About this Presentation

The back office (billing) phase of hospitals is a source of challenge and of low hanging fruit. The volume of backlog to process charts accurately to ensure maximum reimbursement is vital to attaining throughput: the more errors, delays, etc. that occur exposes hospitals to possible fraud and contributes to uncollectible revenues. This session demonstrates how the five focusing steps (5 FS) were applied to align the efforts of the back office for a Florida hospital.

What Will You Learn

To help you get the most value from this session, we’ve highlighted a few key points. These takeaways capture the main ideas and practical insights from the presentation, making it easier for you to review, reflect, and apply what you’ve learned.

Plane
The speaker identifies the coding department as a bottleneck in the process and suggests changes to improve its efficiency.
The speaker discusses the challenges of implementing these changes, including potential resistance from other departments and the need for increased capacity in the coding department.
The speaker suggests that the changes could result in significant financial gains for the hospital.

Instructor(s)

Dr. Janice Cerveny 

Janice F. Cerveny, Ph.D. is on the faculty of the College of Business, Department of Management, International Business and Entrepreneurship of Florida Atlantic University in Boca Raton, Florida. She has worked primarily in the blood banking and health care industries but now consults and trains many diverse organizations in the Theory of Constraints (TOC). She is an Avraham Y. Goldratt Institute “Jonah”, “Jonahs Jonah” and is certified in the functional-specific applications of the Theory of Constraints for Production (Drum-Buffer-Rope, DBR), Distribution/Supply Chain Management (Continuous Replenishment, CR), Project Management (Critical Chain, CCPM) and interpersonal management skills applications. (Management Skills Workshop, MSW). She has had a number of for profit and not-for-profit clients in the South Florida area include NCCI (National Council on Compensation Insurers), Siemens Telecom Networks, Sensormatic Electronics Corporation , Office Depot – Corporate Audit Department, the North Broward Hospital District, and Philips Electronics. She has most recently completed a contract with the Veterans Administration in Washington, D.C. for clinical practice managers resulting in her editing a book for Ambulatory Care Clinic Managers. Her most recent article (with Dr. Stuart Galup) “Critical Chain Project Management: Holistic Solution Aligning Quantitative and Qualitative Project Management Methods” appeared in Production and Inventory Management, Vol. 43, Numbers 3 &4, (2002, pp. 55-64). She is a member of the American Production and Inventory Control Society (APICS), the Decision Sciences Institute (DSI), the American Society for Quality (ASQ) and the Theory of Constraints International Certification Organization (TOCICO). She is recognized by the latter as internationally certified to facilitate implementations of TOC applications.

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