Bill Dunbar and Associates

 

      

Bill Dunbar and Associates (BDA) provides comprehensive and effective solutions in the health care industry. BDA focuses on three main areas – Medical Documentation and Coding Compliance, Health Informatics and Reporting, and Organizational Leadership Training and Development (both virtual and on-site).

  • BDA Medical Documentation and Coding Compliance Solutions provide revenue growth strategies to clinics and hospitals throughout the United States.
  • BDA Health Informatics Solutions provide actionable healthcare information and decision-making tools for populations, providers and patient-specific health, treatment and cost challenges.
  • Dunbar Organizational Health provides virtual and on-site training and coaching to develop a stronger health care partnership culture to drive better results for patients, providers and organizations.

BDA’s team of professionals includes certified coders, health care informaticists, data architects, trainers and coaches with decades of experience working in the health care industry. All of BDA’s solutions offer comprehensive, customized, budget-neutral programs focused on improving organizational health through developing and implementing growth strategies designed to improve its clients’ bottom-line.

 Contact:

Terri Scales, CPC, CCS-P
800-783-8014
[email protected]

 Website:

BDA Website

 Resources:

 
 

 
Navigating the Pressures of Emergency Department Revenue Capture

In the Emergency Department (ED), costs are rising, acuity is rising, but revenue is struggling to keep up with these increases. Reimbursement for patients discharged from the ED is driven by the facility’s level of service, for which there are no national guidelines, and supplemented by the capture of other procedures and services performed in the ED such as IV medications and laceration repairs. Documentation from the care providers and understanding of the “why” by all involved will result in the correct reimbursement for the services you have provided.

During the May 30 KHA Town Hall, Terri Scales, CPC, CCS-P and Cara Geary, CPC, COC, CEDC, CCS-P with Bill Dunbar and Associates (BDA) discussed the need for a team approach which includes the ED professional services providers (physician, NP, PA), nursing staff, coding, AR/ROI, and information technology. Having all stakeholders understand the “why” will ensure your facility captures the appropriate reimbursement for the services provided.

Something to think about: 

Are all Emergency Department services provided documented appropriately?  Are you accurately capturing all Emergency Department services supported by documentation, to ensure appropriate facility reimbursement?

For KHA members:

KHA’s vetted partner for outpatient clinical documentation improvement (CDI) and consulting services, Bill Dunbar & Associates (BDA), typically helps providers see net improvements at 20% for the ED facility (and 15% for the physician practices). BDA provides a solution to address the margin pressures that hospitals are experiencing. They also include a unique compensation model that shifts the risk to BDA – no need to budget for their services. BDA’s coding services are designed to improve outpatient medical documentation. Their focus is on compliance, documentation, coding, and reimbursement, and helping emergency departments and outpatient clinics reach optimal revenue capture. The training occurs at all levels of the revenue cycle (front office, back office, practitioner, etc.).