Penn Medicine Navigates Four-Hospital EHR System Conversion, Improves Revenue Integrity

Partnership with Navigant Yields Top Quartile-Performance in Revenue Capture and Claims Submission

Challenge

In July 2016, Penn engaged Navigant to provide an assessment related to their readiness for their forthcoming hospital Epic EHR go-lives. The assessment helped to define multiple risks three months prior to the first go-live wave.

Solution

Penn further engaged Navigant to provide revenue cycle support for its four hospitals converting to the Epic hospital billing platform. Navigant partnered with the Penn and Epic implementation teams to mitigate risk of revenue and cash disruption at each go-live, particularly in the areas of charge capture, pre-bill management, and claims integrity. The Navigant team oversaw risk mitigation campaigns in the following key revenue cycle initiatives:

  • Charge Capture Strategy: Departments were provided with charge capture education ahead of go-live and a recommended method most appropriate to their structure to maximize efficiencies.
  • Revenue Management: Navigant partnered with technical, operational, clinical, and financial stakeholders at each hospital to establish post-live revenue management committees as central forums for short-term revenue stabilization and long-term revenue optimization.
  • Discharged not Final Billed (DNFB) Management: Navigant partnered with patient accounting, operational, and system analysts across the continuum of care to establish a DNFB Management Committee to ensure timely claims at go-live and minimize disruption to cash flow.
  • Revenue Integrity Structure: Collaborating with Penn’s corporate revenue cycle director, an infrastructure to support conversion and hospital entities long term was developed.

Results

 

What's Next
Penn and Navigant are partnering on a yearlong project to support Penn in financial risk mitigation, associated with the EHR conversion of a recent strategic partnership with a health system in the region.

The most sophisticated system in the world cannot produce outstanding results in the revenue cycle. A system is just a tool. It is the human infrastructure that collaborates, takes ownership, and holds themselves accountable that delivers great outcomes.

Thomas M. McCormick Jr.
VP of Patient Accounting, Penn Medicine

Download the Case Study

About the Experts

Back to top