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

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The Case Study

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la40resources.org

Why do this study?5

The Participants

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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

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• Two locations in:• San Luis Obispo

• Arroyo Grande

• 11.8 FTE

• Roughly 10,000 claims per year

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• One location in:• Bozeman, MT

• 13.6 FTEs

• Roughly 8,000 claims per year

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The Revenue

Cycle

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What data and key indicators does your agency collect?

How do you use the data to effectively manage your revenue cycle processes?

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PPAZ Charge Trend

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PPAZ Payment Trend

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PPAZ Transactions and Charges

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PPAZ Days in A/R

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PPAZ Accounts Receivable

Bridgercare Clearinghouse Checklist

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Bridgercare Payment Reconciliation Checklist

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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

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Clearinghouse Dashboard

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Shifts Made In Staffing Structure Due To Changes Within Revenue Cycle

Processes

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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?