Central Healthcare Billing Agency Evan Hedrick HCI 563 Fall 2015

Introduction  The CHBA is a not-for-profit patient focused agency  Achieve positive patient outcomes through patient advocacy and bill auditing  Patients should focus on healing after their procedures at a healthcare organization (HO)  Reduce patient bill obligations  Proactively audit HO billing and coding practices  Negotiate additional rate reductions through reduced billable turnaround time (TAT)  Increase patient satisfaction  Increase patient throughput  Reduce billable TAT to HO

Big Picture Healthcare Organizations Government Consumer and/or Patient Insurance Companies

Importance  Patient health outcomes are directly tied to the stress a patient feels and experiences after a procedure  The higher the stress on a healing patient the longer the healing process with decreased positive patient outcomes  The CHBA will directly benefit the patient by alleviating significant stress that would otherwise be realized in the healing process in dealing with HO bills, directly contributing to increases positive patient outcomes and decreased healing times.

7 Pillars to CHBA Success 1.Leadership Structure 2.Finance 3.Outcomes 4.Innovation Process 5.Policy 6.Evidence 7.Information Technology

Leadership Structure  Stakeholders  Timeline  Constructive Approaches to Barriers  DiSC and VAT Assessments  Challenges to Implementation  Systems Thinking

Finance  Tax Status  Budget  Investor ROI  GAAP

Outcomes  Impact on Pilot  Impact on Healthcare System  How the CHBA Will Deliver Better Health Service  Evolution of the CHBA at the Pilot Organization  Metrics

Innovation Process  Ideation and Brainstorming  Rapid Prototyping  Course Correction Considerations  Building a Case for Innovation

Policy  Current Policies the Impede Innovation  New Policies Needed  Policy Change Plan  Policy Change Timeline  Policy Stakeholders

Evidence  Billing Errors  Waste in Healthcare  Non-Ideal Medical Center Throughput  Declining Patient Satisfaction

Information Technology  Governance Model  Use of Technology  Assets  IT Strategy

Conclusion Approximately $900 billion spent needlessly on healthcare last year alone Reducing patient bill obligations will facilitate fundamental change in healthcare industry to reduce wasteful spending Reducing patient stress will improve patient outcomes CHBA implementation is absolutely essential to alleviating patient stress