Enterprise Revenue Documents
Enterprise Revenue Documents (ERD) is a document imaging and workflow application offered as a cloud service. It is specifically tailored to the needs of medium to large healthcare delivery organizations’ (HDO) revenue operations.
Enterprise Revenue Documents enables healthcare delivery organizations to begin digitalization of their revenue business processes. ERD is unique in that it represents the latest in information technology with deep revenue operations domain expertise built in.
Enterprise Revenue Documents is the starting point to digitalizing billing and insurance-related activities. Digitalization is working with data (attributes of a things) instead of the actual thing – Image vs paper. By moving from atoms to bits, organizations are able to take advantage of other capabilities, such as optimized process to automate and eventually smart machines to fully digitalize and conduct business utilizing new revenue models and dramatically improved cost structure.
Most if not all healthcare delivery organizations have implemented some type of document imaging solution. However, Enterprise Revenue Documents has been built to be a “next-generation” imaging and workflow solution. We believe what makes ERD a next-generation solution, are the capabilities discussed below, coupled with;
- industry standardization,
- enterprise-wide view,
- digitalization and
- a unique cloud service delivery model (Cloud+)
innovations that we have incorporated in all our solutions, including ERD. Enterprise Revenue Documents is designed to seamlessly integrate with third-party systems.
Predefined Document Attributes
As a first in the industry, document attributes in ERD are predefined on several levels. At the enterprise level, documents are defined as Financial or Medical. At the operational level, as Revenue Cycle Management, and at the document type level as either Authorization, Bankruptcy Notice, Claim Denial or Insurance Card, just to list a few.
With predefined document attributes, both implementation time and cost are dramatically lowered. Also, with predefined document attributes, highly advanced processes that optimize value of each document have been developed by CHC to drive HDOs’ revenue while reducing operating costs.
Another key feature of ERD is that no administrative work or maintenance is required by HDO’s. CHC updates all document attributes as needed for all it’s clients, thus maintaining a universal and standard document attribute dictionary. By some estimates, this equates to savings of up to 80% from total cost of traditional software ownership.
- Document attributes at enterprise, department and sub-department levels
- No admin and maintenance required
- Saves implementation time and cost
- Allows for development of advanced processes
- By some estimates, up to 80% savings from total cost of software ownership
Prepackaged Optimized Processes
With predefined document attributes, optimized processes according to the specific document type and the requirements of maximizing revenue are built and maintained by CHC, based on best practices. This represents dramatic savings when compared to the traditional approach of defining and building processes during deployment. More significantly, this eliminates one-off implementations, which are rarely updated due to the high cost and complexity involved.
A universal CHC design principle applied to ERD’s processes is the review of each work item type during the design process in order to determine if technology can be applied to complete the required task without user involvement. If so, processes are built to bypass users and thus only engage users for exceptions. This results in improved cost structure and higher user productivity.
- Documents specific procedures for content digitalization and processing
- Users engaged only when needed
- Ability to incorporate new and emerging technology
- Improved cost structure
- Continuously improving quality and cost reduction
Revenue Specific Workstations
ERD workstations are tailored to revenue operations users’ needs for the routed work items requiring user action. This allows users to be highly productive and lowers training time and cost when onboarding new staff.
- Optimized user interfaces based on the needs of each operational function
- Lower training and per unit cost
“Paperwork has been transformed, again leaving humans to other tasks only they can do.” – Gartner
Data Distribution Leveraging Standards
Content is the “currency” of digital enterprise. Data making up content are the foundational elements to any business process digitalization. ERD is engineered to utilize industry standard data file formats, such as HL7 and EDI X12 to ensure interoperability and completion of work across multiple entities and systems. This allows the captured off-paper content, such as patient demographics, claim status or remittance advice, to be transmitted seamlessly across EHR/EMR or billing systems.
“Second, many enterprises get the data captured on paper into IT systems as soon as possible by automating the capture and workflow. The design paradigm is to get data digitized (atoms to bits) off paper as soon as possible …” – Gartner
- HL 7 file formats used to transmit patient demographics updates
- EDI X12 file formats used to transmit claim status and remittance advice detail
- Standards based on interoperability that allows for sharing of data – where needed, as needed
Real-time Process Management
Real-time monitoring of workstations provides visibility and allows for quick resolution of bottlenecks. Additionally, meters such as the ones shown below in Figure 2, offer drill-down capabilities, so that work lists and individual work items can be reviewed, completed, or reassigned as appropriate.