Optimizing Electronic Eligibility to Reduce Denials Through Managing by Exception (PR5)

HFMA Peer Review® Session with Orlando Health and GE Healthcare

Date & Time

Tuesday, November 4 — 7:00 – 8:00 a.m.

Speakers

JoLynne Begley
Departmental Applications Manager
Orlando Health

Steven Gargano
Optimization Solutions Consulting Manager
GE Healthcare

Summary

How did Orlando Health reduce eligibility denials by almost 50 percent, save more than 300 hours per month in automation, and improve working capital by more than $2.8 million per year? The Eligibility Workflow Optimization project offered clear, measurable objectives and ROI. Collaborative workflow analysis identified efficiency struggles and areas of potential focus, resulting in real performance improvements.

After This Session, You'll Be Able To:

  • Identify what metrics contribute to performance and how to leverage them in your process
  • Describe how accurate and timely data in your workflow plays a significant role in the outcome
  • List safeguards that can be deployed to manage avoidable costs
  • Describe the importance of continuing to measure key performance indicators post project