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Chargemaster (CDM) & Uncaptured Revenue Evaluation for the Emergency Department
Often called the front door of a hospital, the Emergency Department
(ED) can also serve as an excellent "window" into issues that may exist
throughout a medical center - making it an ideal place to initiate a
revenue capture assessment. At Sinaiko, years of experience have
shown us that ignoring "the middle part" of the revenue cycle can lead
to significant missed opportunities - especially in the ED.
Many organizations focus on the "front end" or "back end" of the
revenue cycle, missing the enormous potential of addressing the CDM,
charge capture, charge entry and coding. The typical ED offers
significant opportunities to improve revenue capture, business
processes and compliance effectiveness.
Performance improvement efforts in the ED can be the source of
significant and quick returns on investment. In fact, our clients' actual
ROI figures from methodologies now packaged into The C.U.R.E.™
solution have ranged from 8:1 to 50:1 when compared with the dollars
spent for consulting assistance.
Comprehensive and compliant charge capture is based on having the
right tools to do the job and using those tools correctly. Sinaiko's
The C.U.R.E.™ team is comprised of Emergency Department experts in all
revenue cycle disciplines - certified coders with extensive ED
experience, chargemaster consultants and seasoned revenue cycle
consultants. Our process begins with a thorough review of your CDM
and charge ticket to assess the effectiveness of your toolset; we then
evaluate your charge capture/entry processes, coding workflows and
billing practices to complete the picture.
The end result is a standardized package of analytics that provides a
detailed analysis of your revenue capture strengths, weaknesses and
an accurate estimate of lost revenue. The results are tangible with
detailed recommendations of the required fixes. These findings will very
likely point not only to weaknesses in the ED but also to issues that are
impacting the entire facility. |
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The C.U.R.E.™ is offered at a very reasonable fixed price and covers all facts of the ED revenue cycle including: |
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Charge Description Master (CDM) |
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Charge Ticket and Electronic Charge Capture |
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Charge Capture Processes |
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Charge Entry Processes |
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Coding Effectiveness |
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Billing Accuracy |
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For more information about Sinaiko’s Revenue Cycle Management services, please contact Michael Sullivan at michael.sullivan@sinaiko.com. |
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FEBRUARY 2008
(Billing) help wanted: A guide to selecting a third - party biller
By Janet Marcus, CPC
Medical Group Management Association |
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MARCH 2006
Revenue Cycle Management: A Best Practices Toolkit
By Steven Orvis
Published by HCPro |
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FEBRUARY 2006
Sinaiko’s Steven Orvis quoted in article regarding the importance of effectively managing the revenue cycle
Health Data Management |
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JANUARY 2008
Sinaiko was engaged by
a midsize healthcare facility to conduct an initial
assessment of the Emergency Department
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