Revising case management procedures equates to larger bottom lines: 6 takeaways

Practice Management

How small changes in case management and the revenue cycle process make a world of difference according to Mindy Owen, RN, MSN, CCM, the Advance Healthcare Network reports.

Here's what you should know.

 

1. Ms. Owen is a specialist in educating and developing case management teams. She is frequently brought in as a consultant to implement best practices and turn around under-performing centers.

 

2. In one case Ms. Owen was a consultant for a hospital with more than $2 million in unpaid claims that were submitted in late 2008. She developed a joint operating counsel and had the hospital refine its case management program.

 

3. Ms. Owens met with case management staff and care teams to address various issues they had with their claims, and implemented a process to ensure claims were well documented and error-free in the future.

 

4. Within a few weeks of her arrival, the hospital collected the $2 million late dollars on the previously unpaid claims.

 

5. Ms. Owen suggests educating case managers on the importance of revenue cycle management. When the case managers are well trained, the bottom line improves.

 

6. Ms. Owens helped to develop a revenue cycle management course through Athena Forum. In the course, hospital administrators are taken through eight modules that address a variety of case management related practices.

 

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