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Epiphany Healthcare Blog

How Epiphany Resolved an Enterprise Hospital’s Billing & Order Completion Issue

Posted by Allison Fawber on December 5, 2017 at 2:08 PM

An enterprise hospital using Cardio Server in Alabama contacted us to look for a way to improve their ECG billing workflow.

OPPORTUNITY FOR IMPROVEMENT

For ECG interpretations, there are two bill types: technical and professional. In this particular hospital’s case, the staff would manually change the study status in the EMR to generate the technical component of the bill.  

Of course, if any part of an organization’s workflow is manual, there is always a chance of inconsistency or clerical errors. At times, their manual process led to the hospital not billing the technical fee for performing an ECG. The hospital was losing revenue because, in their EMR, the trigger for dropping the technical charge required that the order status needed to change. In their previous workflow, this was a manual entry, it did not change automatically, and, therefore, the technical bill occasionally was not dropped. The hospital staff realized there was room for improvement and asked Epiphany if there was a way to automate this process. Epiphany’s answer was “absolutely.”

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RESOLUTION

Epiphany now sends an order-status update message from Cardio Server automatically when the study is promoted to Unconfirmed. When Cardio Server sends the automatic update, the EMR changes the order status, which triggers the bill for the technical charge.

Patricia Brewer, an Epiphany Project Manager who worked with the hospital on the implementation, adds, “We are passionate about solving our customer’s problems here at Epiphany and this workflow fix is one of the many things we can do with Cardio Server’s flexibility to better the customer’s use and appreciation of our product.”

The resolution in Cardio Server for this hospital’s problem is not an uncommon request. This type of workflow improvement is what we at Epiphany work to achieve daily. When you calculate the time spent manually entering status change, in addition to lost revenue, automating the process with the help of Cardio Server and your EMR is substantial. If your EMR is able to accept an order-status update message, we can leverage that information to customize your Cardio Server configuration. Sign up for a complimentary workflow analysis to find out how Epiphany can improve clinical workflow for you.

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Topics: hospital billing, hospital billing issue, ECG billing, technical fee, technical charge, EKG billing

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