Review charge history for missing-contrast edits, where contrast already billed with another scan or held in the charge router, then update provider and bill area to clear the missing-contrast edit.
DOMAIN
Revenue Cycle Middle
FUNCTION
Charge Capture
Category
Charge Edit Resolution
Status
Live
AUTHORING ORGANIZATION
Mass General Brigham
PERFORMANCE METRIC
Discharge not final billed (DNFB) Days
Automation Tool
Blue Prism
TECHNOLOGIES
RPA
Applications
EPIC
HB | PB
N/A
Automation value
(as reported)
21375
Problem Statement
Imaging charges held by edits or reconciliation gaps sit unbilled until staff manually investigate and resolve the issue. While they wait, accounts and charges accumulate in Discharged Not Final Billed (DNFB), lengthening time-to-cash and risking revenue leakage on services that were performed but never cleanly billed.
Automation Solution
This automation reviews charge history to determine if contrast was already billed to another scan or holding in an edit, then updates the provider and bill area to clear the edit.
Automation Resources
PDDs, Process Flows, Presentations, and Assessments
No resources currently available
Related Automations
No related automations
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4 years ago
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Problem Statement
Imaging charges held by edits or reconciliation gaps sit unbilled until staff manually investigate and resolve the issue. While they wait, accounts and charges accumulate in Discharged Not Final Billed (DNFB), lengthening time-to-cash and risking revenue leakage on services that were performed but never cleanly billed.
Automation Solution
This automation reviews charge history to determine if contrast was already billed to another scan or holding in an edit, then updates the provider and bill area to clear the edit.
Automation Resources
Related Automations
Comments