是时候削减你的收入周期了吗? Those applications you purchased to support your EHR/revenue cycle core system are not only expensive but may be impacting system efficiency and optimization.
您实施核心EHR可能已经有好几年了. 当时, you evaluated the functionality and determined that specialty applications or bolt-ons were needed to operate the new system. 供应商提供了所需的其他应用程序列表. Some vendors helped you determine which applications can “go away” with the new system. 您组织的决策在当时是有意义的. 然而, the EHR vendors have improved upon and enhanced the efficacy of their applications or created partnerships with third-party vendors to streamline the interfaces.
每年，你的IT部门都会被要求考虑降低成本. Now is a good time to engage with your revenue cycle colleagues and consider opportunities for efficiency and cost reduction. 作为首席财务官, you probably have had some difficult conversations about your EHR/revenue cycle system and its impact on cash collections.
Almost every CFO has a few battle scars associated with a rough conversion and doesn’t want to experience that again. The table below lists many of the applications that providers have purchased and notes which ones should be evaluated for replacement or retirement.
Let’s go over some of the bolt-ons you should evaluate for replacement or retirement.
Many organizations purchased software to overlay the EHR to assist in matching disparate systems between the hospital and independent physician providers or with physicians who are on separate systems. More and more providers are joining hospital EHRs through employment or via a hospital extension of the ambulatory EHR to community physicians. Many of today’s EHR products come with enhanced EMPI capabilities and can accommodate different systems. 考虑到这些因素, the best path forward for most organizations is to evaluate the functionality of this additional software compared with the EMPI of the EHR. 这将为您的组织节省超过10万美元.
这取决于供应商, and you may already have built-in deep integration of document management with the EHR, 所以把这个分开可能不现实. Data conversions for document management systems require testing but are not that complex. There may be an impetus to evaluate the document management system when your organization transitions to a new system or plans for a big upgrade.
Many organizations developed custom software or partnered with retail vendors to install kiosks in busy waiting rooms. 所有供应商都提供这种类型的软件，但其特性功能各不相同. There are strong benefits of implementing kiosks that integrate with revenue cycle systems to facilitate copayments or past due collections. The kiosks from a few years ago did not allow for more clinical information and were very tied to online banking. Forward-thinking organizations are allowing patients to update their demographics to include insurance information, 这减轻了前台和临床工作人员的负担. 此外，还可能节省FTE成本, 这些信息亭还能提高患者的满意度, as they can provide information that allows clinical staff to focus more on patient care and less on data entry.
合同管理仍然是一个褒贬不一的领域. 大多数收益周期供应商提供合同管理解决方案. 然而, although some of these systems provide the ability to load in detailed rates and support multiple fee schedules, 更新这些信息可能很麻烦. 进一步, patient access staff have to choose from a myriad of insurance plans or financial classes to enable some contract management systems to perform effectively. This can cause rework and/or additional FTEs in the back office to spend time correcting errors.
对于螺栓，和记娱乐下载建议您保留, now is the time to evaluate whether some of them can be consolidated into one contract. 有一些供应商提供这个选项, and your organization may be able to achieve 10% to 20% savings just by renegotiating contracts.
Don’t be afraid to explore opportunities for efficiency and cost reduction within your revenue cycle operations. You may need to rethink certain workflows and must certainly be diligent in testing prior to implementation, 但最终你可能会收获一些回报——经济上和技术上的.