Revenue Cycle Optimization Program July 22, 2020

Revenue Cycle Optimization Program July 22, 2020

Agenda 0 - 5min 5 – 15min Overview of Windham Brannon Lessons Learned from Eastern Airlines Flight 401 15 – 40min What is the Optimization Program? 40 – 50min Case Study 2

About Us Windham Brannon is one of the oldest (and largest) Atlanta-based, regional accounting firms, founded in 1957. We have 160 Atlanta-based professionals delivering a full-range of audit, accounting, tax, and advisory services. Our culture is rooted in our founding values: integrity, service, commitment to excellence, and living the Golden Rule. We have a dedicated Healthcare Advisory practice with significant industry knowledge, expertise, and relationships with outside service providers Provide counsel to top tier health care companies on a variety of topics Advisory Services includes Interim management Revenue cycle assessments Revenue cycle transformation Revenue cycle audits and controls reviews Extended business office services 3

About Your Speaker Va l e r i e F. B a r c k h o f f , P r i n c i p a l Over 25 years of Revenue Cycle experience Bachelors – Health Sciences from University of Kentucky MBA – University of Tennessee Began career in Big 6 Selected on Deloitte’s team to write the methodology on how to consult in the revenue cycle Moved into Operations in 2002 Executive Director of Contracting and Revenue Management – DeKalb Regional Healthcare System Vice President of Revenue Cycle – Saint Joseph’s Hospital of Atlanta Vice President of Revenue Cycle – QHR Returned to consulting in 2011 Joint Windham Brannon in 2014 4

Agenda 0 - 5min 5 – 15min Overview of Windham Brannon Lessons Learned from Eastern Airlines Flight 401 15 – 40min What is the Optimization Program? 40 – 50min Case Study 5

Eastern Airlines Flight 401 December 29, 1972 NY Miami Captain had over 29,000 flight hours 6

Eastern Airlines Flight 401 Permission to land Landing protocol followed Landing gear light did not illuminate Approach discontinued Requested a holding pattern from the tower 7

Eastern Airlines Flight 401 22:36:04 Engaged Autopilot 23:37:08 Sent co-pilot to get a visual on landing gear 23:40:17 Altitude alert 23:41:40 Cryptic message from the tower 23:42:07 “We’re still at 2,000 feet, right?” 23:42:12 Impact 8

Lessons Learned Distractions are deadly We have a lot of distractions in healthcare right now Everyone has responsibilities Don’t let someone else’s priorities become yours! Is Revenue Cycle the light bulb or the altitude? Someone needs to be watching the revenue cycle! Do you have a dedicated leader for your revenue cycle? 9

Agenda 0 - 5min 5 – 15min Overview of Windham Brannon Lessons Learned from Eastern Airlines Flight 401 15 – 40min What is the Optimization Program? 40 – 50min Case Study 10

What is the Optimization Program? The Revenue Cycle Optimization Program is a monthly subscription service that provides hospitals with a Dedicated Revenue Cycle Advisor Using standard EHR reports, the Dedicated Program Advisor will work directly with the assigned hospital executive to tailor a revenue cycle optimization program for your organization Using proprietary toolkits and targeted education, the program will identify opportunities to accelerate cash and/or improve net revenue Membership based program costs 4,000 per month for a minimum of six (6) months 11

What will the Optimization Program Provide? 12

Benefits to Rural Health Organizations During COVID-19 many hospitals have experienced a decline in volume Resulting in a potential need to furlough or reduce staff A need to continue revenue cycle operations with reduced staff Access to Strong Revenue Cycle Leaders A Dedicated Advisor who will understand your organization’s data and culture A customized plan to improve your organization’s revenue cycle operations Identification and implementation of process improvement opportunities Identification of cash acceleration or net revenue improvements Focused development of your revenue cycle leaders 13

What will Rural Health Organization’s Need to Provide? A single point of contact to work with the Dedicated Program Advisor Access to all Revenue Cycle information systems for the Dedicated Program Advisor Development (if not in existence) of a Revenue Cycle Steering Committee Identify your organization’s team members to carry out tasks related to identified opportunities Hold team members accountable for action items Commitment by senior leaders to work with Windham Brannon and the Dedicated Program Advisor for a minimum of six (6) months 14

Agenda 0 - 5min 5 – 15min Overview of Windham Brannon Lessons Learned from Eastern Airlines Flight 401 15 – 40min What is the Optimization Program? 40 – 50min Case Study 15

About the Hospital Located in the rural Georgia 25 bed Acute Care Facility 65 Million in Gross Revenue Time to Bill – 19 days from the DOS Substantial internal process and payor related issues delaying claim submission and reimbursement Inconsistent eligibility verification practices resulting in significant denials Inconsistent procurement of authorizations by Patient Access/UM Managed Medicare inappropriately denied claims as out-of-network 16

The Solution Engaged a Dedicated Program Advisor Coached the Organization in: KPI/Metric Development A/R Strategy High Dollar Claim Review & Unbilled Claims PAS Quality Assurance Review Technology Implementation Guidance and Training Identification & Prioritization of Process Improvement Opportunities 17

The Results At the end of the first month of the program participation, the organization saw significant improvements in the financial metrics Optimization Activities Financial Improvement High Dollar Claim Review 150K Unbilled Claim Review 25K Review of claims greater than 4K to determine next steps, payor and internal process issues delaying reimbursement – 5% improvement Review of claims with extended billing times greater than the standard billing hold time of five (5) days – 3% improvement Billing Turnaround Time Toolkit Audit – Cash Acceleration Opportunity An audit of fifty (50) claims identified a delay in billing of 2 days over the standard 5 days 300K 18

Thank You. Valerie F. Barckhoff 404-918-1673 [email protected] Danielle R. Epps 470-269-5658 [email protected] www.windhambrannon.com