The Riverside Health System Experience
Riverside Health System, Newport News, Va., began using a manual registration audit process about two years ago. With this process, one FTE could perform only 20 registration audits per registrar per month, which were not enough to make statistically valid sample sizes. The health system averages more than 9,000 registrations per month. The registration staff did not believe the audits were valid because the sample was sometimes taken from one day, or they felt the audited registrations did not represent the overall quality of their work.
Given the time these audits took, claims typically had already been sent by patient accounting, making audit results useful only for education purposes. The revenue cycle management team was frustrated that manual efforts were not able to achieve the desired outcomes. A bolt-on software product that scrubbed the registration data quality was implemented in the health system’s three acute care facilities. Two months after implementation of the automated registration scrubber tool, the registrars fully embraced making their own corrections and learning
from their mistakes.
To read the entire article click here