We are validating our days out authorization metric for high tech imaging and surgeries and I wanted to get some feedback on what you go by in your organizations.  We follow a schedule/auth model.  I appreciate any feedback you can provide.  Thanks!  

Thank you,

Cathy

I have seen places using I pads but almost exclusively to just have patients sign documents. 

If you are using service level authorizations for your Beacon module Therapy Plans, I would love to connect. I am trying to get information related to the claims process piece specifically. Thanks, 

jdjordan@health.ucsd.edu

Does anyone using EPIC have a process that incorporates both PB and HB (SBO) in a pre-service payment plan for OB patients? I'm looking to connect and collaborate—if you have an established process or are currently working on developing one and would be open to sharing insights, I'd love to connect!

Thank you! 

Sandra Waggoner, MBA 

Texas Health Resources 

I had someone reach out to me for an Epic question need some industry insight (please) in regards to scheduling and authorizations 😉  I know a BIG ask! 

1. Hospital / Organization
2. Do you schedule first, then Authorize?
3. Does your team work out of both Patient and Referral WQs?  If so, why?
4. Do you have Epic set up to drive the order simultaneously to scheduling and to auth procurement?
5. What happens if auth isn’t secure by day of procedure?
6. Do you have a good process around the ASA table?
7. Do you have a special process for High cost drugs?

If you feel you have a practice that is working well, can you share the workflow?

Please let me know if you want a copy of what I compile and I will send your way as well. 

Thanks

Patti Consolver

p.consolver@thewilshiregroup.net

See you at NAHAM ’24!

Thanks!

Hello,

My organization is working to standardize our patient wrist banding process. Our registration experience is in the process of being transformed, modernized, and simplified in order to meet consumer expectations, reduce expense, and stabilize the workforce. We have rolled out many self-service check-in options for our patients such as Epic Welcome on tablets, Kiosks and the use of Hello Patient. With this shift, we need to look at opportunities to make changes to other areas of work that were historically owned by a staff member at a desk on our patient access team. How are other organizations with self-service check-in devices handling patient wrist banding?

In Texas we will be experiencing a "unwinding of Medicaid". I was hoping from a patient experience standpoint, someone has some marketplace education for the patients they are willing to share 

I am looking to talk with someone who has successfully implemented authorization requirements at the payer level based on CPT codes for their health care system.  I am looking to learn about the benefits and risks associated with such a build and how this can be accomplished and maintained.  You can reach me at balakr@amc.edu.

Many thanks

ReBecca Balak, MBA, CHAM, CRCR

Epic Analyst I

Cadence/Prelude/Referrals/Auth and RTE

How do you plan on gathering the information from the additional providers? Is there a way to automate this information in the estimates workflow?

I am curious to hear what other organizations do to help support employee growth within patient access. We are currently expanding our career ladder to provide to patient access staff to help support growth within our organization, and are interested in seeing what other organization are doing. I have attached a copy of our current ladder for reference. Please feel free to include feedback or any additional thoughts of topics of focus that we should include. 

Lucianna Easton, MBA, CHAA

Patient Access Associate Educator and Team Lead- Float Pool

Connecticut Children’s

My health system is in the pre-work stage of our EPIC Implementation.  I would love the opportunity to speak with and/or receive a workflow document outlining the Surgical Scheduling/Booking process in EPIC.

1.  Clinic determines patient needs surgery?

2.  How is the surgical authorization for Physician and Hospital obtained - does the case go to worklist; or is authorization obtained prior any order or request for

      surgical services?

2.  How are surgical cases booked in EPIC?

3.  How is the OR scheduling process - room, date and time of surgical procedure managed?

4.  How is pre-admission testing factored into the surgical booking workflow?

Some of these questions maybe a moot point - but as noted just beginning our journey.

Many thanks to my fellow EPIC Users!  I am phoning friends :)

Cathy

Thank you! 

If you are using the Epic "anonymous patient" process (state names and colors), how quickly do you revise the registration to the patient's correct demographic info.  In our legacy system, that was done 3 days after admission.  Now we are waiting until after discharge.  Is that the norm?