During the conversion and post go-live timeframe, there is inevitably a large number of “edits” that must be worked by an individual to move an encounter to the billing state of the revenue cycle process. Many facilities struggle with the volume of encounters that need moved to the billing state of the revenue cycle process. Furthermore, the education required to quickly resolve these encounters takes time and effort. e4 has developed an edit resolution workflow that is not only aimed at resolving the edits but training and educating the client’s staff that allows the client to be self-proficient within 30-60 days from our process implementation.
With a simple LEAN Engineering People, Process and Technology approach, e4 helped one client reduce the number of encounters in the Insurance Verification work queue from 6,617 to 427, a 94% reduction in 30 days.