Study to Determine the Effects of Interventions Upon the Collection of Outpatient Claims.

摘要

This study sought to increase the efficiency and effectiveness of outpatient collections at Irwin Army Community Hospital. To accomplish this, a three phase study was conducted. The first phase consisted of a retrospective analysis of performance utilizing three key rates. System changes and intervention measures were introduced in the second phase. These measures included an internal marketing and education program, an external marketing survey, back billing operations, and aggressive accounts receivable management. The third and final phase consisted of calculating the key rates after the intervention measures had been implemented and comparing these rates with the preintervention rates. The study showed a dramatic increase in the total dollars collected. Additionally, two of the three key rates were positively influenced. The average age that a claim was managed as an account receivable decreased by 16.2 days and the claims generation rate increased from one percent to almost four percent. However, the collection rate decreased by six percent. Outpatient Third Party Collections.