PR - Healthcare Bill Charging Product Earns HFMA Peer Review

The Healthcare Financial Management Association (HFMA) recently examined Surgical Information Systems’ Rule Based Charging (RBC) product using HFMA’s Peer Review process. After undergoing a rigorous review, SIS’ RBC has earned the notable "Peer Reviewed by HFMA" designation.

The RBC application captures charge information as an automatic by-product of the clinical documentation process and submits it electronically to the billing department. In addition to freeing up valuable time for clinicians, this tool significantly improves reimbursements by eliminating missed charges and late penalties, and ensuring charges are documented in the manner that results in the highest possible reimbursements.

RBC uses 14 variables to trigger charge capture and calculates charge amounts based on a number of different algorithms including: varying OR time increments, flat rate, anesthesia type, procedure, implants, and more. This flexibility and advanced, multi-variable functionality makes SIS’

RBC module more effective than most other OR charging applications.

"Implementing RBC has made a real difference for our clients," Daihl said. "One month after implementing RBC, one of our clients saw a $1 million increase in revenue from lost charges. Another client experienced a 30 percent increase in charges captured. Both hospitals were able to use the revenue gains for other projects that ultimately allowed them to provide better care for their patients."

HFMA’s Peer Review is a structured process that validates the accuracy, effectiveness, marketplace acceptance, and value of products and services that HFMA members are currently using. The goal of the review is to identify products and services that deliver organizational savings and performance improvement that enhance HFMA members’ day-to-day business interactions and careers. Criteria for a product to display the HFMA Peer Review designation include high survey scores for:

· Enhanced productivity for the individual user and for the customer’s organization
· Ease of installation and use
· Accuracy and reliability
· Good value for price
· Excellent technical support and customer service, and
· An overall positive rating from reviewers based on a quantitative scale

"Peer Review provides an objective third party evaluation of products and services used in the healthcare finance workplace," said HFMA President and CEO, Richard L. Clarke, DHA, FHFMA. "Products earning the Peer Review designation have demonstrated their value and effectiveness as a business solution. I congratulate SIS on their RBC product earning the Peer Review designation."

Surgical Information Systems, LLC (SIS) provides automated intelligence across the entire perioperative continuum. We do this by empowering hospitals with surgical information solutions that combine our business and clinical know-how with feature-rich, fully integrated software, useful services, comprehensive support options and well-designed staff education and training.