In the post–COVID-19 era, being paid appropriately for services is vital. A health system’s financial well-being is dependent upon effective charge capture processes. Without it, an organization is unable to generate revenue for the services rendered.
Blessing recognized the process it used for charge capture wasn’t keeping pace with the changing reimbursement environment and lacked the flexibility to adapt quickly. A lack of integrated revenue cycle data hampered insight into charge capture and compliance processes, which made efforts to improve difficult. As a result, submitted claims were not always complete or “clean” (free of errors and omissions and able to be processed without additional information or verification), and valuable revenue was lost. The organization needed a way to not only integrate, centralize, and visualize charge capture issues, but also to identify root causes and quickly address them.
To minimize revenue leakage and improve financial performance, Blessing elected to implement VitalIntegrity™. This web-based application provides quick, fully customizable rules management, advanced reporting and analytics, and auditing and reconciliation of hospital, professional, and remittance billing information. Blessing uses VitalIntegrity to automate work queues for its analysts. High-value data and analytics presented to the analysts in the application supports them in addressing all charge capture issues at one time. Now, Blessing can review and understand daily charge capture performance and can also audit each step of the charge capture process to identify problem areas and root causes. The organization analyzes its charge capture and compliance opportunities, including missed charges and overcharges. With new insights, the organization identified several improvement opportunities, including:
Additionally, automated reports support leaders in monitoring performance, including individual analyst and team productivity.
“VitalIntegrity has enabled us to continually identify charge capture issues, improve our processes, and increase productivity, increasing revenue by more than $550K.”Diana Kessler, Manager Charge Capture, Blessing Health System
By leveraging VitalIntegrity, Blessing has improved revenue integrity and clinical documentation, enabling it to submit complete, clean claims and collect for the services provided. Results include:
Blessing will continue to use VitalIntegrity for ongoing root cause remediation and continuous improvement.