2. Revenue Cycle Overview July 2016

3. What is Revenue Cycle? Revenue Cycle Overview According to Healthcare Financial Management Association’s definition, the Revenue Cycle is "All administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue”. In other words, the Revenue Cycle is the entire life of a patient account from creation to payment. How Does Epic Affect the Revenue Cycle? Epic will bring more effectiveness and efficiency to how we interact with a patient, administer a patients data, and manage the related financials. Team Structure The Epic Revenue Cycle team is made up of 42 individuals: A Team Lead, Project Managers, and Analysts across the Registration/Scheduling, Health Information Management, and Professional Billing applications for both BJC and Washington University School of Medicine (WUSM) The team collaborates and interface across 10 teams who make up Health Information Partners (HIP), as well as several other integrated teams within the BJC/WUSM organization. Current State The Revenue Cycle team is wrapping up Core Build for BJC Medical Group, BJC Corporate Health, BJC Behavioral Health, and BJC outpatient departments. Discovery will end in July with Design beginning in August for WUSM.

4. Revenue Cycle Team

5. Overview of Revenue Cycle Applications

6. Health Information Management (HIM) Document Management Overview Health Information Management (HIM) Document Management provides centralized electronic document management of patient health records across the BJC and WUSM network. HIM includes deficiency tracking, which creates chart deficiencies automatically, monitors the deficiencies for completion, and creates reports to take action with providers who have outstanding deficiencies. The Release of the Information (ROI) module allows you to authorize, fulfill, and document requests from the patient for their health information. Identity is the tool to identify the right patient, prevent the creation of duplicate records, and allows for merge/unmerge patient records functionality. Identity also houses the Master Patient Index (MPI). Document Management scanning capabilities allows for efficient scanning of non-electronic/paper documents for inclusion in the electronic medical record. Scope Deficiency Tracking (DT) Release of Information (ROI) Team Structure 6 HIM Analysts 1 Principal Trainer 2 Project Managers: Jen Bolyard (Jennifer.bolyard@bjc.org) & Jeremy Yates (temp) (jxy3120@bjc.org)Jennifer.bolyard@bjc.orgjxy3120@bjc.org Enterprise Master Patient Index (EMPI)/Identity Document Management System (DMS)

7. Timeline Health Information Management (HIM) and Document Management Clinical BenefitsImpacts Single Electronic Medical Record (EMR) across BJC/WUSM Becomes the HIM Standard Record of Patient Care BJC Corporate Health BJC Behavioral Health BJC Hospitals BJC Medical Group WU Faculty Practice Plan Team Kris Rickhoff – Team Lead Jen Bolyard (Jennifer.bolyard@bjc.org) & Jeremy Yates (temp) (jxy3120@bjc.org)– Project ManagersJennifer.bolyard@bjc.orgjxy3120@bjc.org 6 HIM Analysts Allen Graham – Principal Trainer Heather Day – Business Analyst

8. Cadence (Scheduling) Overview Cadence is an application that provides easy and powerful scheduling for users to schedule any type of visit or procedure from anywhere in your organization. Cadence's advanced tools helps to improve patient services and make the most efficient use of staff time and other resources. Enhances the ability to keep appropriate slots open, allows scheduling conflict checking and solutions for complicated appointment searches, can take patient preferences into account, all of which delivers high- quality customer service that can elevate customer satisfaction. Cadence integrates with other applications for enhanced features in clinical documentation, and will be tailored for BJC and WUSM use. Scope BJC Corporate Health BJC Behavioral Health BJC Medical Group WU Faculty Practice Plan Team Structure Cardiology via Cupid Oncology / Hematology (added Hematology and removed via Beacon, as scheduling is done in Cadence for Onc/Heme. Surgery via OpTime Radiology via Radiant BJCWUSM 9 Cadence/Prelude Analysts (includes 2 temps) 6 Cadence/Prelude Analysts (includes 2 temps) 1 Principal Trainer Project Manager: Diane Zimmerman (diane.zimmerman@bjc.org)diane.zimmerman@bjc.org Project Manager: TBA

9. Cadence (Scheduling) Clinical BenefitsImpacts Ability to schedule any type of visit and/or procedure throughout the organization Optimizes the use of staff and resources Provides follow-up and reminder options to help reduce no- shows. A single point of customer service convenient for patients and simplifies administration. Integrated with Soarian Integrated with GE Team Kris Rickhoff – Team Lead Heather Day – Business Analyst BJCWUSM Diane Zimmerman (diane.zimmerman@bjc.org) – Project Managerdiane.zimmerman@bjc.orgTBA – Project Manager 9 Cadence/Prelude Analysts (includes 2 temp)6 Cadence/Prelude Analysts (includes 2 temps) 1 Principal Trainer Timeline

10. Prelude (Registration) Overview Prelude is the Epic enterprise -wide registration and patient tracking system. Prelude provides the tools needed to manage patient stays from pre-admission through discharge. Single patient registration for different care settings and patient types – allowing patients to receive care from different facilities and physicians without providing the same information repeatedly. Tailored workflows for extensive error checking, address verification, and electronic insurance eligibility allow registrations to be completed swiftly and accurately for accurate billing. Efficient organized follow-up activity according to flexible criteria, targeting problem registrations, and delegating follow-up to staff. Scope Prelude’s application scope includes for: BJC Corporate Health BJC Behavioral Health Team Structure BJCWUSM 9 Cadence/Prelude Analysts (includes 2 temps) 6 Cadence/Prelude Analysts (includes 2 temps) 1 Principal Trainer Project Manager: Diane Zimmerman (diane.zimmerman@bjc.org)diane.zimmerman@bjc.org Project Manager: TBA BJC Medical Group WU Faculty Practice Plan

11. Prelude (Registration) Clinical BenefitsImpacts Single patient registration module for outpatient registration Avoids redundant registration for patients from different facilities and/or physicians Tailored workflows that targets error and creates worklists Organize follow-up activity Integrated with Master Patient Index (MPI) Integrated with Soarian Integrated with ARIA Team Kris Rickhoff – Team Lead Heather Day – Business Analyst BJCWUSM Diane Zimmerman (diane.zimmerman@bjc.org) – Project Managerdiane.zimmerman@bjc.orgTBA – Project Manager 9 Cadence/Prelude Analysts (includes 2 temp)6 Cadence/Prelude Analysts (includes 2 temps) 1 Principal Trainer Timeline

12. Resolute Professional Billing & Claims Overview Resolute is the application used for recording professional charges, sending insurance claims, issuing patient statements, and processing payments. The application streamlines charge entry, charging follow-up, payment posting, and other revenue cycle activities. It supports paperless collection processes and helps submit clean, accurate claims, minimizing denials and helping keep Accounts Receivable (AR) days low. Within the application, work queues specific for staff help address accounting errors. Accounts move through the revenue cycle automatically unless a problem is identified. When problems are identified, accounts move to work queues to assist staff members in resolving and keep the account moving until fully adjudicated. Scope Resolute application scope includes: BJC Corporate Health BJC Behavioral Health Team Structure BJCWUSM 6 Resolute Analysts 5 Resolute Analysts (includes 1 temp) 1 Principal Trainer Project Manager: Janet Malon (jlm1228@bjc.org)jlm1228@bjc.org Project Manager: Terri Dulle (dullet@wusm.wustl.edu)dullet@wusm.wustl.edu WU Faculty Practice Plan BJC Medical Group (includes all BJC hospital affiliated physician practices)

13. Resolute Professional Billing & Claims Clinical BenefitsImpacts Automation of charge capture from the clinical record Improves charging accuracy and compliance Current billing systems will be replaced by Epic Increased automation throughout the revenue cycle allowing staff to focus on more meaningful work Single guarantor account for BJC Medical Group More integrated insurance eligibility, address verification, and contract reimbursement tools Team Kris Rickhoff – Team Lead Heather Day – Business Analyst BJCWUSM Janet Malon (jlm1228@bjc.org) – Project Managerjlm1228@bjc.orgTerri Dulle (dullet@wusm.wustl.edu) – Project Managerdullet@wusm.wustl.edu 6 Resolute Analysts5 Resolute Analysts (includes 1 temp) 1 Principal Trainer Timeline