Solutions

Proxsys offers innovative web-based solutions in preadmissions to healthcare facilities, providing convenience for the patient, and ultimately, adding customer satisfaction. Our staff of highly qualified Admissions Specialists are dedicated to providing convenient, attentive, caring personal service to your patients.

Proxsys is involved in the collection of patient information, scheduling of procedures, admitting of both inpatients and outpatients, and transmitting patient data to appropriate areas within healthcare organizations. Critical points in the process involve communications with physician offices, insurance payors for purpose of precertification and approval requirements, hospitals, outpatient facilities and patients. Additionally, Proxsys provides the security and electronic storage capabilities to safely protect and warehouse patient data. Proxsys is HIPAA compliant. Click here for details.

KEY REVENUE CYCLE METRICS

Key Revenue Cycle Performance Area

Relevant Metrics

Best Practice Target(s) Range

Patient Access Quality

Physician authorization compliance

95% Compliance

Inpatient admissions error ratio

<3% error

Outpatient registration error ratio

<3% error

Point-of-service (POS) collections

Collect $45 per eligible encounter (average)

% of preregistered accounts (inpatient)

40%

% of preregistered accounts (outpatient)

20%

Case Management

Payer acceptance of clinical treatment plan

(based on authorization)

95% acceptance

Clinical denials overturn rate

95%

Health Information Management (HIM) Quality)

DNFB and HIM billholds

Awaiting coding

<0.5 day in A/R

Awaiting dictation

<0.5 day in A/R

Charge capture quality

98% compliance

Obtained from HFMA, September 2004 Issue

Key Revenue Cycle Performance Area	Relevant Metrics	Best Practice Target(s) Range
Patient Access Quality	Physician authorization compliance	95% Compliance
	Inpatient admissions error ratio	<3% error
	Outpatient registration error ratio	<3% error
	Point-of-service (POS) collections	Collect $45 per eligible encounter (average)
	% of preregistered accounts (inpatient)	40%
	% of preregistered accounts (outpatient)	20%
Case Management	Payer acceptance of clinical treatment plan (based on authorization)	95% acceptance
Case Management	Clinical denials overturn rate	95%
Health Information Management (HIM) Quality)	DNFB and HIM billholds
	Awaiting coding	<0.5 day in A/R
	Awaiting dictation	<0.5 day in A/R
	Charge capture quality	98% compliance