Millions Saved Using Passport's Patient Verification Tools

Meriter Hospital, Clinics and Labs in Madison, Wisc., improved front end accuracy by 30 percent with the help of Passport’s Web-based and integrated insurance eligibility verification. Moving from manual to automated processes, the system reduced gross A/R by nine days – the equivalent of $18 million in gross revenue.

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Batch Eligibility Cuts Denials in Half

The University of North Carolina Health Care System uses Passport to help drive pre-registration workflow in its central pre-arrival unit and manage patient financial information for its main hospital complex and numerous physician clinics.

UNC Health Care submits daily batch files of patient records for insurance eligibility verification and Passport returns the information within hours, highlighting errors or data discrepancies.
 

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Hospital Doubles Patient Payments in 6 Months

When patients at Pekin Hospital in Central Illinois asked questions about how much their treatment would cost, the hospital could not respond quickly. The only way to approximate a number was to manually run averages from all accounts for the procedure and then look up payer contract information for discounts, which was not practical for only five collections employees.
 

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Physician Group Sees Substantial Gains with Passport

Arizona Kidney Disease and Hypertension Center, LLC (AKDHC) once employed a staff of six to manually verify patient insurance eligibility using payer Web sites, phone and fax. With more than 3,000 patient visits per week this process was overwhelming and inefficient. More importantly, it caused the organization to lose money on the back end.
 

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Why Verify Patient Insurance Eligibility?

For Nashville-based Tennessee Oncology, verifying insurance coverage and benefits on the front end before services are rendered helps ensure the provider gets properly reimbursed for each patient encounter. In one month, Tennessee Oncology was able to preserve nearly $1.8 million at risk and received $87 of value for each eligibility transaction it processed through Passport Health Communications, Inc. Read more to see the results of their efforts.
 

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On-Target Eligibility Verification

Northwest Ohio hospital improves reimbursements and customer services with Passport OneSource^® eligibility verification and IntelliSource data validation solutions.
 

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Advocate Health Care -
The Value of a Revenue Cycle Partnership

Advocate Illinois Masonic Center and Nebo Systems, a member of Passport family of companies, partnered to develop and implement tools to provide the following benefits to the hospital: consistent and accurate patient payment estimates, improved time-of-service collections, streamlined workflows for insurance verification and real-time alerts for registration accuracy. The project produced many positive results in line with the hospital's pursuit of pricing transparency, data integrity and increased productivity.
 

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Ivinson Memorial Hospital: The Necessity of Screening Physician Order Codes Up Front

Prior to 2008 Ivinson Memorial Hospital in Laramie, Wy. had no processes or tools in place to verify medical necessity compliance for outpatient visits. With about 60 outpatient visits per day, the likelihood of denied claims and bad debt was high.

“Honestly it was scary to think when I got here that our hospital was vulnerable to so much risk on the front end,” said Linda Hughes, the hospital’s director of patient access, who arrived at the facility in 2006.

Upon her arrival Hughes launched a successful initiative to implement Passport’s medical necessity compliance solution. The tool was integrated within the hospital information system to validate medical necessity before services were rendered in several clinical areas of the hospital.
 

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Passport's Impact on the Grady Health System Revenue Cycle

Self-Pay ROI Analysis for Meridian Health

Any CFO cringes at the thought of leaving money on the table. Worse is knowing something can be done to capture that revenue - especially if that something requires little effort or relative capital investment.

For Meridian Health, a 3-hospital, 1,500-bed system in Neptune, N.J., the system found - rather it was able to rightfully identify - more than $1.7 million in billable Medicaid charges using self-pay review technology and services from Passport Health Communications, Inc. 
 

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Batch Patient Eligibility Verification Means More Reimbursements for Lourdes

Hospitals and IDNs operate under increasing pressure to protect their own liabilities and capture every reimbursable dollar from patients and payers. More than ever providers are realizing that accurate up front work is the key to minimizing unnecessary back end work and avoiding rejected and/or denied claims.

Lourdes Health System, with hospitals in Camden and Willingboro, N.J., uses Passport BatchSource^® on a daily basis to verify critical patient insurance eligibility data after a patient has received care but prior to billing.
 

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Six Sigma Leads to Batch Address Verification at Ameripath

The mathematical-inspired six sigma approach, first credited to telecommunications firm Motorola, is a business management process designed to identify causes of errors or issues in a particular business. By gaining knowledge of specific causes of undesirable outcomes, a business can use information to improve by attacking problems at the root.

Jane Krolak is project leader for the six sigma program at AmeriPath, a medical diagnostic company. More than 400 AmeriPath pathologists operate in outpatient laboratories in ambulatory surgical centers and hospitals in 23 states. Part of Krolak's responsibility is to continually evaluate the business and identify areas for improvement. One challenge Krolak attacked was droves of returned mail, which the company substantially improved using a batch address verification process from Passport Health Communications, Inc.
 

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West Virginia University Hospital Case Study

With its network of four hospitals, a cancer center, a trauma center and several outpatient clients, West Virginia University Hospitals, Inc. (WVUH) in Morgantown provides the most sophisticated medical and surgical care in the region. WVUH also prides itself on the national recognition it has received as a Level One trauma center, Magnet hospital and as an employer of choice by AARP and Working Mother magazine.

If there was one area the organization needed to improve, however, it was patient access - scheduling, registration and admissions.

Further, WVUH knew it was losing revenue by not doing a thorough job of receiving patient co-pays and deductibles at or before time of service, leaving WVUH with many receivables that went uncollected.
 

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Akron General Medical Center
Where Exemplary Customer Service is a Necessity

There’s a timeless adage that many in the business world attempt to live by: “If you take care of your employees, your employees will take care of your customers, and the rest will take care of itself.” That philosophy is being applied at Akron General Medical Center in Ohio, and it is working, thanks in part to staff incentives and integrated technology from Passport Health Communications, Inc.

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Vanderbilt Medical Group
A Batch of Success in Patient Registration

Vanderbilt Medical Group in Nashville, TN has long been one of the nation's premier health systems, due in no small part to its continual pursuit of clinical and operational excellence. To address specific administrative and financial objectives in its pre-registration division, responsible for confirming insurance eligibility for 1.2 million annual visits, Vanderbilt turned to Passport.

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