1. Automated Lockbox Processing A Case Study

2. JHHS Lockbox Case Study Project prompts A perfect storm Nailing down the ROI Operational changes Project Team Life after go-live Achieving the ROI Lessons Learned – ongoing issues

3. JHHS Lockbox Case Study Project prompts: lockbox processing moved maintain JHHS standard concessions from the bank bank purchases a vendor payers moving from paper RAs

4. JHHS Lockbox Case Study Nailing down the ROI Insurance checks per month EOB pages per check Projected number of images per payment Avg. Number of patient accounts per payment Volume of lockbox correspondence Paper storage/imaging costs

5. JHHS Lockbox Case Study Real ROI Staffing Coders: reduced from 9.4 to 3 Data Entry: reduced from 6 to 3.4 Without the staffing cuts there would have been a slight monthly cost increase

6. JHHS Lockbox Case Study Operational Changes Coders trained to process electronic files Learned reconciliation ebtween deposit and batch summary 5010 - 835 issues Payer anomalies Paper EOBs

7. JHHS Lockbox Case Study Project Team JHHS Treasury Office Bank & Subsidiary Clearing House Internal IT Support

8. JHHS Lockbox Case Study Life After Go-Live Achieving the ROI Staff reductions Training

9. JHHS Lockbox Case Study Lessons Learned – ongoing issues Changing lockboxes Missing files Match and compare Non-835/EFT payers EFT payers with paper RAs Multiple payers in one 835 Communication is key

10. JHHS Lockbox Case Study Questions?