welcome to centricity™ business bundled care manager amy milone, product owner evan richards,...
TRANSCRIPT
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Welcome to Centricity™ BusinessBundled Care ManagerAmy Milone, Product OwnerEvan Richards, Product ManagerApril 30, 2015
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Track Owners: Zinc InstructionsPlease update the chart to the right before submitting the presentation into Active• Following review and approval in Active,
each presentation given by GE employees or customers at Centricity LIVE must be approved through Zinc
• Jessica Diniz will be uploading each presentation into Zinc following Active review
• Before submitting this presentation in Active for review, Track Owners must select the appropriate answer to each Legal and Regulatory question
• ALL QUESTIONS MUST BE ANSWERED
• If further substantiation is required, please email the appropriate permissions, sources, or citations to [email protected] so she can upload to the Zinc Gallery
• Once the presentation is approved in Zinc, please delete this slide from the final deck before presenting at Centricity LIVE
Individual Page Use?: Yes
Are all Uses and Applications Discussed or Referenced in the Proposed Material on Label for the Product?:
Yes
Relates to a Major new Product/Services Launch?: No
Includes Product or Service Claims, Features, Benefits or similar information?: YES
Contains Competitive or Comparative Claims?: NoIncludes Return on investment (ROI), quantifiable cost of ownership, reimbursement, or meaningful use claim or reference?:
No
Include References to Market / Segment Share or Market / Segment Leadership?: No
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This is a Translation of a Previously Approved Piece in Which no Changes Have Been Made?: No
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©2015 General Electric Company – All rights reserved.
The results expressed in this document may not be applicable to a particular site or installation and individual results may vary. This document and its contents are provided to you for informational purposes only and do not constitute a representation, warranty or performance guarantee. GE disclaims liability for any loss, which may arise from reliance on or use of information, contained in this document. All illustrations are provided as fictional examples only. Your product features and configuration may be different than those shown. Information contained herein is proprietary to GE. No part of this publication may be reproduced for any purpose without written permission of GE.
DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENT PRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY AND DO NOT CONSTITUTE A COMMITMENT TO PROVIDE SPECIFIC FUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GE’S DISCRETION AND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORY CLEARANCE.
GE, the GE Monogram, Centricity, and imagination at work are trademarks of General Electric Company.
All other product names and logos are trademarks or registered trademarks of their respective companies.
General Electric Company, by and through its GE Healthcare division.
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Agenda
Roadmap for Success
Bundled Care Manager Overview
Analyze Profitability
Operationalize Protocols
Manage Financials
Questions
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Centricity Solutions for Financial ManagementA platform for revenue cycle success
Robust financial
management
Actionable insight
Reporting Business Intelligence Advanced Analytics
Payer connectivit
y
Hospital Revenue cycle
Practice Management
EDI Services
Centricity Solutions for Financial ManagementCentricity Solutions for Financial Management
Risk Management
Outcomes through
best-practices Centricity Workflow
Consulting Services
Better positioned for successBetter positioned for success
Comprehensive analytics platform Built in reporting, KPI dashboard and a new predictive analytics solution to reduce costly denials
Robust enterprise financial management solution Supporting hospital, ambulatory and health plan needs
Connecting providers & payers Leveraging EDI services going beyond claims and eligibility into clinical data exchange
World class consulting services Outcomes based financial performance consulting and meaningful peer to peer benchmarking
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Bundled Care Manager Overview
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Centricity Business Bundled Care Manager
Be confident in your ability to effectively manage episodic bundled care programs profitably.
Analyze risk of bundled services
Set up bundled protocols
Associate patients to
bundles
Track patient scheduling
against protocols
Allocate rendered services
according to protocols
Send claim to payer with
bundle indicators
Manage A/R for bundled payments
Post payments
Disperse payments
Future deliverable
Analyze profitability Operationalize protocols Manage Financials
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Analyze Profitability
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Analyze Profitability – BCM Terms Visit and Services
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Analyze Profitability – Service Detail
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Analyze Profitability – Episode Budget Reports
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Operationalize Protocols
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Operationalize Protocols –Assign Patients to Episode
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Operationalize Protocols - Track patients in Episode
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Operationalize Protocols – Schedule Episode Appointments
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Operationalize Protocols Follow Patients Episodes
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Operationalize Protocols – Review Episode Charges
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Operationalize Protocols Review Potential Episodic Charges
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Operationalize Protocols – Integration with HPA
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Manage Financials
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As ProducedMonthlyBi- MonthlyQuarterlyPatient Assignment End DateInterval Ruleset
Claims Submission Methodology
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Manage Financials - Manage Claims Activity
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Manage Financials – Financial Episodic Activity
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Manage Financials – Comprehensive Financial View of Activity
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The song will continue…
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Manage Financials: Cross Application Payment Posting Allocation Method
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Lump SumFFSAuto Write-Off’s
Descriptions of future functionality reflect current product direction, are for informational purposes only and do not constitute a commitment to provide specific functionality. Timing and availability remain at GE’s discretion and are subject to change and applicable regulatory clearance.
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Manage Financials: External Services
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Capture External Services and ChargesAggregate data into Episode TotalsDisperse Payments to External Providers
Descriptions of future functionality reflect current product direction, are for informational purposes only and do not constitute a commitment to provide specific functionality. Timing and availability remain at GE’s discretion and are subject to change and applicable regulatory clearance.
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Are you ready to put the Centricity Business Bundled Care Manager’s tools in your hand…
Flexible Episode Creation
Tracks Patient Assignment
Scheduling/VM integration
Charge Matching based on Episode Contents
Coordinated Claims Submission
BAR/HPA billing integration- Billing Visibility
Episode Management Automation
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Questions!
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