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Case Study – Emory Healthcare

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Problem: In 2002, Emory University’s hospitalist group employed 10 physicians at 3 locations and suffered from lost charges, high denial rates, under coding, and 60 to 90 day charge lag. In order to solve these problems, Emory’s management implemented Ingenious Med for its physicians, billers and administrators. Despite a nearly 3 to 1 physician to biller ratio, Emory lost charges, and was unable to contest denied bills.

Solution:As of November, 2005, Emory employees 60 hospitalists in 10 locations, and Emory has increased the number of charges captured, decreased denials, reduced charge lag to 2 days, and increased the physician to biller ratio to 10 to 1. Emory’s decision to purchase and implement Ingenious Med has generated the following quantitative improvements over the past 3 years:

  •  Increased charges captured by between 8-17%
  •  Improved Collection/Realization rates by between 3-5%
  •  Decreased Denial rates by 4-7%
  •  Decreased the denied charge write-off rate by 12-17%

In addition to providing substantial revenue benefits, Ingenious Med also enabled Emory to optimize their staffing support for Emory’s physicians. Ingenious Med provided the following staffing improvements:

  • Training is simplified and cheaper – 0.1FTE dedicated and expert users at each facility
  •  Auditing is streamlined – 0.3 FTE for all sites
  •  Reimbursement team has been right sized – 6 FTEs for close to $10MM in net revenue.

While Ingenious Med has improved Emory’s profitability and operations, it also has improved Emory’s quality of care by enabling rounding hospitalists to focus more on patient care. Practicing hospitalists created Ingenious Med, and the program enhances physicians’ workflow in the following ways:

  •  Real time communications possible between staff and physicians
  •  Customer service improvements by being able to access archived patients from any facility
  •  Primary care physician satisfaction improvement through faxed discharge summaries
  •  Maintenance of user access is locally controlled
  •  Real-time analysis of productivity saves administrative time/burden

Results: Ingenious Med has generated between $30,000 and $60,000 per physician for the Emory Hospital Medicine Unit. Given Ingenious Med interface and scalability throughout growing practices, the substantial return on investment has helped EHMU become one of the most profitable departments in the Emory University hospital system.