Mammography Advantage Pathway Using the MAP: Mammography Advantage Pathway Resource Kit©

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Presentation transcript:

Mammography Advantage Pathway Using the MAP: Mammography Advantage Pathway Resource Kit©

Mammography Advantage Pathway Expected Outcomes from Using this Kit  identifying methods to capture cost;  optimizing financial resources;  streamlining processes;  evaluating the quality and efficiency of mammography services; and  identifying opportunities for improvement.

Mammography Advantage Pathway Resource Kit Contents  Financial, service, and clinical indicators  Instruments to address strengths and weaknesses of mammography services  Intervention and resolution items  User-friendly performance templates and algorithms

Mammography Advantage Pathway Resource Kit Design  Designed in conjunction with HANYS Breast Cancer Demonstration Project™ Advisory Board with input from Oncology Solutions, LLC.  Oncology Solutions’ practice is devoted exclusively to oncology programs and services.

Mammography Advantage Pathway Most Common Revenue Loss Issues  Coding errors including:  failure to use appropriate codes; and  failure to use appropriate modifier  Failure to collect for billed charges Source: Oncology Solutions

Mammography Advantage Pathway Enhancement Opportunities  Ongoing sharing of information between breast care administrators and financial representatives:  help identify opportunities for cost capture and maximum reimbursement;  help administrators understand the intricate details of their financial performance; and  review encounter forms periodically to ensure accuracy of codes used.

Mammography Advantage Pathway Enhancement Opportunities  Addressing mammography scheduling issues:  Evaluate reason for delays; and  Consider opportunities to decrease waiting times, such as: oImplementing a dual tracking system (dedicating equipment and personnel to screening and diagnostic mammography); oPurchasing more equipment. Opportunities will be unique to each hospital due to different organizational structures.

Mammography Advantage Pathway Enhancement Opportunities  Automation for streamlining workflow:  exploring options based on determined needs;  adopting electronic clinical information systems; and  using automated documentation tools.

Mammography Advantage Pathway Enhancement Opportunities  Implementation of audit mechanisms:  create monthly management reports;  collect data to evaluate cost per procedure;  collect data to provide accurate calculation of quality assurance reports, including Mammogram Quality Standards Act required reporting.

Mammography Advantage Pathway Enhancement Opportunities  Addressing staffing issues:  evaluate variances in staffing;  consider shortage of personnel; and  clearly define responsibilities.

Mammography Advantage Pathway To Obtain Copies  To download the MAP: Mammography Advantage Pathway Resource Kit©, visit Cancer_Project/resourcekits.htm  Call HANYS BCDP™ at (518)