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Consortium improves MCO, outpatient billing
Healthcare Benchmarks
|January 7, 1997
Abstract
Unlabelled:
WHERE: University Health System Consortium, Oak Brook, IL, a group of 27 university hospitals nationwide.
Problem:
Unscheduled outpatient visits represented 22% of gross revenues but accounted for 95% of claims processed. Simultaneously, numerous requirements by managed care organizations have resulted in billing and collection processes that are primarily manual.
Goal:
The consortium wanted to balance the potential collection amounts with the costs of the resources used to collect them and reduce outstanding revenue days in accounts receivable.