Loyola Outpatient Center Charge Capture Medical Specialty Loyola Outpatient Center Cathy Knowski, RN, BSN Marybeth Harms, RN Decision Support
Opportunity Statement Missing facility charges resulting in lost revenue
Goal The project goal was to increase revenue by identifying ways to increase our capture rate of all facility charges.
Solutions Implemented Design Designed 4 practice specific facility tickets for use by all patient care staff. These included all chargeable items – i.e. meds, procedures, supplies. Education Educated all staff on how to properly use these tools in the charging process. Utilized all educational methods – i.e. staff meetings, 1-1 instruction, immediate feedback. Accountability Appointed one member of the staff to be responsible for entering all charges in LUCI (have identified backup personnel)
Solutions Implemented cont. Collaboration Collaborated with decision support Worked with Finance as a resource for charging guidelines, chargemaster and data collection Implementation Dermatology Specialty used as a pilot thereby utilizing staff participation. Matched LUPF procedures, charged by MD, to facility ticket procedures.
Results: Data Analysis Percentage of Correctly Entered Charges
Revenue per pt per visit Charge Capture Data Revenue per pt per visit **Implementation of facility ticket Excludes new programs (infusion room)
Conclusion By using the new facility tickets and ensuring more accurate charge entry with one person responsible, our revenue has increased from the baseline by 34%
Recommendations for Further Study Incorporate our new facility tickets and accurate charge entry, into the Epic Process.