Gropp Consulting

Description

Projects designed, developed, and implemented for the Massachusetts General Physicians Organization (MGPO) Finance Systems Department, Partners Healthcare: The Cash Control application was developed with SQL Server 2005 and is used daily by the Revenue Control Department to enter payment batches, record IDX billing system posted/unposted payments and bank deposits, and monitor payment processing. A related application, the Cash Reconciliation application, was developed to provide tools for reconciling the IDX payment data to bank statement data. The Professional Billing Office Standard Reports application was developed with an Access front end and SQL Server database, and updated with data from the IDX billing system. It was used by all billing managers to provide monthly reporting packages to practices and senior leadership for 4 years (at which time most of the reports were transitioned to Cognos). Reports included actual volume/ charge/ payment performance against monthly budget, payment collection over time matched to charges, accounts receivable performance, write-off and free care, copayment collection, and service mix breakdown -- by division (department), billing area, care facility, and physician. The Chargemaster application was developed as reference tool for Professional Billing Office staff to view the hospital master fee schedule by CPT procedure code and modifiers, with the corresponding allowables for contracted payers. Included reports of volume and charges by codes billed by division, billing area, and care facility. The Dermatology Charge Capture application was developed for the Coding Department to enter dermatology charges, track coding discrepancies, manage quality assurance activity, and batch completed charges for automated submission to IDX. The Professional Billing Office Rejections application was developed for the Group Practice Management and Third Party departments to obtain monthly data (from the IDX billing system) for monitoring claim rejections and insuring that rejected charges are resubmitted for payment. The PatientKeeper ™ Reporting application was developed with SQL Server to provide daily reports of charges submitted via the PatientKeeper ™ web application for monitoring provider lag, coder lag, and submission to billing via the electronic charge entry system. A related application was created for the web application implementation team to schedule training sessions with physicians, distribute confirmation notices with training details via email, and track implementation progress. The MGH/MGPO Process Adherence application was developed for an institution wide initiative to insure referrals are obtained for patient visits to meet billing requirements. MGPO billing managers and MGH practice staff use the application to obtain reports of patient arrivals, patient transfer to the hospital referral center to resolve incomplete registration information, and staff performance statistics for practices participating in the program.

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