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NOTICE: This document contains confidential or proprietary information which may be legally privileged. It is intended only for the named recipients, and may not be shared with vendors outside of Craneware.

p.32

Patient Access

Evaluate each and every access point, to flow-chart how  

   patients are brought into the hospital to receive services; as   

     well as set goals for planned improvement in data gathering  

     and POS cash collections

Perform monthly “admissions” review – graph data for ALOS

Pay particular attention to ER admissions. Involve CM / UR in the  

   “Patient Status” decision-making process

Track all inpatient admissions denied by payer

Establish accountability for medical necessity and the Medicare

   “required” Advanced Beneficiary Notice (ABN) or Health Insurance  

      Notice of Non-coverage (HINN) procedures

Use “compliance” software for diagnosis review for outpatients

Institute required financial counseling sessions with all beneficiaries

Strategies for Shifting to Revenue Integrity

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