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APC Integrity Program.

The client.

A four-hospital health system in the southeast.

The business issue.

This health system undertook an APC Integrity Program to develop a sustainable infrastructure (including the integration of new roles and responsibilities, revised processes, tools, education, reporting and metrics) for accurate and effective management of the outpatient/APC revenue stream.

The solution.

Professionals from The Claro Group worked with the client to perform an APC Integrity assessment of the organization's core revenue cycle processes and infrastructure for charge capture, coding, and billing of outpatient/APC services. The assessment revealed significant opportunities for revenue and process improvement, and it led to the implementation of a revised APC infrastructure.

The project included implementation of comprehensive APC reporting software to assist in identifying issues and monitoring progress.

The project team then worked with the company to implement the APC Integrity Program over an eight-week period including:

  • Developing an operations framework for the newly defined roles and responsibilities.
  • Training client personnel in their new roles and responsibilities.
  • Providing fact-based issue identification, resolution, and monitoring utilizing APC reporting software.
  • Developing a core team responsible for implementing sustainable solutions to systemic issues. The core team included key members of ancillary departments, HIM, Central Business Office and Chargemaster.
  • Establishing extensive reporting to measure and sustain results.
The results.

This approach enabled the health system to generate additional annual revenue of more than $1.5M.

In addition, it created sustainable solutions to systemic issues. These include targeted coding and clinical training, improvements to system interfaces, Chargemaster corrections and implementation of improved medical necessity and denial review processes.

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