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MAP App is a web-based application that helps organizations improve revenue cycle performance based on industry-standard metrics called MAP Keys.
Find suppliers and products in this comprehensive vendor directory for healthcare finance professionals.
Guidance for understanding and communicating about the price of health care.
Transformation toward value-based healthcare is reshaping the delivery of care, patient expectations, and payment structures.
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
Purpose:Trending indicator of overall A/R performance
Value:Indicates revenue cycle efficiency
Equation:N: Net A/RD: Average daily net patient service revenue
Purpose:Trending indicator of receivable collectability
Value:Indicates revenue cycle’s ability to liquidate A/R
Equation:N: 0-30, >30, >60, >90, >120 days D: Total billed A/R
Purpose:Trending indicator of revenue cycle to convert net patient services revenue to cash
Value:Indicates fiscal integrity/financial health of the organization
Equation:N: Total cash collectedD: Average monthly net revenue
Purpose:Trending indicator of the effectiveness of self-pay collection efforts and financial counseling
Value:Indicates organization’s ability to collect self-pay accounts and identify payer sources for those who can’t meet financial obligations
Equation:N: Bad debtD: Gross patient service revenue
Purpose:Trending indicator of local ability to pay
Value:Indicates services provided to patients deemed unable to pay
Equation:N: Charity careD: Gross patient service revenue
Purpose:Trending indicator that monitors charity care versus bad debt
Value:Reflection of charity care (provided to the community)
Equation:N: Charity careD: Total uncompensated care (bad debt + charity care)
Purpose:Trending indicator of amounts not expected to be paid by uninsured patients
Value:Indicates the portion of the self pay gross revenue not included in cash, charity or bad debt metrics
Equation:N: Uninsured discountsD: Gross patient service revenue
Purpose:Trending indicator of total amounts not collected from patients related to self pay discounts, charity and bad debt combined
Value:Indicates the total amount of self pay gross revenue that is not collectable or expected to be collected
Equation:N: Uninsured and uncompensated care (bad debt + charity care + uninsured care discount)D: Gross patient service revenue
Purpose:Trending indicator of operational performance
Value:Indicates the efficiency and productivity of revenue cycle (RC) process
Equation:N: Total Revenue Cycle (RC) CostD: Total cash collected
Purpose:Trending indicator of operational performance by functional area as reported in Cost to Collect
Value:Indicates the efficiency and productivity of revenue cycle process by functional area
Equation:N: Total x (x = the cost of each functional area) cost*D: Total cash collected
*Sum total of all x’s (i.e. sum of the cost of each functional area) should equal total cost of Cost to Collect
Purpose:Trending indicator of patient acuity, clinical documentation, and coding
Value:Supports appropriate reimbursement for services performed and accurate clinical reporting
Equation:N: CMI (average RW/Patient) = sum of relative weights for all inpatients*D: Number of inpatients in the month**Excludes normal newborns and Medicare-exempt units
Tom Myers, chief strategy officer, The SSI Group, discusses the shifting payment environment and how it affects providers' patient access and claims management processes.
Jeff Chester, senior vice president and chief revenue officer at Availity, shares his thoughts on "Revenue Cycle 2.0" and how to best meet its challenges.
Mitch Morris, vice chair and global leader, healthcare, Deloitte, and Michael O'Rourke, senior vice president and chief information officer, Catholic Health Initiatives (CHI), share perspectives on the need for transformational IT in health care today.
Brian Kueppers, founder and CEO, Apex, discusses the importance of a robust patient payment strategy in boosting organization revenue and enhancing patient satisfaction.
Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care’s changing payment environment.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
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