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Resolute Financial Metrics Monitoring Process. August 8, 2014. Introductions. Jessica Janota – OCHIN Revenue Cycle Technical Lead Melinda Boyum – Epic Customer Finance. AR Metrics Monitoring Process. Work with you to monitor key A/R metrics using a standard graph package reporting tool - PowerPoint PPT Presentation
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April 22, 2023
Jessica Janota – OCHIN Revenue Cycle Technical Lead
Melinda Boyum – Epic Customer Finance
Work with you to monitor key A/R metrics using a standard graph package reporting tool
Analyze data and identify trends
Allows you the ability to benchmark against other OCHIN customers
Program started in 2003 Supplement to Epic application & Clarity
reports Standard process used for all new Epic
customers
Communication between Billing Operations and OCHIN
Identify areas that need attention Monitor progress toward target A/R
metrics Tool that facilitates in the process
Suggested target metric sources• Pre-defined A/R goals per organization• Legacy data (pre-OCHIN Epic)• MGMA standards• OCHIN membership avgs.
Key metrics for comparison• Days in AR• % Denials• % of AR over 90 days
Establish Target Metrics
Regular Review of Graph Package
Identify Issues & Opportunities
A tool used to monitor the high-level financial/AR metrics
Compares against baselines and/or targets
Trends all areas of the revenue cycle
0
5
10
15
20
25
30
35
40
Epic AR Days
Legacy AR Days
Total AR DaysTotal AR AR Breakdown
0
1
2
3
4
5
6
7
Chg
Pmt & Adj
Financial Top Ten
0.0
0.1
0.2
0.3
0.4
0.5
0.6
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000DollarsCounts
Payments / Adj Undistributed
Aging
Claims Top Ten
Top Ten
Unit This Week Last Week % Change Baseline % Variance
Days 26.7 27.1 -1.24% 32.0 -16.5%Dollars (M) $19.7 $20.1 -1.83% $22.2 -11.0%
Days 0.4 0.3 24.0% 0.0 -Dollars (K) $260.4 $211.3 23.2% $0.0 -
Dollars (M) $2.0 $2.1 -2.1% $0.0 -Percent 10.36% 11% -2.1% 0% -
AR
Aging over 120 Days
Pre-AR (Charge Review)
Unit This Week Last Week % Change Baseline % Variance
Total (M) $4.8 $5.4 -10.2% $4.8 -0.3%Epic Only (M) $4.8 $5.4 -10.2% $4.8 -0.3%
Total (K) $737.9 $742.3 -0.6% $692.4 6.6%Epic Only (K) $737.9 $742.3 -0.6% $692.4 6.6%
Payments Dollars (M) $2.8 $2.6 7.6% $2.4 20.3%
Adjustments Dollars (M) $2.3 $2.5 -5.2% $2.3 3.8%
Undistributed Dollars (K) $747.1 $623.1 19.9% $0.0 -
Charges
ADR
Unit This Week Last Week % Change Baseline % Variance
Count 31529.0 38316.0 -17.7% 0.0 -Dollars (M) $4.8 $5.4 -11.9% $0.0 -
Count 1,304.0 949.0 37.4% 0.0 -Dollars (M) $0.3 $0.2 59.1% $0.0 -
Claims Acceptance Percent 99.7% 99.6% 0.1% 0.0% -
Transactions Sent (Primary Only)
Claim Edits
Epic Health Center
Resolute Professional Billing Graph PackageReporting Period: 10/08/11
©2012 Epic Systems Corporation. All rights reserved
AR Days
Charges, Payments & Adjustments
Claim Edits
Compare To:
Compare To:
Accounts Receivable
Charges, Payments & Adjustments
Compare To:Claims
Executive Involvement
Establish Ownership & Accountability
Focus on best practices
Strong Site Specialist & Billing Manager training
Establish accurate baselines or targets
Measure, Monitor & Act
Define an escalation path & communication channel for issues
• Internal
• OCHIN
Readily available with minimal setup and weekly upkeep
Comprehensive A/R reporting tool to assist in identifying key areas for improvement – workflow and/or configuration
Use during recurring Revenue Cycle meetings with OCHIN account owner
Provides an apples-to-apples comparison of your organization to others on OCHIN Epic
Contact your OCHIN representative for further details and implementation:
• Installing Members – Project Manager
• Maintenance Members – Billing/Claims Account Owner
Begin weekly process to build Rev Man each week
Identify owner at your site
Establish targets
Develop process for regular review and determine distribution lists for process follow-up
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