Process Improvement

CCC consultants are here to help. We possess a clear understanding of healthcare operations with significant experience in optimizing clinical and financial performance utilizing Cerner MedSeries4® software. We implement process involvement strategies that work, producing measurable results, and increasing staff productivity. Through thorough file maintenance audits and process assessments we are able to recommend streamlined approaches to minimize manual intervention, enhance use of automated functions, and utilize application functions that may not currently be in use. Our approach to assist in your improvement initiatives will include:

  • Evaluation of and adherence to policies and procedures

  • Identification of workflow and process inefficiencies across applications, resulting in lost revenue

  • Financial transaction review: charges, payments and adjustments from all sources

  • Receivables management, including bad debt and collection practices

  • Billing requirements assessment, including file set-up and utilization

  • Insurance verification practices, including transmittal and claim follow-up procedures

  • Evaluation of electronic transmissions across applications

  • Accuracy and timeliness of error resolution

  • Evaluation of the accuracy and timeliness of required documentation

  • Report management and utilization

  • Resource allocation and productivity analysis

  • Clinical Care Plan analysis and utilization

We can also provide resources to direct or assist in improvement initiatives, along with periodic audits to evaluate their effectiveness.

Reimbursement Optimization and Recovery

Optimum performance depends on thorough know-how. That’s why we first meet with your accounts receivable staff to conduct an evaluation of internal policies and procedures. We then present recommendations to strengthen your current practices and provide enhanced training in the standard features of AR/ADT, institutional and professional Editors, ACTS, Reimbursement Management and Case Mix with a focus on integration and reporting tools.

  • Successfully manage accounts receivable and increase cash flow
  • Meet billing requirements
  • Ensure accurate calculation of reimbursement and allowances
  • Monitor bad debt and collections
  • Easily identify payment discrepancies
  • Recover lost revenue

Master File and Data Consolidation/Conversions

CCC’s master file conversion tools enable you to restructure or redefine MedSeries4® master files and incorporate the new definitions into your MedSeries4® databases. Our data conversion tools allow you to implement new numbering schemes for key identification fields such as medical record number and employee ID. Verification programs and pre-processing routines are also included to validate files and data prior to the actual conversions. You have the added option to work in an update or non-update mode in either your test or production environment.

Our CCC application and conversion specialists will assist you through each phase of the conversion process. We will provide you with a detailed project plan identifying all conversion activities, including CCC and client responsibilities for testing, validation and support.

  • Carrier Consolidation
    Create new carriers, consolidate duplicate carriers and eliminate carrier codes that are no longer applicable. Restructure the Carrier Master and dependent master files to meet corporate or facility standardization requirements and to utilize plan number options in the Reimbursement Management module, if applicable.

  • Master File Definitions
    Redefine key application master files and convert database history to reflect updated file definitions. CCC tools can be used to restructure many of the most critical elements of your system and convert production and archive history to reflect the updated definitions. Common examples of elements converted with our tool include:

    - Patient Type - Admit Source & Type
    - Service Code - Discharge Disposition
    - Charge Number - Relationship Code
    - Doctor Number - Scramble Code
    - Employee ID - Race
    - Revenue Code (CDM/DG) - Physician Practice & Specialty
    - Billing Form Code - Proration Plan
  • Chart of Accounts
    Standardize your Chart of Accounts across your corporate structure and convert all current and historical information without sacrificing comparative reporting features. Use this utility to redefine your Chart of Accounts to accommodate consolidation of General Ledger accounts including changes to department and natural class numbers.

  • Fiscal Year Conversion
    Achieve a seamless transition of current and historical financial and statistical data to the new fiscal year across the full MedSeries4® Financial Application suite and the Patient Accounting database. As part of this service we will assist you in the development of balancing and validation procedures, including an evaluation of year-end closing entries.

  • Medical Records Number
    Complete migration to a new Medical Record number format or numbering scheme in your single facility or across a CBO environment, for all MedSeries4® applications.

MPI Data Assessment and Cleanup

Data integrity across applications is critical for accurate patient identification and tracking, not to mention satisfying HIPAA requirements. If any of the following issues exist at your facility, we can assist you in cleanup of your MPI and MR history:

  • Erroneous attachments of accounts to a patient

  • Unable to view MR encounter history for patient visits

  • Inability to view certain data online that displays a report

  • "MISSING" displays instead of a patient name

Through a phased approach and a proven investigation process, CCC can address these issues utilizing MedSeries4® application tools and IBM utilities. Our analysis will identify issues with orphaned, duplicate and erroneous records. Our resolution process will correct the discrepancies and provide the client with education necessary to minimize future inconsistencies.

Custom Programming

CCC has developed programming and analytical tools to assist you in the development, maintenance and remediation/retrofit of custom coding. Our services and tools are extremely efficient and cost effective. And our programmer teams can assist in the design, documentation, execution and testing of any application or cross-application functionality you require.

Outsourcing/Support Services

CCC offers resources knowledgeable in the healthcare industry, MedSeries4® and IBM System i® to fill a variety of temporary staffing needs from programmers to application analysts, project managers, and even interim IS Directors. We can also help select and train your full-time professionals.

Our technical staff can provide on-going support services to your Information Services Department. You will receive the expertise and assistance required to keep your operations running smoothly.

Allow our specialists to build your Reimbursement Management system. We will enter your contracts and train your staff to maintain the application on an on-going basis. We also offer extended maintenance agreements.