How New HIPAA-Compliant Technologies Can Reduce the Complexities of “Bill Only” Implant Case Management, Driving Improved Efficiencies and Accountability
The Problem
Hospitals, healthcare systems and providers face complicated, costly and time-consuming requirements associated with managing Implant Case Management “bill only” cases. Most hospital IT systems, however, are not designed to manage the complex requirements of these cases.
As a result, case preparation, usage recording, reconciliation, contract compliance and billing activities must be handled manually and are thus highly labor intensive. The current process is also heavily dependent on multiple stakeholders, including providers, implant manufacturers and vendors, operating independently to plan, manage, track and bill implant surgeries.
This produces a lack of visibility and transparency in an already complex process, which, in turn, is leading to increased costs as reimbursements continue to decrease.
The Solution
Utilizing a HIPAA-compliant cloud-based platform, Surgery Exchange brings all stakeholders into a collaborative environment, providing the transparency and visibility needed to automate and manage the costly and time-consuming end to end activities associated with bill only implant surgeries. The outcome produces measurable cost-savings opportunities while driving improved efficiencies and accountability.
Surgery Exchange does not replace hospital systems. Rather, it brings these systems, hospital staff and all stakeholders together into an efficient, automated platform that optimizes activities through a proven, technology-driven method – reducing manpower duplications and redundancies.
This helps break down silos and enables the implementation of a “lean” proactive workflow in accordance with hospital defined rules, facilitating communication among all stakeholders when managing implant procedures. It also helps eliminate redundant manual tasks and bottlenecks to improve workflow efficiency.
Additionally, the Surgery Exchange platform is capable of incorporating a host of powerful solutions including contract enforcement, managing and controlling implants, loaner trays and instruments required for the case to further extend its capabilities. This encompasses hospital logistics specific to owned and vendor consigned inventories, as well as trays and instruments.
By alleviating the lack of transparency and visibility in bill only implant cases, Surgery Exchange enables the hospital to be in control, ultimately allowing case teams to focus on patient outcomes and not on the stresses associated with managing the current complex process.
