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West Campus Charge Champion Orientation
June 10, 2019
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Welcome Champions!
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Recap from Kickoff: What’s Improving with Epic?
Start
Scheduling &
Admitting / Pre-
Registration
Financial Clearance
(Insurance Verification
/ Pre-certification)
RegistrationFinancial
Counseling
Point of Service
CollectionsClinical Care &
Documentation
Charge Capture,
Charge Review &
Reconciliation
Inpatient &
Outpatient CodingClaims
Processing
Payment
Posting Denials Management
& ResolutionThird-Party Follow-up
Self-pay & Bad Debt
ManagementFinancial Reporting End
Revenue cycle becomes a natural byproduct of clinical care
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Why are YOU here?
You have been identified by your senior leaders becauseyou are the most qualified individuals who have deep knowledge of the care and services provided in your clinical areas and have strong relationships with your clinicians and operational staff
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Charge Champion Responsibilities
Review & Reconcile Identify & Triage Collaborate & Close
Review Epic Tools &
Reconcile ErrorsReview Charge Review Workqueues
(WQs) and Reports/Dashboards to
understand and reconcile potential
errors or missing charges by working
with clinical or operational team
members
Identify Trends &
Triage Charging IssuesIdentify short and long-term trends
related to documentation and charge
capture; triage and resolve workflow
issues
Collaborate &
Close Feedback LoopWork with department/operational
leads and clinicians to implement
successful charging workflow adoption
to minimize charging errors
While Charge Champion responsibilities vary slightly by clinical area, the overall process is the same:
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Charge Capture Mechanisms
*Indicates charge capture is automated by the system based on clinical documentation
Service Line / Clinic Area
Cardiology EmergencyInpatient
Nursing
Labor &
DeliveryLaboratory Oncology
Other
Diagnostics &
Procedures
Outpatient
ClinicPerioperative Pharmacy Radiology Therapies
Ch
arge
Tri
gge
rs /
Me
chan
ism
s
Bed Charge Billing*
Charge Capture Navigator
Documentation
Flowsheets*
Facility Charge Calculator
Imaging End Exam*
Immunizations &
Injections Activity*
Log Event Documentation*
MAR Documentation*
One-Step Medication
Documentation*
Order Completion*
Procedure Documentation*
Task-Based Order
Interfaced from External
System
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Charge Reconciliation ToolsService Line / Clinical Area Type of Reconciliation Epic Tools
Labor and Delivery
Non-Interventional Radiology (excluding Nuclear Medicine)
Non-Interventional Cardiology
Emergency
Outpatient Clinic
Outpatient Therapies
Inpatient Therapies
Neurology
Medical and Hematology Oncology
Radiation Oncology
General Diagnostics and Procedurals
Encounter-Level• Revenue Guardian Encounter Report
• Charge Review Workqueues
Perioperative / Surgical
Interventional Radiology
Interventional Cardiology
Respiratory Therapy
Encounter-Level
• OR Log Report
• RT Task Report
• Charge Review Workqueues
Blood Bank
Labs with Interface
Pharmacy
Nuclear Medicine
Charge Code/Procedure-Level
• Find Blood Transfusion Orders Report
• Revenue/Usage Report
• Unreconciled Dispenses Report
• Imaging Charge Audit Report
• Charge Review Workqueues
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Inpatient Demo
Daniel Sorbello, EpicTogether
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Outpatient Demo
Ann Geeverghese, EpicTogether
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Charge Review Workqueue Demo
1111
Revenue Integrity*
*Structure does not reflect a reporting relationship, rather a collaborative effort
^Aliza Horowitz will serve in this role as an interim
Revenue Cycle AcademyProject Management Office
Who is Revenue
Integrity?
We are your local points of contact for
everything Charge Champion related!
We will assist the EpicTogether team in
stewarding this program. We champion
the Charge Champions!
Corporate Revenue Integrity Leads
Karen Feeley & John Tallent
Cornell
Aliza Horowitz^
Columbia Milstein
Megan Jakob
MSCHONY
Eva Cox,
Jeanine Moragne &
Stephanie Kjelleren
Allen
Nancy Clermont &
Hayden Mitchell
LMH
Robert Weitzman
Westchester &
Payne Whitney
Faye Colosi
Perioperative
Services
Lindsay Kanner &
Senad Likovic
Local Revenue Integrity Liaisons
ACN
Adam Marshall &
Carol Caraway
Charge Champions
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Charge Champion Timeline
Ongoing Revenue Reconciliation
2019 2020
Today
Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Finance
Baseline Sign-OffOct 4
Charge Champion
Baseline Sign-OffNov 29
6 Month
Pre-Go-Live MeetingAug
Go-LiveJan 31
Jun 17 - Sep 6
Baseline Collection, Revenue Integrity Review, Data Modifications
Sep 9 - Oct 4Finance Baseline Review
Sep 1 - Nov 30Charge Champion Baseline Review
Dec 1 - Dec 31Core EpicTogether Training
Dec 2 - Jan 17Final Modifications, Baselines Loaded into Revenue Tracker
Feb 1 - Mar 31Revenue Stabilization Calls
Workflow
WalkthroughJun 26
Revenue Reconciliation
WorkshopsJan
Revenue Reconciliation Workshops Jan 2 – Jan 30
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Next Steps
Register for your core EpicTogether training in Saba ASAP (attempt to complete your core curriculum in December) Revenue Reconciliation Workshops (to take place in January 2020) are not yet
available in Saba
Expect invite to join virtual Workflow Walkthrough: Charge Reconciliation session on Wednesday, June 26th
Lookout for the first “Charge Champion” communication to be distributed by the end of June
