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Related Experiment Video

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Measuring Delay Discounting in Humans Using an Adjusting Amount Task

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Published on: January 9, 2016

Effective payment delay resolution: it's all in the details.

Mori Moriuchi¹, Sandra Draper

¹Certus Corporation, Oakland, Calif, USA. mmoriuchi@certuscorp.com

Healthcare Financial Management : Journal of the Healthcare Financial Management Association

|December 30, 2006

Summary

Streamlining health information management is key to reducing payment delays. Monitoring processes like chart retrieval, coding, and billing management can significantly improve revenue cycle efficiency.

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Area of Science:

Health Information Management
Healthcare Administration
Revenue Cycle Management

Background:

Payment delays in healthcare are a significant challenge impacting financial stability.
Inefficiencies in health information management (HIM) processes contribute to delayed reimbursements.
Optimizing HIM workflows is crucial for timely revenue collection.

Purpose of the Study:

To identify critical health information management processes that require monitoring to mitigate payment delays.
To provide actionable insights for healthcare organizations seeking to improve their revenue cycle.

Main Methods:

Analysis of key performance indicators within health information management workflows.
Identification of bottlenecks in chart retrieval, assembly, analysis, and filing.
Evaluation of transcription turnaround times, coding, and abstracting timeliness.
Assessment of coder productivity and management of discharged not final billed (DNFB) accounts.

Main Results:

Chart retrieval, assembly, and analysis are critical areas impacting payment timeliness.
Loose paper filing presents a significant obstacle to efficient workflow.
Transcription turnaround times directly influence the speed of medical record finalization.
Timeliness of coding and abstracting, along with coder productivity, are essential for accurate and prompt billing.
Effective management of discharged not final billed (DNFB) accounts is vital for reducing outstanding claims.

Conclusions:

Careful monitoring and optimization of specific HIM processes, including chart management, transcription, coding, and DNFB, are essential for reducing payment delays.
Implementing targeted improvements in these areas can lead to enhanced revenue cycle performance.
Proactive management of health information workflows is a strategic imperative for financial health in healthcare organizations.