Case Study

How Do You Further Improve Daily Workflow and Decrease A/R Days with an Industryleading HIS?

“I would definitely recommend SSI as a claims vendor to Epic customers based on the success we have had at our facility.”

08.01.15 • Case Study

Carilion Clinic discovered that SSI’s revenue cycle solutions integrate well with Epic.

When comparing past vendor relationships, Chris Brown, Project Consultant, Revenue Cycle Management at Carilion Clinic in Roanoke, Virginia, thinks The SSI Group, LLC (SSI) and Epic Systems Corporation (Epic) are a winning combination. Carilion Clinic is a long-time SSI customer and has been an Epic customer since July of 2008. Through the use of several SSI products, all of which integrate with Epic, Carilion has successfully yielded an impressive 47-52 range in A/R days for hospital billing and 25-30 days for professional billing.

This tight vendor integration enables a more connected revenue cycle where workflow inefficiencies are minimized, costs are reduced and the expanding demands of sharing revenue cycle data are more easily met. Most noteworthy may be the way Carilion uses SSI Bill Date Note Posting, Confirmation Note Posting and Claims Status Module to automatically populate work queues and workflow logic within Epic. This procedure reduces confusion on the front-end and is a crucial part of Carilion’s daily billing cycle. “I would definitely recommend SSI as a claims vendor to Epic customers based on the success we have had at our facility,” said Brown.

“I am able to correct most of the errors present on the recurring error report within Epic.”

Brown was impressed with the way he has been able to use SSI’s recurring error report to review the issues reported by this tool and utilize the Epic build teams to correct within Epic when possible. Being able to correct errors before the bill is dropped into SSI can result in a much higher validation rate and can accelerate the remit process. Brown was also impressed with the customization of the Epic system.
“I am able to correct most of the errors present on the recurring error report within Epic,” said Brown. “I can also request an edit or a hardcode within SSI to increase our validation rate.”

Carilion has also integrated claim status responses from SSI’s Claims Status Module back into Epic, including notes, claim category code and claim status code. A project is currently underway to not only import the claim status as notes, but also to use the status codes to prioritize accounts requiring attention to the top of Epic follow-up work queues. Likewise, claims that are paid or set to pay on the next remittance cycle would be deferred, as no follow-up is currently needed.

Overall, Brown is pleased with both of the revenue cycle solutions he has in operation at Carilion Clinic and feels they operate successfully together to decrease A/R days and improve daily workflow. “SSI automates, innovates and provides for a consistent claims processing platform for all of our business offices, including hospital billing, professional billing, and home health and hospice billing,” said Brown.

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