Jefferson Health is Philadelphia’s largest health system, with 18 hospitals and a total net patient revenue of $4.5B+. Their patient accounting system is Epic.
Challenge
- Lack of competitive reporting for EOSP and Bad Debt vendors
- Existing inventory reconciliation system was not operational for all vendors
- Lack of an automated auditing process resulting in:
- Accounts actively being worked on by multiple vendors
- Non-commissionable grace period being charged by vendors
- Low percentage of accounts being actively worked (30-40%)
Solution
- Implemented monthly competitive performance reporting for EOSP and Bad Debt vendors, resulting in total self pay liquidation increase from 19.7% to 23.0% year-over-year
- Leveraged Healthfuse Account Audit technology to audit 100% of accounts and identify those not being worked appropriately
- Ensured all vendor fees were valid, and billed according to the contracted agreement via Healthfuse invoice certification technology
- Implemented monthly cross-vendor escalation reports to ensure compliance with FDCPA
