Customer’s Problem:

Pena4 was assigned a one-off project by a medium sized physician group to enter accurate demographic and insurance details of the patients into the EHR. The legitimacy of the data collected and captured plays a vital role in sending out clean claims, which in turn improves the speed of collections and the health of the facility.

Solution:

• Performed root cause analysis to determine the cause for incorrect data capture
• Employed technology to prevent human errors and streamline workflow
• Exploited ANSI (American National Standards Institute) transactions to exchange data between payor and provider effectively
• Integrated edit parameters within EHR platform to hold off claims with errors
• Audited errors and redefined processes for better throughput

Outcome:

• The below key performance indicators are gauged to understand performance between now and then to ensure overall business performance.