Controlling the billing process by controlling billing backlogs.
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PROBLEM: Salinas Valley wanted to improve its reporting procedures to payors for reimbursement. Delays in reporting referred outpatients and inpatients can significantly impact receipt of reimbursements from payors. SOLUTION: Salinas Valley developed a program of concurrent coding in which every procedure is assigned a reimbursement code that is automatically registered in the patient's B/AR record when the procedure is logged into any of the clinical applications in the healthcare information system. RESULTS: Quicker turnaround on receiving payments from payors, as well as an increased return on investment as the ratio of reimbursement to cost-of-time-spent increases. KEYS TO SUCCESS: Integral to the success of the concurrent coding review program was the openness of the operating system at Salinas Valley.
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