Phoebe Putney Health System is a not-for-profit network of more than 4,500 physicians, nurses, professional staff and volunteers. They deliver compassionate, high quality health care to more than 500,000 residents in their 41-county region. Phoebe is dedicated to providing a better way to health and wellness in its entire community.
All hospitals face the dilemma of trying to process invoices when there are complex rules that change frequently. Examples include limitations on observation hours billed, and the cycle of circumventing denials and commercial payers returning claims. Specific issues that Phoebe faced over the last year were comprised of:
By meeting with peers from other hospitals as part of Vizient Southern States’ Charge Audit Leaders Network, Phoebe learned that many others were facing the same issues and that they could learn from each other and use that knowledge to implement solutions at their respective hospitals. At Phoebe, these solutions entailed:
By changing vendors and procedures, Phoebe was able to better help their patients and improve their billing processes which resulted in cost avoidance savings totaling $8,356,994 for 2018. Specific changes that attributed to their savings included: