Why Automating New Referring Provider Profile Creation is a Big Financial Win for Hospitals

By Thomas White | October 21, 2014

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A relatively unknown but significant issue that hospitals encounter daily is the management of new “referring” providers of patients. This problem affects 5-10% of all new admits in the hospital. Often, the scheduling or registration teams won’t find a patient’s referring physician in their EMR. The lack of this data being present in the EMR can occur because of various reasons; the provider might have just moved in the area, the patient lives somewhere else, and there is no single source for provider data. 

The issue with revenue cycle is that hospitals cannot complete the discharge invoice without having accurate provider information in the EMR. The impact to a hospital is the delay (anywhere from two weeks to a month) of between 3-7% of total revenue. This is a tremendous amount of money. 

At PHYND, we have spent a lot time thinking about how we can solve this issue for hospitals. PHYND contains accurate profiles on all licensed providers while each one has their own Universal Provider Profile (UPP) in PHYND that is fully integrated with the EMR. Hospital personnel involved in Registration or Scheduling simply search our PHYND database, enable a provider, and within seconds that provider populates the EMR with accurate data in their health system. This evolution in adding providers to the EMR eliminates the issues and frees up all attributed delays in the revenue cycle. 

Before PHYND, hospitals have historically put staff on the issue. Typically these are IT employees who work on the EMR. The costs are significant. It takes three or more full time employees to handle the load of new providers and correctly build new providers that can be used in the revenue cycle. With PHYND there is no need for these employees because the hard part is done in registration or scheduling up-front in the service.

Thomas White

Written by Thomas White

Before founding Phynd, Tom co-founded Newscast Inc. and Vocada, Inc. With over 20 years of leadership experience, Tom has applied his knowledge in building software companies and creating new software categories from idea to large market share. He also serves as a mentor to the start-up accelerator Health Wildcatters.

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