4. Decentralized registration with 28 sites in
one campus;
14,000 monthly encounters;
2,400 encounters registered in treating
departments;
35.8 FTE’s allocated to decentralized
registration areas;
Manual QA process using small samples
which were not representative of overall
quality – hap hazard.
5. Collapsed all points of registration into 3
locations (main lobby, OP pavilion, ED);
10% reduction in FTE’s;
Registration accuracy increased from 75%
to 95% and improving – target = 98%
$90,000 average POS cash collections per
month and increasing.
6. Expand scheduling to all elective services;
Coordinated scheduling, pre-registration,
insurance verification, and POS collection;
Implemented staggered staffing model;
Expanded role of financial counseling:
Implementation of ED discharge process
coordinated with clinicians and financial
counseling,
Included recovery of bad debt in POS
collections.
7. Implemented rules based QA
software;
◦ Interactive registration edit and
correction;
◦ Robust analytical tools;
Implement Charity Care software;
◦ Automate eligibility process
◦ Reconciliation of 835 and approved
applications;
◦ Robust analytical tools.
8. Volume analysis;
Patient flow analysis;
Departmental process review;
System Design and Implementation:
◦ HIS
◦ Scheduling
◦ QA
◦ Charity Care
Policy and procedure development;
Employee education
15. Decentralized Model;
Manual and software based process
16. Increaseddepartmental
productivity:
◦ Adjusted available hours of
operation based on market
demand;
◦ Minimized slack time;
◦ Increased revenue per paid hour;
17. Improved management of uninsured
and under insured elective services;
Minimized registration time when
patient presents;
Treatment authorization control
moved from referring physician to
facility.
18. Departmental Review, on-site observation
of all shifts;
Data gathering and modeling:
◦ Inbound call volumes
◦ Call distribution analysis by shift and day-of-
week