Consortium improves MCO, outpatient billing.
WHERE: University Health System Consortium, Oak Brook, IL, a group of 27 university hospitals nationwide.


OBJECTIVE
Unscheduled outpatient visits represented 22% of gross revenues but accounted for 95% of claims processed. Simultaneously, numerous requirements by managed care organizations have resulted in billing and collection processes that are primarily manual.


OBJECTIVE
The consortium wanted to balance the potential collection amounts with the costs of the resources used to collect them and reduce outstanding revenue days in accounts receivable.
D019985:Benchmarking; D017046:Cost Savings; D006784:Hospitals, Teaching / Q000458:organization & administration; D006801:Humans; D007087:Illinois; D008329:Managed Care Programs / Q000191:economics* / Q000592:standards; D009096:Multi-Institutional Systems / Q000458:organization & administration; D010044:Outpatient Clinics, Hospital / Q000191:economics / Q000458:organization & administration*; D010350:Patient Credit and Collection / Q000592:standards*; D017060:Patient Satisfaction