Tuesday, April 08, 2014

Revenue Cycle Management is not just for hospitals any longer!

 A Health Information Manager's (HIMs) role in the Revenue Cycle Management and the workflow:

The revenue cycle and the management the involvement of a Registered Health Information Management Administrator (RHIA) of the processes contained in a good plan are vital to obtaining accurate reimbursement. Every piece of healthcare information collected during the cycle contributes to the production of an error-free claim. The effective management of the revenue cycle results in efficient processes that meet the Key Performance Indicators identified for your practice and produces optimal performance in accounts receivable management. Achieving and maintaining optimal performance levels at a physician’s practice not only improves revenue but allows the practice to focus on other areas for improved profitability in this every changing healthcare delivery model.

Outcomes of working with a RHIA professional: 
Once a RHIA has worked with a practice they can assist in supporting contract negotiations with commercial payers. With all the data collected in the Key Performance Indicators, the RHIA professional can help your organization work more effectively identify commercial payers with compromised margins and initiate negotiations that better align reimbursement with resources utilized. In addition, the practice will have the ability to better evaluate pricing for commercial payers, based on fee schedules from Medicare and Medicaid, and establish pricing based on desired profit to help steer the negotiation process. Moreover, market share and lives covered will assist in leveraging a better reimbursement model, but most importantly quality measures and data reporting that the RHIA professional can obtain from the system will further support the negotiations. The physician’s practice will now be able to look at such things as case mix, utilization, and outcomes during negotiations with individual commercial payers.

1.      Key Performance Indicators
                                          i.     Practice Operating Margin
1.      Measures financial performance of a physician entity on an accrual basis
                                         ii.     Practice Net Days in Accounts Receivable
1.      Calculates the average number of days it takes to collect payment on services rendered and measures revenue cycle effectiveness and efficiency
                                        iii.     Practice Cash Collection Percentage
1.      Measures revenue cycle efficiency and supports valuation of current accounts receivable and predicts income
                                        iv.     Total Physician Compensation as a Percentage of Net Revenue
1.      Demonstrates ability to afford physician compensation in relation to revenue of the physician enterprise
                                         v.     Professional Services Denial Percentage
1.      Tracks payer denials and impact on cash flow and trends payment and process improvement opportunity
                                        vi.     Point-of-Service (POS) Collection Rate
1.      Provides opportunity to decrease collection costs, accelerate cash flow, and increase collections
                                      vii.     Total Charge Lag Days
1.      Measures charge capture workflow efficiency and identifies delays in cash
                                     viii.     Percentage of Patient Schedule Occupied
1.      Identifies opportunity to maximize slot utilization and improve practice productivity

As you can see, the profession has grown from a Librarian to a key player in the Revenue Cycle Management process. 

Kevin (Michael) Harrington, RHIA is a full time faculty member in the health administration program.

Tuesday, January 21, 2014

Maine ACHCA Chapter Awards
The chapter has developed its own annual awards. While the Maine chapter has been very successful in receiving national awards, the chapter awards program is designed to supplement those national awards with local recognition of individuals contributing to the chapter. They include the Outstanding Member Award, the Outstanding Business Affiliate Award and the President’s Award.
The 2013 Chapter Awards were presented at the Annual Meeting on November 1st.
·        Phil DuBois, CNHA, FACHCA – Outstanding Member Award: For a truly superior and outstanding member of Maine Chapter ACHCA. Your excellent performance has set a new high standard for everyone to strive toward.
·        Estellle A. Lavoie JD – Outstanding Business Affiliate: In grateful appreciation and distinguished recognition of your hard work, devotion and commitment to excellence to the Maine Chapter ACHCA.

·        John R. Pratt, LFACHE, FACHCA – President’s Award: In recognition of your lifetime achievement and dedication to the Health Care Administration profession.

Our very own Phil DuBois and John Pratt were award winners!  We are so glad to have them working with us!

Thursday, December 05, 2013

NAB Accreditation Video

Our very own Phil Dubois is featured in a video explaining the benefits of NAB accreditation of long-term care administration programs!  Check it out!


Monday, August 12, 2013

Monday, July 29, 2013

Our Very Own Movie Star!

Our Program Manager for Long-Term Care Administration, Phil DuBois, is featured in a video produced by the National Association of Long-Term Care Administrator Boards!  Check it out!


We are very pleased to have Phil managing our long-term care administration program!

Monday, July 22, 2013

Happy Retirement!

John Pratt has retired from the Assistant Program Director for Health Administration at Saint Joseph's College. Aside from having literally written the text most frequently used in long-term care programs, he has been a mainstay in the long-term care industry nation-wide. He is finally taking the very well-deserved step of retirement, although he has assured me he will continue as adjunct faculty for us!

One of the hot topics in health care administration is succession planning. I have never known anyone as committed to succession planning as is John. And he doesn’t just talk the talk – he walks the walk! It is very rare for a person to step down from a director position to an assistant director position in the same organization without there being some sort of friction. I can honestly say that when John did that six years ago I have not had one moment of discomfort in the transfer of responsibility. John gets all the credit for that. 
John’s professionalism and long-standing dedication to the success of our programs is exemplary. It has been a great honor for me to work with him and I look forward to his ongoing relationship with the program as an adjunct faculty member. Thank you, JP!

Monday, May 20, 2013

Health Administration Graduate Student of the Year 2013!

The graduate student of the year this year is Sara Sherwood!  CONGRATULATIONS Sara!

Sara completed her MHA while preparing for and accomplishing licensure as a long-term care administrator.  Sara was chosen for this outstanding student award because of how well she has done in the MHA program, but also because she has been very active in long-term care professional associations also.  She has done a significant amount of work with the Maine Chapter of the American College of Health Care Administrators.  In addition to Sara’s participation in industry associations, throughout her time at SJC she has gone above and beyond expectations.  At last year’s NAB accreditation site visit, Sara took the time to be a student representative in the process and met with the accreditors by Polycom. Sara started the MHA program in 2007 and her GPA was 3.75.

Sara noted, "My Mom always instilled in me "knowledge is power and no one can take that away from you" I'm so happy that I decided to attend St. Joseph's College, I've met some of the best people while attending this college."

Health Administration Undergraduate Student of the Year 2013!

Roxanne Tresch is this year's undergraduate student of the year!  CONGRATULATIONS and well done Roxanne!

Roxanne graduated in December with a 3.95 GPA and never needed a course extension.  One thing I noticed in reading comments in Roxanne’s file was that she was very diligent in managing her courses based on what was going for her in her job.  This was an excellent strategy for completing courses on time!  Roxanne started the BSHA in 2006 and I was her instructor for the first course!  Roxanne was a pleasure to work with I am not at all surprised at how well she has done in the program! 

Roxanne commented "I've come to the conclusion that I've been very blessed this year. I've earned my Bachelor's degree in HCA - I just received a promotion at work (which wouldn't have been possible without my BSHA degree)- I'll be a first time Grandmom in July - I'm proudly turning 60 in the fall - AND I was honored as the student of the year. WOW! The SJC experience has been simply fabulous! I'd highly recommend it to anyone with a desire to further their education. It certainly has fulfilled my goals - and then some!"

Friday, May 17, 2013

Summer Session on the Lake 2013

Join us for a week on campus on Sebago Lake and earn credits through hybrid courses!  This is an excellent way to advance your course progress while taking a mini-vacation in beautiful Maine!

Find out more about summer session!

Friday, April 05, 2013

Excellent Article!

Phil DuBois, faculty at SJC recently gave an interview resulting in an article being published.  It's an excellent read!  You can find it here:  http://www.mastersinhealthcare.com/long-term-care-administrator/long-term-care-administrator-profile-philip-dubois/