Based in Phoenix, Arizona, Banner Health is one of the largest healthcare organizations in the country. The health system has more than 30 hospitals, and its physician group, Banner Medical Group, employs over 2,000 physicians.
Case Study
Banner Health
Capturing Charges and Create Efficiency In Morning Processes
Banner Health uses Cerner PowerChart as its EHR and charge capture solution. Banner relies on Medaptus Charge Pro Reconciliation to ensure every charge is captured and billed, giving the team 100% confidence in reconciling to 0. As well, the Medaptus Assign tool is integral to their workflows, supporting Operations Directors and Hospitalists in efficiently creating their morning assignment process.
In this case study, we will outline:
The concerns Banner had with using their EHR for charge capture
The solution that the Medaptus Charge Pro Reconciliation software provided Banner
The results that Banner has realized when reconciling with Medaptus
Key takeaways for you to consider when choosing between software built for charge capture versus using your EHR for revenue cycle management activities
The Solution
Banner anticipates a financial return on investment of more than $650,000 in the first year of implementing Charge Pro reconciliation.
With Banner’s enhanced capabilities, they now have full visibility into every charge opportunity, ensuring complete accuracy and confidence in reconciling to zero, eliminating discrepancies, and optimizing revenue integrity.
Those challenging cases, such as missed retroactive charges when patients transitioned from the ED/Observation unit to inpatient status and confusion when Dr. A transferred a patient to Dr. B verbally without updating the system, are no more.
“There’s just no way to miss any potential opportunity.”
Lou Ellen Parsons, Director of Hospital Medicine Practice, since adopting Medaptus Charge Pro Reconciliation:
The Results
Banner anticipates a financial return on investment of more than $650,000 in the first year of implementing Charge Pro reconciliation.
With Banner’s enhanced capabilities, they now have full visibility into every charge opportunity, ensuring complete accuracy and confidence in reconciling to zero, eliminating discrepancies, and optimizing revenue integrity.
Those challenging cases, such as missed retroactive charges when patients transitioned from the ED/Observation unit to inpatient status and confusion when Dr. A transferred a patient to Dr. B verbally without updating the system, are no more.
Medaptus resolves these issues and others seamlessly.
Charge opportunities with only a note, only a charge, or where neither exists are all being brought to the attention of administrators in real time.
Medaptus Charge Pro reconciliation has benefited Banner in the following ways:
- Displays accurate data in real-time – Reconciliation Dashboard
- Captures charge opportunities previously missed – Via interfaces and using complex rules inherent to Medaptus Charge Pro
- Provides consistency across facilities and is easily scalable – All facilities are reconciling the same way
- Accelerates workflows – minimizes backlog and shortens charge processing time
- Creates operational efficiencies – reduces manual processes such as having uncharged fall from view once addressed
- Supports PHI compliance – reduces the need to access patient charts by clearly showing uncharged items
Medaptus’ ability to collect charges and notes is a significant differentiator; this data works in parallel and supports identifying every charge opportunity.
Charge Pro Configuration Comparison
This chart compares two Charge Pro configurations — ‘Reconciliation View Only’ and ‘Management & Reconciliation’ — to help teams quickly understand which setup best fits their charge capture and reconciliation needs.
Features
Reconciliation View Only
Ideal for organizations that want visibility into charge reconciliation without changing their existing EHR workflows. Users can view dashboards, identify charge opportunities, and make updates within their EHR.
Management & Reconciliation
Best for teams looking to fully manage charge capture within Medaptus. Practice managers and coders can scrub, complete, and export charges directly from Charge Pro for a more efficient workflow.
Charges entered in EHR
Identify charge opportunities
View reconciliation dashboard
Manage/scrub charges in Charge Pro
Complete and export to billing system
Key Takeaways
Here are a few questions to ask when assessing whether your organization may benefit from a tool built for reconciliation:
- What is your current process for charge reconciliation?
- Is this current process standard across all facilities?
- Are you concerned about missing revenue?
- Are you confident in capturing every charge opportunity?
- How much time is your current process taking and is the data in real-time?
