
cycle processes
• Proven financial performance
• 8 of the top 10 Top Performers in Faculty Practice
Solutions Center Billing Office Survey1
• 13 of the 17 Best hospitals in
2011-12 honor roll2
1)UHC & AAMC, FY10 Faculty Practice Solutions Center Billing Office Survey, June 2011
2)US News and World Report, Best Hospitals 2011-12: the Honor Roll, July 2011
36. Centricity Business
Interoperable
• Revenue cycle management with clinical
workflow integration to virtually any EMR
• Standards based connectivity enables
freedom to choose your clinical system,
while lowering total cost of ownership.
• Connect the enterprise and provide
insights across clinicals and financials to
drive improved care coordination and
streamlined reimbursements
37. Centricity Business resources
• Stop by the GE Healthcare Booth #343/345
• Read more about Orlando Health on our website
• www.gehealthcare.com/centricitybusiness
• Follow @GEHealthcareIT on Twitter and use #gecb to join
the Centricity Business conversation