Johns Hopkins Health System

Automated Lockbox Processing

A Case Study

JHHS Lockbox Case Study

Project promptsA perfect storm

Nailing down the ROIOperational changesProject TeamLife after go-live

Achieving the ROILessons Learned – ongoing issues

JHHS Lockbox Case StudyProject prompts:

lockbox processing movedmaintain JHHS standardconcessions from the bankbank purchases a vendorpayers moving from paper RAs

JHHS Lockbox Case Study

Nailing down the ROIInsurance checks per monthEOB pages per checkProjected number of images per paymentAvg. Number of patient accounts per paymentVolume of lockbox correspondencePaper storage/imaging costs

JHHS Lockbox Case Study

Real ROIStaffing

Coders: reduced from 9.4 to 3 Data Entry: reduced from 6 to 3.4

Without the staffing cuts there would have been a slight monthly cost increase

JHHS Lockbox Case Study

Operational ChangesCoders trained to process electronic filesLearned reconciliation ebtween deposit and

batch summary 5010 - 835 issues Payer anomalies Paper EOBs

JHHS Lockbox Case Study

Project TeamJHHS Treasury OfficeBank & SubsidiaryClearing HouseInternal IT Support

JHHS Lockbox Case Study

Life After Go-LiveAchieving the ROI

Staff reductionsTraining

JHHS Lockbox Case Study

Lessons Learned – ongoing issuesChanging lockboxesMissing filesMatch and compareNon-835/EFT payersEFT payers with paper RAsMultiple payers in one 835Communication is key

JHHS Lockbox Case Study

Questions?