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CHMB 2010


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CHMB 2010

  1. 1. <ul><li>Share Your Story With Us! </li></ul><ul><li>John-Paul Sansone </li></ul><ul><li>Account Manager </li></ul><ul><li>Laserfiche </li></ul>California
  2. 2. <ul><li>Leveraging Document Management Technology in Healthcare </li></ul><ul><li>“ The Great Disappearing Act” </li></ul><ul><li>Ron Anderson, CPEHR, CPHIT </li></ul><ul><li>Director of Business Development </li></ul><ul><li>CHMB Solutions </li></ul>
  3. 3. <ul><li>A CHMB shareholder, has worked in healthcare since 1990. In addition to overseeing business development, Mr. Anderson plays a key role in CHMB Client IT Projects and Internet based solutions. CHMB delivers Business, Clinical and Technology Solutions to Transform Physician Practices. </li></ul><ul><li>  </li></ul><ul><li>Expertise – </li></ul><ul><li>Revenue Cycle Management, Reimbursement Analytics, Healthcare Information Technology (HIT) </li></ul><ul><li>  </li></ul><ul><li>Certifications – </li></ul><ul><ul><li>CPHIT – Certified Professional Healthcare Information Technology </li></ul></ul><ul><ul><li>CPEHR – Certified Professional Electronic Health Records </li></ul></ul><ul><li>  </li></ul><ul><li>Healthcare Industry Participation </li></ul><ul><li>- Co-Chair MGMA Information Technology Advisory Panel (since 2002) </li></ul><ul><li>- MGMA Publications Advisory Council (2005-2006) </li></ul><ul><li>- California MGMA Board Member (since 2002 - 2008) </li></ul><ul><li>- Past President California MGMA (2003-2004) </li></ul><ul><li>- Past President San Diego MGMA (2001 & 2002) </li></ul><ul><li>Ron Anderson - Bio </li></ul>
  4. 4. <ul><li>As a medical billing service, CHMB serves over 700 physicians. We have over 400 employees. CHMB processes over 2,225,000 patient encounters annually and because the healthcare industry is paper intensive that translates to 10,000,000 documents. </li></ul><ul><li>  </li></ul><ul><li>75% employees work remotely </li></ul><ul><li>Streamlined, manage and audit workflows </li></ul><ul><li>Increased productivity over 20% </li></ul><ul><li>Added 150 employees without expanding or acquiring new office space </li></ul><ul><li>Acquired 2 companies in 13 months (Sept 08-Oct 09) </li></ul><ul><li>Some Background </li></ul>
  5. 5. <ul><li>The work we do involves receiving “batches” of source documents from our clients </li></ul><ul><li>Work batches include: </li></ul><ul><ul><li>Charges – Superbills, Operative Reports, Patient Information </li></ul></ul><ul><ul><li>Payments – Explanation of Benefits (EOB’s), Checks, Deposit Slips </li></ul></ul><ul><ul><li>Correspondence – requests for additional information from insurance companies (Payors) </li></ul></ul><ul><ul><li>Discrepancies – items which require corrections or more complete information </li></ul></ul><ul><li>Batches are either received at CHMB as hardcopy or scanned by our clients and uploaded to our secure Client Portal (FTP site) </li></ul><ul><li>Once received (and scanned if hardcopy), batches are indexed accordingly and imported into Laserfiche </li></ul><ul><li>Batches are further indexed and noted with appropriate updates as they move through our workflow to various CHMB departments </li></ul><ul><li>CHMB Workflow </li></ul>
  6. 6. Client to CHMB Workflow Overview Courier / Mail
  7. 7. <ul><li>Quality Assurance / Preparation </li></ul><ul><ul><li>Audit, Coding, Compliance </li></ul></ul><ul><li>Posting </li></ul><ul><ul><li>Data Entry </li></ul></ul><ul><ul><li>Posting </li></ul></ul><ul><ul><li>Balancing </li></ul></ul><ul><li>Reconciliation </li></ul><ul><li>Files Submission </li></ul><ul><ul><li>Payor Claim Forms, Patient Statements </li></ul></ul><ul><li>CHMB Operations </li></ul>
  8. 8. CHMB Operations Overview CHMB Internal Staff Remote Staff National and International
  9. 9. <ul><li>Paper….lots of it </li></ul><ul><li>Space required to store paper (active & archival) </li></ul><ul><li>Limited access </li></ul><ul><li>Time / effort required to access documents </li></ul><ul><li>Operational inefficiencies </li></ul><ul><li>Inability to intelligently manage workflow </li></ul><ul><li>Geographic limitations of employees </li></ul><ul><li>What Disappears? </li></ul>
  10. 10. <ul><li>Desktop access to work </li></ul><ul><li>Workflows are managed from the desktop </li></ul><ul><li>Ability to monitor workflow via audit trails </li></ul><ul><li>Internal and external reporting </li></ul><ul><ul><li>What is where </li></ul></ul><ul><ul><li>Who is working on what </li></ul></ul><ul><ul><li>How long has it been there </li></ul></ul><ul><ul><li>Measure efficiencies of workflow and staff </li></ul></ul><ul><li>More cost effective </li></ul><ul><li>Differentiate from our competition </li></ul><ul><li>Why is it GREAT? </li></ul>
  11. 11. <ul><li>Questions? </li></ul><ul><li>Feel free to ask below or directly through </li></ul><ul><li>the LinkedIn group discussion. </li></ul>