Review of the State of Professional Fees - University of Iowa Carver 爱荷华大学卡弗的专业费用状况回顾.pptVIP

Update: The State of the Professional Fees Revenue Cycle Pat Thompson Associate Dean for Finance Administration Carver College of Medicine Faculty Forum September 27, 2004 Update Objectives Review revenue cycle performance Outline improvements Describe FPP goal: A “top performing” revenue cycle mechanism by the end of 2005 Monthly Pro Fee Collections July 2001 through August 2004 “The Good Old Days”: Pre-IDX Monthly Payment Trend: July 2001 thru March 2003 Monthly Variances in Actual Collections vs Pre-IDX Trendline Collections Cumulative Variances: Actual vs. Projected Pre-IDX Collections Cumulative Variances: Actual vs.Projected Pre-IDX Projected—Including the May/June 2003 PASC Settlement Relationship of Increased RVU Production and Increased Collections Dollars paid per RVU 7/01-3/03 $76 Dollars paid per RVU 4/03-8/04 $81 Dollars per RVU gained $ 5 Percent $/RVU gained 6.6% Conclusion: Increased collections being generated by both improved RVU and collections production. Revenue Cycle Recap Performance has moved from below the median performance to the median since the implementation of IDX and the initiation of other revenue cycle improvements Trauma during the conversion was severe, but the worst is about one year behind us The pro fee maximum cash shortfall in September 2003 of $5.6 million against past trends has been recovered and improvements combined with the PASC settlement have generated a cumulative positive variance of $8.3 million against those trends Recovery has not occurred for all clinical departments Continued improvement to move to a “top performing” level , but will require increased improvement focus effort The FPP, in conjunction with the departments, has been increasingly directive in building in the effort to build a top performing pro fee cash machine by driving a higher level of integration between the physician clinical enterprise and the physician revenue cycle mechanisms Summary of Reve