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BPIP

University Physicians, the faculty practice for the UK Chandler Medical Center, provide outpatient services in Kentucky Clinic. Responding to a challenge from the Dean of the College of Medicine in the Fall of 1999, University Physicians, in partnership with their practice plan Kentucky Medical Services Foundation ( KMSF), embarked on a program to maximize clinical revenue. This initiative was entitled BPIP: Business Process Improvement Program, and it required the integration of business and clinical processes throughout the revenue continuum – from patient scheduling to delinquent account management.

BPIP evaluated 10 processes which were grouped according to where the effort was expended in the revenue continuum:

Front: Scheduling, Financial Counseling, Cash at Time of Service, and Registration Accuracy

Middle: Point of Service Charge Entry, Fee Reconciliation, and Encounter Control

Back: Internal and External Collections

Physician office staff perform the front and middle processes, while the billing and collection processes are performed by the practice plan ( KMSF) staff.

BPIP has been a major success because:

Revenue has far exceeded initial projections;

Financial counseling effort – initially projected to bring in $65,000 a month – is averaging over $672,500/per month;

Registration accuracy has increased to 92 percent overall;

Fee capture/tracking ensures a fee is submitted for every eligible visit;

Fee entry was transferred from practice plan staff to point of service. The percentage of charges entered within 120 hours after the visit has risen from 37 percent in 1999 to 80 percent in 2003, with the ultimate goal being 90 percent;

Career ladders were established for registrars and schedulers, previously dead-end positions;

25% reduction in reworked claims due to registration.

For additional information on individual projects, please click on Front, Middle or Back.

New Off-Campus Patient Care Programs
(Internal Use Only)