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Johns Hopkins Health System

Johns Hopkins Health System. Automated Lockbox Processing A Case Study. JHHS Lockbox Case Study. Project prompts A perfect storm Nailing down the ROI Operational changes Project Team Life after go-live Achieving the ROI Lessons Learned – ongoing issues. JHHS Lockbox Case Study.

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Johns Hopkins Health System

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  1. Johns Hopkins Health System Automated Lockbox Processing A Case Study

  2. JHHS Lockbox Case Study • Project prompts • A perfect storm • Nailing down the ROI • Operational changes • Project Team • Life after go-live • Achieving the ROI • Lessons Learned – ongoing issues

  3. JHHS Lockbox Case Study • Project prompts: • lockbox processing moved • maintain JHHS standard • concessions from the bank • bank purchases a vendor • payers moving from paper RAs

  4. JHHS Lockbox Case Study • Nailing down the ROI • Insurance checks per month • EOB pages per check • Projected number of images per payment • Avg. Number of patient accounts per payment • Volume of lockbox correspondence • Paper storage/imaging costs

  5. JHHS Lockbox Case Study • Real ROI • Staffing • Coders: reduced from 9.4 to 3 • Data Entry: reduced from 6 to 3.4 • Without the staffing cuts there would have been a slight monthly cost increase

  6. JHHS Lockbox Case Study • Operational Changes • Coders trained to process electronic files • Learned reconciliation ebtween deposit and batch summary • 5010 - 835 issues • Payer anomalies • Paper EOBs

  7. JHHS Lockbox Case Study • Project Team • JHHS Treasury Office • Bank & Subsidiary • Clearing House • Internal IT Support

  8. JHHS Lockbox Case Study • Life After Go-Live • Achieving the ROI • Staff reductions • Training

  9. JHHS Lockbox Case Study • Lessons Learned – ongoing issues • Changing lockboxes • Missing files • Match and compare • Non-835/EFT payers • EFT payers with paper RAs • Multiple payers in one 835 • Communication is key

  10. JHHS Lockbox Case Study Questions?

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