Premier Health is an acute care health system serving Southwest Ohio.
Premier generates over $2 billion annually from 1,951 beds in five acute care hospitals. As exemplified by their multiple Press Gainey Beacon of Excellence awards, Premier Health delivers clinical excellence with a focus on patient satisfaction.
Recent trends indicate that the cost of healthcare continues to shift from employers and insurance companies to patients themselves. Because the financial recovery rate from individual patients is lower than from insurance carriers, growing patient balances are causing financial pressures for many hospitals.
In an effort to tightly coordinate and automate the balance collection process, the IT departments from Firstsource and Premier collaborated to build a highly efficient infrastructure. Employees from both organizations would use a dedicated VPN tunnel and TLS encrypted access in order to assign accounts to work queues using custom Epic billing indicators. Premier Health’s Epic system would interact daily with MedAssist’s account processing system which utilizes a proprietary scoring and segmentation model; this system would assign a ‘propensity to pay’ score to each account and indicate the appropriate work events accordingly.
Work events, such as statements, letters, attended calls, unattended calls,?etc., are the best practices necessary to resolve each type of account and are derived from analyses of years of production and operation experience.
In 2014, Premier Health initiated The Premier Patient Experience Program, which trained employees on patient satisfaction practices using the “Acknowledge, Introduce, Determine, Explain and Thank”?(AIDET) methodology. As an example of true partnership and dedication to the Premier patient experience, all Firstsource team members must complete this training and continue to participate in the quarterly booster training. Firstsource has even adopted the AIDET model as required training for all patient account representatives.
Firstsource accelerated the account resolution process, reduced bad debt and the number of patients reaching bad debt, and maintained the high level of patient satisfaction Premier patients have come to expect.
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