The Gwinnett Health System, a three-hospital integrated delivery network in Lawrenceville, Ga., plans to implement a new revenue cycle management solution in part to help detect errors made during the patient registration process.
The health system has selected the Registration Quality Improvement, or RQi enterprise, system from the Orlando, Fla.-based Kramer Group. The RQi system is Web-based.
Cynamin Kinard, Gwinnett's patient access director, said less than 5 percent of registrations at the system's hospitals are reviewed each month for quality assurance. Systems officials want an automated revenue cycle system, she said, to ensure review of all registrations.
"It creates real-time dashboards so that patient access specialists get immediate feedback," said Kinard.
She said the new system would support both real-time and batch processing, which is essential.
"Real-time processing alone doesn't really work in the real world," Kinard said. "Sometimes a patient access specialist can fix errors immediately, but when they are busy, we need to be able to fix errors later in the day."
Kinard said Gwinnett also wants the new system to identify training needs by individual, area or for all patient access specialists.
Chuck Kramer, president and CEO of the Kramer Group, said Gwinnett would likely see a positive return-on-investment within one year, when compared to past write-offs from denials, the cost of the manual QA function and the cost for debt collection, among other factors.