Having Trouble Explaining and Predicting Net Revenue?

Transcription

1 Having Trouble Explaining and Predicting Net Revenue? Crowe Revenue Cycle Analytics Audit Tax Advisory Risk Performance

2 The Crowe Revenue Cycle Analytics Solution As shown below in use by hundreds of hospitals and health systems and more than 3,000 clinics and ancillary service providers nationwide.

3 Having Trouble Explaining and Predicting Net Revenue? Crowe Revenue Cycle Analytics The challenges of understanding and planning net revenue have never been greater. Do any of these issues sound familiar? Month-end net revenue is a black hole that no one can easily explain. Net revenue analysis is a major roadblock to accelerating the monthly close process. Daily net revenue reporting is not available during the month. Limited data is available to support pending Medicaid, bad debt, or charity reserve estimates for growing patient payment responsibilities. Incorrect information provided by patients at the time of registration leads to inaccurate estimates of reserves. Billed accounts inadvertently slip through the cracks without the application of a calculated discount, resulting in understated reserves. Standardized reports to analyze and review performance for multiple entities are not available. Ad hoc reporting is needed during the month-end close process, but overloaded report writers are a roadblock to timely information. Explaining the impact of changes in prior estimates of net revenue is nearly impossible with the systems and data in place today. The Crowe healthcare services team provides solutions for revenue, risk, and operational management. Our revenue enhancement solutions provide analytics to better support reserves, accelerate the monthly close process, identify opportunities in the revenue cycle, and strengthen internal controls. Revenue Cycle Finance Revenue Management Managed Care The valuable information you need to monitor your net revenue and manage your largest financial statement risks accounts receivable (A/R) reserves and revenue cycle activity is not always readily available or standardized across facilities. Or worse yet, it is not accessible at all. You need a more efficient way to access the data, accelerate the monthly close process, and unlock the meaningful, actionable insight hidden deep within your patient accounting system. crowehorwath.com 3

4 Crowe Horwath LLP Systematic, Reliable, and Timely Information The Crowe Horwath LLP Revenue Cycle Analytics (Crowe RCA) solution offers the tools to support net revenue reporting and budgeting, manage A/R reserve estimation, streamline the month-end closing process, identify revenue cycle opportunities, and strengthen internal controls. Crowe RCA delivers the valuable information you need to monitor, analyze, and report across multiple facilities. Trend analysis, insight into unusual activity, and standardization of reserve estimation can save your team a significant amount of time every month and provide automated analytical reports not previously available. Instead of spending endless hours building customized reports and performing manual analysis, you can invest resources in scrutinizing results and identifying opportunity areas in the revenue cycle for operational improvement. All the critical details you need for financial reporting and revenue cycle monitoring are accessible from one source to help eliminate duplication and increase the accuracy and availability of reliable information. Accelerated Close Process Hospital Patient Account Systems Revenue Cycle Operations Net Revenue Analysis External Audit General Ledger Crowe Revenue Cycle Analytics Physician/Ancillary PA Systems Automated Hindsight Analysis Managed Care Crowe RCA leverages powerful Microsoft technology and a Web-based interface for information sharing throughout your organization. Data is extracted daily from your patient accounting system, processed, and displayed in the way you need it. 4

5 Having Trouble Explaining and Predicting Net Revenue? Crowe Revenue Cycle Analytics Crowe Net Revenue Reporting It s fast point and click technology that provides insight into net revenue during the month. Hindsight Analysis Performs automated look-back analyses on snapshots of accounts receivable. This enables you to evaluate the actual write-off and cash collection experience compared to general ledger balances and provides supporting data for establishing reserves. Monthly Reserve Analysis It s as easy as clicking a button to generate the matrix format of reserve estimates, analytics, and exception reports. Simply set your reserve assumptions at any time to facilitate accelerated reserve estimation. Variance Analysis Shows net revenue for any time frame (including midmonth) and separates actual activity from changes in prior periods for comparison to budgets. Analyze your net revenue by payor and service line, then drill down to quickly identify issues and the underlying root cause. Net Revenue Budgeting Enhances the functionality of Crowe RCA by allowing you to compare and analyze actual net revenue results to budget using the same data and build a five-year rolling forecast. crowehorwath.com 5

6 Crowe Horwath LLP Net Revenue Services to Assist Organizations Monthly Close Assistance We understand that skilled resources to analyze net revenue are in short supply. Use our services and methodology to help accelerate net revenue analysis and monthly close through any of the following: Staff training and education Interim or periodic assistance: Monthly, quarterly, or yearly, Crowe can assist you in accurately estimating reserves, analyzing net revenue, or preparing forecasts and budgets. Full net revenue function outsourcing: We provide the skills, experience, and methodology to fully support management by facilitating net revenue reporting analysis and the reserve estimation process. Physician Integration The number of physicians employed in health systems is rapidly increasing, which creates challenges with net revenue analysis and additional balance sheet risk. Our tools and experience provide you a road map to help minimize the anxiety of integrating physicians into your organization. Our revolutionary net revenue reporting modules allow you to understand and explain the net revenue being generated by your physicians. Address growing area of risk and synergies with hospital revenue cycle. Connect With Your Peers The Crowe RCA user group is a 500-plus-person membership made up of healthcare professionals interested in sharing best practices and ideas on accelerating the month-end close process, understanding and explaining net revenue, and budgeting for net revenue. In-person and Web-based meetings allow for collaboration and connecting with your peers across the country. The Crowe RCA user group has a strong LinkedIn membership group so you can have access to the latest news about net revenue reporting and the month-end close process. 6

7 Having Trouble Explaining and Predicting Net Revenue? Crowe Revenue Cycle Analytics Crowe Net Revenue Improvement These additional modules focus on transparency and steps to faster net revenue cycle improvement. Revenue cycle process improvement modules. Innovative performance tools spotlight areas in which to take action and are designed to improve financial results. Key performance indicators. Key metrics that keep your finger on the pulse of your revenue cycle. Real information meaning built from the transaction-level detail from your organization versus data compiled by survey results. Performance profiler. A powerful tool that provides insight into the productivity of your people. Monitor and measure billing and collection departments within your organization. Hot lists. Critical lists and areas of concern are pushed to your team to focus on issues most important to improving net revenue. Help improve your revenue cycle process in areas of bad debt, denials, and charge capture. Credit balance module. Stop throwing bodies at credit balances and instead use technology to fix the root cause problems that are creating credit balance issues in your A/R. An analytical engine empowers end users by providing transactional drill-in capabilities necessary to identify adjustment errors and clean up the balance sheet quickly. Monitoring and reporting. Daily monitoring of credit balance data against 150 different algorithms to help identify accounting errors and streamline account resolution. Compliance. Reporting on which credits present the greatest threats to compliance with federal and state guidelines. Visibility. A full suite of transactional reports and ad hoc reporting capability intended to capture additional credit balances or metrics. Collections. Improved collections through identification of unbilled amounts hidden within the credit balance accounts. Managed care portfolio module. This module allows you to gain keen insight into the performance of your managed care portfolio. Our tool provides you with a highlevel summary of managed care performance indicators, as well as detailed analytics to support current and future contracting activities. The graphic displays within the tool allow quick interpretation of data to facilitate productive discussions within your organization. Medicare and Medicaid reimbursement modules. We can provide an automated and proven process to help: account for as many Medicaideligible days as possible for inclusion in your disproportionate share calculation, achieve appropriate Medicare bad debt reimbursement, and recover reimbursement lost due to Medicare transfer DRG underpayments. crowehorwath.com 7

8 Contact Information We invite you to learn why companies are turning to Crowe as their unique alternative to Big Four services. For more information or to request a Crowe RCA demonstration, contact: Ken Ruiz ken.ruiz@crowehorwath.com Derek Bang derek.bang@crowehorwath.com Visit us at to download a wealth of healthcare information and sign up to receive regular e-communications on the topics you choose. About Crowe Healthcare Services Our healthcare services team combines deep industry knowledge and experience, functional expertise, and applied technology to create unique solutions that help address the critical issues facing healthcare organizations today. Crowe Horwath LLP, The Unique Alternative Crowe Horwath LLP ( is one of the largest public accounting and consulting firms in the United States. Under its core purpose of Building Value with Values, Crowe uses its deep industry expertise to provide audit services to public and private entities while also helping clients reach their goals with tax, advisory, risk, and performance services. With offices coast to coast and 2,600 personnel, Crowe is recognized by many organizations as one of the country s best places to work. Crowe serves clients worldwide as an independent member of Crowe Horwath International, one of the largest global accounting networks in the world, consisting of more than 150 independent accounting and advisory services firms in more than 100 countries around the world. Scan to view a video on Crowe RCA. Crowe HC Healthcare Suite Solutions That Work for You crowehorwath.com/hc Automated Time Studies Credit Balance Management Credit Income Recovery Denials Management Internal Audit (CHAN) Net Revenue Reporting (Crowe RCA ) Outpatient Charge Capture Revenue Cycle Improvement Tax Compliance Reinvented (C-TRAC ) Unclaimed Property Underpayment Detection Wage Index Navigator Crowe Horwath LLP is an independent member of Crowe Horwath International, a Swiss verein. Each member firm of Crowe Horwath International is a separate and independent legal entity. Crowe Horwath LLP and its affiliates are not responsible or liable for any acts or omissions of Crowe Horwath International or any other member of Crowe Horwath International and specifically disclaim any and all responsibility or liability for acts or omissions of Crowe Horwath International or any other Crowe Horwath International member. Accountancy services in Kansas and North Carolina are rendered by Crowe Chizek LLP, which is not a member of Crowe Horwath International Crowe Horwath LLP PERF14622