11

Welcome to the Charge Champion Meeting

Make sure to sign-in near the doors of the auditorium

Scan the QR Code on your mobile device OR use the TinyLink below (type exactly as written) to join our Live Poll:

For Apple (iPhone) Devices

• Open your “Camera” app and hover over

picture of the QR code

• Click on the pop-up notification to open a link

to the poll

For Android Devices

• Google: Follow the same instructions as for

Apple iPhone

• Samsung: Find/search for the “QR Code

Reader”, open and follow same instructions as

for Apple iPhone

http://etc.ch/QmoM

2

West Campus Charge Champion Meeting:

100 Days to Go-Live

October 14, 2019

33

Polling Question 1

When is the Epic Go-Live for West Campus?

a. January 31, 2020

b. February 15, 2020

c. April 2, 2020

d. October 1, 2020

View the Live Results

http://etc.ch/QmoM

44

Recap: What’s Improving with Epic?

Start

Scheduling &

Admitting / Pre-

Registration

Financial Clearance

(Insurance Verification

/ Pre-certification)

RegistrationFinancial

Counseling

Point of Service

CollectionsClinical Care &

Documentation

Charge Capture,

Charge Review &

Reconciliation

Inpatient &

Outpatient CodingClaims

Processing

Payment

Posting Denials Management

& ResolutionThird-Party Follow-up

Self-pay & Bad Debt

ManagementFinancial Reporting End

Revenue cycle becomes a natural byproduct of clinical care

55

Recap: Why are YOU here?

Productivity

Cost of

Care

$

Clinical

Attestation

Billing

Charging

You have been identified by your

senior leaders because you are the

most qualified individuals who have

deep knowledge of the care and

services provided in your clinical areas

and have strong relationships with

your clinicians and operational staff

66

Charge Champion Survey Results

87% Charge Champion response rate (65 participants out of 74 invitations)

67% participated in at least one in-person event (Kickoff – February 2019 or

Orientation – June 2019)

59% currently perform some form of charge review or charge reconciliation

29% currently work in AEOS or play a role in resolving billing errors

83% registered for Epic training in Saba

52% knew requirements expected of Charge Champion role

44% were not comfortable with Charge Champion responsibilities, but many

were eager to learn more and actively participate

Participation

Knowledge

Comfort

Response Rate

77

Charge Champion & IP PCD Responsibilities

Review & Reconcile Identify & Triage Collaborate & Close

Review Epic Tools &

Reconcile ErrorsReview Charge Review Workqueues

(WQs) and Reports/Dashboards to

understand and reconcile potential

errors or missing charges by working

with clinical or operational team

members

Identify Trends &

Triage Charging IssuesIdentify short and long-term trends

related to documentation and charge

capture; triage and resolve workflow

issues

Collaborate &

Close Feedback LoopWork with department/operational

leads and clinicians to implement

successful charging workflow adoption

to minimize charging errors

While responsibilities vary slightly by clinical area, the overall process is the same:

88

Polling Question 2

Who are your Revenue Integrity Liaisons?

a. Lindsay Kanner & Senad Likovic

b. Eva Cox & Jeanine Bain

c. Nancy Clermont & Hayden Mitchell

d. Carol Caraway & Adam Marshall

e. Megan Jakob & Obed Ohia

f. I’m not sure

View the Live Results

http://etc.ch/QmoM

99

Revenue Cycle AcademyProject Management Office

Revenue Integrity

Corporate Revenue Integrity LeadsKaren Feeley & John Tallent

Local Revenue Integrity Liaisons (RILs)

*Structure does not reflect a reporting relationship, rather a collaborative effort

^Aliza Horowitz will serve in this role as an interim

Charge Champions (CCs)

CornellAliza Horowitz^

Perioperative Services

Lindsay Kanner & Senad Likovic

MSCHONYEva Cox &

Jeanine Moragne

AllenNancy Clermont &

Hayden Mitchell

LMHRobert Weitzman

Westchester

& Payne WhitneyFaye Colosi

Columbia Milstein

Megan Jakob &Obed Ohia

ACNAdam Marshall &

Carol Caraway

We are your local points of contact for

everything Charge Champion related!

We will assist the EpicTogether team in

stewarding this program. We champion

the Charge Champions!

1010

Polling Question 3

What was the highest volume Radiology procedure

captured in 2018?

a. CT Head Scan

b. Hand X-Ray

c. Chest X-Ray

d. Foot X-Ray

View the Live Results

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1111

Polling Question 4

If your clinical area failed to capture 100 Digital

Mammogram Screens, about how much in charges would

be missing?

a. $491

b. $4,910

c. $49,100

d. $4,910,000

View the Live Results

http://etc.ch/QmoM

1212

Department Baselines – Radiology

Department baselines are important because:

• Enables understanding of YOUR unit of service and cost of care

• Reveals the types and volume of services that should be reviewed and reconciled daily

• Allows for comparison at go-live and during revenue stabilization calls

2018 Top 5 Outpatient Radiology Services

40,917 Chest X-Rays Performed

$19,350,707 in Charges

18,005 Digital Mammogram Screens Performed

$8,840,455 in Charges

5,851 Foot X-Rays Performed

$2,673,739 in Charges

5,393 Hand X-Rays Performed

$1,989,512 in Charges

5,395 CT Head Scans without Contrast Performed

$5,906,353 in Charges

Average DAILY Charges

$53,000

$24,000

$7,300

$16,200

$5,500

1313

Polling Question 5

How many West Campus cases are currently being held

because they do not have an associated visit charge?

a. 280

b. 510

c. 2100

d. 3800

View the Live Results

http://etc.ch/QmoM

1414

The Impact of Charging Errors

Goal: Recognize & Prevent Charging Errors that YOU can Impact!

Top Five Outpatient Charging Errors* that are actionable by YOU!

1. “No Visit” Charge for Date of Service = $4.0M

2. Missing/Incorrect Diagnosis = $2.2M

3. Diagnosis/CPT4 Do Not Meet Medical Necessity = $1.8M

4. Missing/Incorrect Registration = $807K

5. Provider Information Missing = $235K

There is about $715,000 at RISK, with actionable errors for West Campus alone!

1515

Revenue Accountability Guideline

Guideline Highlights:

• All charges must be entered within 3 business

days (72 hours) of the date of service

• Charge Champions will be responsible for charge

review and charge reconciliation, including

running their respective reports, on a daily basis

• Revenue Integrity Liaisons will perform bi-weekly

audits to ensure reconciliation is being

performed and errors are being resolved timely

and accurately

1616

Polling Question 6

Have you REGISTERED for Epic training?

a. Yes, of course!

b. No, but I will today!

c. I do not have any assigned Epic training

d. Huh?

View the Live Results

http://etc.ch/QmoM

1717

Reconciliation Workshop Important Messages

All Charge Champions & IP PCDs will be trained

• Revenue Reconciliation Workshops are SEPARATE from Epic training

• Workshops will be facilitated by Revenue Integrity Leads and their teams,

Revenue Integrity Liaisons, EpicTogether, and Epic

Workshops will be held in mid-late January 2020 (1/16/20 – 1/29/20)

• Charge Champion workshops will be located directly on West Campus

(Columbia) and be about 3-4 hours long

• Live webinars will held for IP PCDs and be about 1-2 hours long

Registration is expected to be open for workshops by the end of October

• Workshops will require completion of Core EpicTogether training prior to

workshop attendance

• Completed registration will be expected by Wednesday, November 20th

*Some individuals will be assigned to more than one workshop

1818

Charge Champion Timeline

Ongoing Revenue Reconciliation

2019 2020

Today

Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar

Nov 1

Oct 14

Jun 17 - Sep 6

Baseline Collection, Revenue Integrity Review, Data Modifications

Sep 9 – Nov 1Finance Baseline Review

Nov 4 - Nov 29Charge Champion Baseline Review

Nov 19 - Dec 31Core EpicTogether Training

Dec 2 - Jan 17Final Modifications, Baselines Loaded into Revenue Tracker

Feb 3 - Mar 31Revenue Stabilization Calls

Workflow

WalkthroughJun 26

Revenue Reconciliation Workshops Jan 15 – Jan 30

Revenue Reconciliation

Workshop Registration CompletionNov 20

Charge Champion

Baseline Confirmation

Finance

Baseline Sign-Off

Nov 29

Go-LiveJan 31

mid-late Jan

Daily Revenue

Stabilization CallsFeb 3

(4-8 weeks post-live)100 Days to

Go-Live MeetingRevenue Reconciliation

Workshops

1919

Resources

https://epictogetherny.org/RA/

You will find:

• Accounting for the Cost of Care White Paper

• Eagle-Epic Lexicon / Glossary

• Monthly Champion Communications

• Charge Reconciliation Workflow Overview Videos

• Revenue Accountability Guideline

• Epic Charge Reconciliation Tip Sheets

2020

Polling Question 7

What did you learn / takeaway from today’s

meeting?

a. High-level workflow of Charge Champions / IP PCDs

b. Revenue Integrity Liaisons by site

c. Importance of understanding my department’s /

unit’s cost of care and how I can impact and prevent

charging errors

d. Registration for Epic training should be complete,

registration for Revenue Reconciliation workshops is

expected to be available in Saba by end of October

e. The EpicTogether website is a valuable resource for

Revenue Accountability materials, including the new

guideline

f. All of the above!

View the Live Results

http://etc.ch/QmoM

2121

Thank You!Have Questions?

Contact us at: ChargeChampion@nyp.org