AUGUST 9 11, 2016 ACE 2016€¦ · Allscripts Payerpath: ... –Claredi certified professional and...

ACE 2016

AUGUST 9 – 11, 2016

Allscripts Payerpath:

Roadmap to a Healthy Financial Core

08.09.16

Steve Mueller

Expert Product Owner

08.09.16

Agenda

• Roadmap to a Healthy Financial Core 9:45am – 10:45am

• Introductions

• Market Observations

• Regulatory Impacts

• Patient Responsibility and Readiness

• Claims Management and Productivity

Market Observations

Patient

Responsibility

GrowthProjected to grow to

more than 40% of

average practice’s

overall revenue by

ICD-10

MACRA leading to

VBC through MIPS,

Regulatory

Pressures

Based Care

59% of payments

projected to be value

based by 2021

Regulatory: ICD-10, MACRA?

Allscripts Payerpath: Roadmap to a Healthy Financial Core

Payerpath Delivered on ICD-10!

• Because Payerpath prepared extensively for ICD-10

– Fully tested with Allscripts Practice Management Systems

(Allscripts PM, Vision, Tiger, CompuSystems)

– Claredi certified professional and institutional 5010 claim

files ICD-10 compliant

– 100% of payers tested were able to successfully consume

ICD-10 files generated by Payerpath

• October 1st came and went without a hitch

MACRA• You’ve seen the headlines: The Medicare Access and Chip Reauthorization Act (MACRA) is soon to

be a reality.

• Experts are calling it the most significant change to clinician reimbursement in more than two

decades. And that means you have to be ready.

• The MACRA timeline is aggressive—performance measures go into effect in 2017—and you

need to get up to speed on how this complex program will impact your organization.

• MACRA’s impact is unique to each provider. The first step is to understand the proposed rule and

how it may affect you. Allscripts offers webinars for clients that can help explain these programs

in greater detail.

• Again, while this rule will not be final until the fall, it is important to begin preparing for the

changes ahead to be ready for the first performance year in 2017. Contact Allscripts

Consulting if you would like to schedule an introductory consultation on what this means for your

organization.

Patient Responsibility

Impact of High Deductible Health Plans

• Over 17 million patients now enrolled in HDHPs

– 21% of Covered Workers Enrolled in HDHP – growing 15% annually

• Average deductible for individual coverage is $1,217– More than doubled in last 10 years (from $518 in 2003)

– 18% of workers have a deductible of $2,000 or more

• For family coverage, deductibles average $4,059– 30% of covered workers have an aggregate deductible of at least $5,000

• 38% of employers considering HDHP ONLY

• In 2015, >80% of public exchange enrollees selected HDHP plans2014 Employer Benefits Survey from

the Kaiser Family Foundation/Heal th

Research & Educational Trust (HRET)

Patient Payment Trends Affecting The Revenue Cycle

Premiums at 10-Year High

• $6,025 for single coverage

• $16,834 for family coverage

• Outpace Growth in Family Income

Increase in Employee

Premiums in last 10

Practice’s Total Patient

Responsibility Growing

Of Practice

Revenue from

Patient

Responsibility

Of Income Paid

for Premiums &

Deductibles

Rising Risk of

Bad Debt

Less Effective

Traditional

Collection

Methods

Provider Lost

Revenue

Decreased

Patient

Satisfaction

Solutions for a Healthy Financial Core• Allscripts provides solutions that streamline workflows across clinical, financial

and operational processes

Patient Payment Solutions Strategy

Improve

Effectiveness of

Traditional Tools

Expand Payment

Offerings

Improve Patient

Utilization

• Improve Patient Statement

Designs

• Payment Lockbox

Enhancements

• Onserts

• eStatements PLUS w/

• Patient Payment Manager

• Mobile Payments

• Patient Financing

• Single merchant

processing platform

• Actionable information

• Transparency

Clarity to patients on what they owe and payment

options they have

Multiple Payment Channel Options

Patient IntakePatient Payment

ManagerPaper Statements

E-Statements w/Bill Pay

Patient Portal Payments

Receipt /Payment Lockbox

Comprehensive Approach Required

Patient Payment Manager – Q4 2016

• Payerpath Patient Payment Manager is an integrated revenue

collection tool for front desk and billing office personnel to

process and record time of service patient payments (cash,

check, or credit cards)

• Equips you to:

• Have an effective, information backed conversation with the

patient while they are in the office to speed up collection of

revenue

• Manage payments, view transactions and process

refunds/voids

• Reconcile time of service payment and end of month

reporting

Patient Payment ManagerEquip your Front Desk with the Tools they need

Patient Payment Manager

You’ll also be able to see• Updated patient information

• Payment method and status

• Total collections

• End-of-day balance reconciliation

Verify Active/Inactive Insurance

Calculate Co-Pays & Balances

Deductible Meter

Information you can use!

Patient Payment Manager – Integration to Ease your

Workflow

• Import patient schedule, demographics and balances from your PM

• Collect and post payments right back into your PM

Improve End-of-Day Balancing and Financial Controls

• Track cash, check and credit in one place

• Financial transaction reporting

automatically linked to Allscripts Patient

• No need to manually settle batches each

• Consolidated Merchant reporting

Payerpath Receipt (Lockbox)• What’s New?

– Single Mail Stop per client

– Integrated Payment History

– Improved security, reporting and tracking

– Reduced time to deposit

• Benefits to practice

– No mail to sort, open and credit

– Auto deposit

– Auto posting of payments to PM

– Reduction in Risk- limits cash and/or credit card exposure

More Statement Designs – Q4 2016• Color code options

for quick

identification

• Multiple areas for

custom messaging

• Ability to insert

custom logos

• Statement date

clearly separated

from due date

• Highlighting

enabled on

“amount due”

More Statement Designs – Coming Q4 2016

Payerpath StatementsNew Features Coming Soon

• New statement formats – Q4

• Collect and Reminder Letters – Q4

• Color, bilingual and more formats - 2017

Payerpath eStatements with Online Bill Pay

• Payerpath eStatements with Online Bill Pay

through PayMyDoctor.com provides an easy

and convenient payment option for patients

• A 2014 study reported 43% of consumers

indicated that access to multiple statement

delivery and balance payment channels

increased their satisfaction

PayMyDoctor.com

Link accounts

View payments

View statements

Edit email/password

Options

eStatements FollowMyHealth Integration

Payerpath eStatementsNew Features Coming Soon

• Support for Allscripts PM Departmental Billing

• Support for eChecks

• eKit for in-office education

• Digital Delivery Toolkit

Performance and

Optimization

How Do I Improve Performance?

Optimize Current Solutions

Use of Automation

Analytics to Improve Decisions & Processes

Leveraging Services

Optimize: Knowledge Center

News, Featured Videos,

Knowledge Resources

Client Connect

Best Practices, eLearning,

Training Materials

Automation: Improve Your Processes

• Eligibility Verification

– Reduce denials & re-work/re-bills

– Leverage payment information to improve patient collections

– Improved UI and expanded payer list for Allscripts PM

• Reminder Calls/Notifications

– Reduce missed appointments

– Increase revenue

– Text Opt-In Rule Changes – 83% increase in confirmation rates when patients who prefer

text are offered it

• Payment Collection & Posting

– Patient Payment Lockbox

– eStatement & POS payments

Increased Efficiencies through workflow improvements• Communication improvements

– Receive important Payerpath announcements, alerts, broadcasts into your email folder

– Subscribe and unsubscribe to the announcement types that you need

• Self-Provisioning functionality as an Admin user

– Add / delete users in Payerpath

– Enable enrolled services for users

• Claim / Remittance Reconciliation improvements

– Improved claim / remittance matching

– Ability to mark each claim in a batch as done

Claims Management Tools

• Top Edit Errors

• Denial rate

comparatives

• Payer Reports

• Improved Claim

Reconciliation

Embedded Analytics – Coming Soon

Practice Performance 2.0Comparing & Analyzing Denials

New Features in Practice Performance

• Year over year trend analysis

• Customizable experience for the different roles in your office

• New Insights - Patient Responsibility Reporting

Email AlertsBenchmarksDashboards

Leveraging Services: Augment Your Efforts

CAR 2.0

CAR 2.0 New Features

Leveraging Services: Augment Your Efforts

Payerpath Education TrackTIME TOPIC PRESENTER

Tuesday August 9th

1:30 – 2:30 Keep your finger on the pulse using Practice PerformanceAmber Civitarese,

RemitData

Wednesday August 10th

8:30 – 9:30 Patient Responsibility Solutions - Maximize Patient Payment Revenue Opportunities Lisa Temporale

9:45 – 10:45 Allscripts Payerpath: Roadmap to a Healthy Financial Core Steve Mueller

1:30 – 2:30 Optimize Electronic Remittance Posting Anne Havlina

Nicole Beulah

2:45 – 3:45 Integrating Allscripts Payerpath using Office Manager Paola Turchi

4:00 – 5:00 Payerpath Pre-visit solutions: A Healthy Revenue Cycle before Patient Visits Anne Havlina

Thursday August 11th

1:30 – 2:30 Payerpath 101 - Tools and Techniques for Effectively Reconciling and Tracking Claims Carrie Murphy

2:45 – 3:45 The 15 Most Common Allscripts EDI Support Questions Nicole Beulah

Roadmap Review

Payerpath Highlights

Product

Improvements

• Practice Performance 2.0

• Eligibility UI

• Claim Reconciliation workflow

improvements

• Directed client communication

• CAR 2.0

Patient Payment

Solutions

• Improved Patient Statement

Designs

• eStatement Enhancements

• Lockbox Enhancements

• eStatement Integration to

• Collection Letters

Regulatory

ICD-10 Enablement

• Formats

• Infrastructure

• Content

• Payer Readiness Indicator

• Production Stabilization

Descriptions of solutions, features, and functionality in this document reflect Allscripts’ general product direction on the date noted and do not constitute a commitment by Allscripts to develop or provide any such items. The

development, release, and timing of any features and functionality remain at Allscripts’ sole discretion, and are subject to change (with or without further communication). This material is for information purposes only, should

not be relied on in making a purchasing decision, and does not constitute solution documentation or a commitment, promise, or legal obligation to deliver any material, code, or functionality.

Allscripts Payerpath Roadmap2016 H1 2016 H2 Future

Release • Payerpath 16.1, 16.1.1 • Payerpath 16.2 • Payerpath 17.x

Theme • Regulatory: ICD-10

• Features: Claims Management, Eligibility, Payments

• Feature/Function

• Payment Processing

• PM and SFM Integration

• Feature/Function

• Acute RCM Solutions

Key Features

• Claims Management Enhancements

• Practice Performance Enhancements

• Statement and eStatements Enhancements

• Multi-dept. eStatements

• Eligibility v2 Solution – Phase 1

• eStatements Enhancements

• APM Collect & Remind

• Merchant Processing Enhancements

• Call Enhancements

• CAR Enhancements

• Point of Service Payment Access

• Map/Edit Framework

• Custom Edit Rewrite

• Claims Management UI Redesign

• Receipt Enhancements

• Payer Remittance Lockbox

• Homecare Statement Enablement

• Acute AM Call Enablement

• Acute/SFM Statement Enablement

• Acute/SFM Claims Management Enablement

• Acute/AM Eligibility Enablement

Regulatory Features • ICD-10 Production Stabilization • Workers Comp & Attachments

Technology,

Integration &

Innovation

• Eligibility Platform Consolidation • Financial & Clinical Data Integration

• Statement/Call Platform Consolidation

Questions?

Thank You!

This presentation has been sponsored by our partners at

To learn more about Contract Audit & Recovery and MCAG’s unique revenue generating solutions visit

the HUB, or go to www.mcaginc.com

AUGUST 9 11, 2016 ACE 2016€¦ · Allscripts Payerpath: ... –Claredi certified professional and...

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