Integrated HealthCare - Bon Secours  
 
Bon Secours & Canterbury Partnership for Care
Bon Secours & Canterbury Partnership for Care (BSCPC) is a New Jersey health system consisting of St. Mary Hospital in Hoboken, St. Francis and Christ Hospitals in Jersey City, and the Franciscan Home and Rehabilitation Center in Jersey City.  IHC was retained by BSCPC to provide the following physician-related services.
 

Emergency Room Privatization                                                                                                                   IHC's initial assignment was a financial feasibility study of the impact of privatization of the physician component of Emergency Room services at St. Mary and St. Francis hospitals, with a combined annual volume of 40,000 visits.  This study involved a review of volume, payer mix, physician staffing levels and salaries, malpractice expenses, physician coding and productivity, registration procedures and other relevant operating costs.  Additionally, a break-even report with a sensitivity analysis and a multi-year forecast was developed.  Based on these analyses, BSCPC made the decision to privatize emergency room services.
 

Creation of Central Billing Office (CBO)                                                                                                      IHC was later retained to develop and implement a central billing office for all physicians employed by the health system.  The purpose of this assignment was to ensure that all services performed by salaried physicians were captured and billed. The project consisted of a comprehensive physician analysis and credentialing, the development of a charge system, and the implementation of the CBO. 

   
  Physician Analysis and Credentialing
 

IHC first audited the patient care services provided by the hospitals' employed physicians.  Based upon this analysis, all potential billable services were identified and billed appropriately.  Our physician analysis also identified a substantial number of employed physicians who were not fully credentialed with third party payers.  IHC consultants gathered the data necessary to complete the credentialing applications and obtained third party payer approvals.
   
  Development of a Charge System
  In order to ensure the optimal maximization of physician billing, IHC reviewed current insurance fee schedules and updated encounter forms, benchmarked physician productivity and billing office performance standards, and streamlined the billing process.
   
Interim CBO Management
As a result of the project’s success, BSCPC subsequently engaged IHC to provide interim management and support services to the physician central billing office.  During this engagement, IHC increased collections by $1.5 million, or 40%.  At the end of the assignment, IHC assisted with the search for a permanent billing company to manage the CBO.
 
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