AUGUST 9 11, 2016 ACE 2016...Ajit Sett - Vice President, Sunrise Revenue Cycle Solutions • Sunrise...

ACE 2016

AUGUST 9 – 11, 2016

Sunrise Revenue Cycle Management

Past, Present, Future

AUGUST 9, 2016

Copyright © 2016 Allscripts Healthcare Solutions, Inc. 3

Past, Present, Future Agenda

• Revenue Cycle Management Team

• Access Manager

• Sunrise Financial Manager

• Sunrise Patient Financial Manager

• Questions & Answers




• Access Manager





Revenue Cycle Management TeamAjit Sett - Vice President, Sunrise Revenue Cycle Solutions

• Sunrise Access Manager (Enterprise Scheduling and Enterprise Registration):

– Mickey Ross, Director, Solutions Management

– Amita Mishra, Solutions Manager

– Marsha Downey, Senior Manager, Solutions Management

• Sunrise Financial Manager:

– Pam Fleury, Director, Solutions Management

– Angelica Ray, Senior Solutions Manager

– Joseph Salerno - Senior Solutions Manager

– Mitchell Cohen - Solutions Manager

– John Randzo - Senior Manager Revenue Cycle Implementations




• Access Manager

– Roadmap

– Feature Highlights




Copyright © 2016 Allscripts Healthcare Solutions, Inc.BC Roadmap Template v11.0

7

“Allscripts Confidential Information”. Descriptions of solutions, features, and functionality in this document reflect Allscripts’ general product direction on the date noted and do not constitute a commitment by Allscripts to

develop or provide any such items. The development, release, and timing of any features and functionality remain at Allscripts’ sole discretion, and are subject to change (with or without further communication). This

material is for information purposes only, should not be relied on in making a purchasing decision, and does not constitute s olution documentation or a commitment, promise, or legal obligation to deliver any material, code,

or functionality.

Sunrise Access Manager External Roadmap2016 H2 2017 H1 Future

Release 16.3 16.3 CUs Future

Theme MU3

Voice of the Customer

Product Integration

Voice of the Customer

Scheduling and Financial Clearance

Voice of the Customers

Key Features

• Appointment reminders

• Multi-event recurring

• Diagnosis/procedure screen

• Transport tab

• Decrementing authorization by checked-in appt

• Access to visit w/in booking process

• MLMs added to referral

• Auto re-registration

• Multi time zone

• Book multiple appointments on same day

• New recurrence pattern for surgical blocks

• Batch eligibility

• Configurable calendar view

• Omnibus requirements for visit-level privacy

• Automated comments for eligibility

• Turn on/off MSP/MNC by Visit Type

• VWF enhancement to rules engine and work queues

• Dialog customization uplift

• Enhance Orders/Scheduling workflow

• Visit-level privacy (continued from 16.3)

• Practice Management workflow support

• Self-Scheduling from patient portal

• Enhance ES search engine

• Multiple scheduling views per user

• Drag and drop block appointments

• Limit who can view/update resource’s

schedules/appointments

• Enhance Appointment/Visit integration

• Customizable wizard for booking

appointments

• Enhance ES search engine

• Support for Multi-location schedules

• Limit number of events per slots

• Enhance rescheduling of appointment –

change resource and/or event

• Able to add exceptions to schedule from

calendar

• Able to apply exception to multiple

resources

• Workflow enhancements for financial

clearance

Regulatory • Race/Ethnicity/Preferred Language

• Gender Identity/Sexual Orientation

Technology, Integration

& Innovation

AM to utilize Sunrise Application Monitor

functionality

Copyright © 2016 Allscripts Healthcare Solutions, Inc.BC Roadmap Template v11.0

8

Sunrise Access Manager- Feature Highlights• 16.3:

– New recurrence pattern for surgical blocks

– VWF enhancement to rules engine and work queues

• 16.3 CUs

– Enhance Orders/Scheduling workflow

– Dialog Customization Uplift

• Future

– Customizable wizard for booking appointments

– Workflow enhancements for financial clearance




• Access Manager





Sunrise Financial Manager Agenda

• Sunrise Financial Manager Vision

• Execution to the Vision

• Where We Are

• Momentum

• Roadmap

• Feature Highlights

• Client Outreach





• Where We Are

• Momentum

• Roadmap

• Release 16.3 Occupational Health

• Client Outreach

| Copyright © 2012 Allscripts Healthcare Solutions, Inc.A Connected Community of Health

Sunrise ClinicalsSunrise Revenue Cycle

Management

Sunrise

Access

Manager

Sunrise

Financial

Manager

Sunrise Platform

and Database

Sunrise Acute

Care

Sunrise

Ambulatory

Care

Connect and Share Information Sunrise Financial Manager Vision

One Platform, One Network, One Patient


Execution to the Vision

• Financials on the Sunrise Platform

• Enterprise Revenue Management

• Episode of Care Financial Management

• Analytics Across the Continuum of Care

• Proactive, Exception Based Processing

• Streamlined Model Workflows

• Configurable Workflows & Work Queues

• Poised to Support Tomorrow’s Requirements

Today

ANALYTICS & INSIGHTS

A HEALTHY CORE

PATIENT CENTERED

PLATFORM

CORE CLINICAL CORE FINANCIAL

CARE

COORDINATION

& CONNECTIVITY

PATIENT & CONSUMER

ENGAGEMENT





• Where We Are

• Momentum

• Roadmap

• Key Feature Highlights

• Client Outreach


Where We Are• Support the Breadth of Revenue Management Functionality, including embedded:

– Expected Reimbursement

– Denial Management

– Work Queues

• Release Updates:

– 15.3 GA on March 18, 2016

– 16.3 GA Scheduled for August 31, 2016

• Aligned with Sunrise Processes:

– Release Numbers and Cycle

– Cumulative Updates (CUs)

• Vehicle for Delivery of Break/Fix items

• Note: Occasionally may deliver net new features


Momentum: Live Customers

184 Beds August 2015

51 Beds May 2016

72 Beds June 2016

150 Beds July 2015

676/3000 Beds

9/17 Facilities

Phase 1 Started 2013


Momentum: Implementing & On Deck

287 Beds

933 Beds

269 Beds

243 beds

73 Beds 250 Beds

385 Beds

340 Beds

5 Groups/XXX Docs

350 Beds

3 Hospitals

5 Specialty Centers

9 Clinics





• Where We Are

• Momentum

• Roadmap


• Client Outreach

Copyright © 2016 Allscripts Healthcare, LLC. All hard copies of this document are to be considered FOR REFERENCE ONLY.BC External Roadmap Template v14.0 19

Sunrise Financial Manager External Roadmap 2016 H2 2016 H2 2017 H1 Future

Release 16.3 16.3.3 16.3.6 17.3

ThemeEnhanced Revenue Cycle Management

functionality with focus on additional State

requirements, Specialty Lines of Business and

Practice Management.

Enhanced Revenue Cycle Management

functionality with focus on additional

State requirements, and Practice

Management.


functionality with focus on additional

State requirements.


functionality with focus on additional state

requirements, international requirements and

enhanced operational functionality.

Key Features• Occupational (Organizational Guarantor) and

Individual Guarantor Billing Enhancements

• Multi-Time Zone Support

• Specialty Billing:

• Skilled Nursing Facility (SNF) PPS

• Inpatient Psychiatric Facility (IPF) PPS

• Rural Health Clinic Expected

Reimbursement

• Practice Management:

• Non-Physician Practitioners (NPPs) Billing

and Reimbursement

• Anesthesia Billing and Reimbursement

• Enhanced Revenue Value Units (RVU)

• Enhanced General Ledger Mapping

Attributes

• Lab Panel Billing Support

• Enhanced Insurance Update Processing

• Expanded tools to support Bad Debt &

Early Accounts Receivable

Outplacement capabilities

• Expanded Ambulatory Payment

Classification linking capabilities

• Reporting:

• Enhanced Discharged But Not

Final Billed Report

• Claim Editing Enhancements

• Enhancements for moving charges

between Episodes

• More Flexible 837 Data Formatting

capabilities

• Streamlined Follow Up Workflows

• Expanded Rule Set Usability and

Performance

• Reporting:

• Daily Financial Controller Report

• Expanded interim billing support

• Customizable charge entry screens supporting

interfaced and manual entry charging

• Expand automated charity care adjustments

• Expanded support of customized insurance

screens

• Batch management support for refunds

• Enhanced patient guarantor statement

workflows including processes for patients

without addresses

• Reporting:

• Expanded delivery of operational reports

Regulatory Features• California State Billing, Florida State

Reporting, SNF Other Medicare Required

Assessment (OMRA) Billing

• Pennsylvania State Billing & Reporting,

New Jersey State Billing, Indian Health

Services (IHS) Billing and

Reimbursement, Confidential Address,

Visit Privacy

• West Virginia and Missouri State

Billing & Reporting.

• Enhancements for New York Billing & SPARCS

Reporting, North Carolina Billing and State

Reporting

Technology, Integration &

Innovation

• Minimum requirements

• Windows Server 2008

• SQL Server 2012 SP1 CU3

“Allscripts Confidential Information”. Descriptions of solutions, features, and functionality in this document reflect Allscripts’ general product direction on the date noted and do not constitute a commitment by Allscripts to develop or provide any

such items. The development, release, and timing of any features and functionality remain at Allscripts’ sole discretion, and are subject to change (with or without further communication). This material is for information purposes only, should not be

relied on in making a purchasing decision, and does not constitute solution documentation or a commitment, promise, or legal obligation to deliver any material, code, or functionality .

Copyright © 2016 Allscripts Healthcare, LLC. All hard copies of this document are to be considered FOR REFERENCE ONLY.BC External Roadmap Template v14.0 20

Sunrise Financial Manager- Feature Highlights

• 16.3:

– Occupational (Organizational Guarantor) and Individual Guarantor Billing

Enhancements

– Anesthesia Billing and Reimbursement

• 16.3 CUs

– Enhanced Insurance Update Processing

– Streamlined Follow Up Workflows

• Future

– Expanded support of customized insurance screens

– Enhanced patient guarantor statement workflows





• Where We Are

• Momentum

• Roadmap


• Client Outreach


Client Outreach



• Introductions of the Revenue Cycle Management Team

• Access Manager



– Roadmap

– Feature Highlights


25A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc.BC Roadmap Template v5.0

2016 H1 2016 H2 2017

Release 5.9 5.9 Patch 17.3

Theme Regulatory, Integration Enhancements,

Operational Improvements

Regulatory, Integration Enhancements, Client

Ideas

Data Analysis, Future Payment

Methodology Support

Key Features

• Specialty billing updates:

• Ambulance billing

• Rural Health

• Anesthesia

• Follow My Health Integration

• Registration Enhancements

• Support Sunrise Access

Manager Visit History

• Admit date restrictions for

specific visit types

• Observation charging supports

accommodation changes

• Capture 4 modifiers for CPTs

• Supports tiered co-pays for expected

reimbursement

• Expanded transaction units to 7

• Support individual batch processing

• Regulatory updates

• Expanded support for inpatient and

observation visits and associated room

charges

• Expanded support for combining multiple

outpatient visits

• MU3 Compatibility Updates

• Race and Ethnicity

• Gender

• Regulatory updates

• Expanded Work Quality

Monitor functions

• Expand IRF support

• Expanded integration of

ambulance billing with

Sunrise Access Manager

• Expanded reimbursement

management

• Expanded foreign address

support

• HIPPA updates

• SSN Masking

Technology,

Integration &

Innovation

Minimum requirements:

Cache 2013

AIX 6.1, Internet Explorer 9,10


Cache 2013


• Cache 2015, 2016.2

Supporting

Programs

Minimum requirements

Cache 2010, 2011



Cache 2013



Cache 2013


“Allscripts Confidential Information”. Descriptions of solutions, features, and functionality in this document reflect Allscripts’ general product direction on the date noted

and do not constitute a commitment by Allscripts to develop or provide any such items. The development, release, and timing of any features and functionality remain at

Allscripts’ sole discretion, and are subject to change (with or without further communication). This material is for information purposes only, should not be relied on in

making a purchasing decision, and does not constitute solution documentation or a commitment, promise, or legal obligation to deliver any material, code, or functionality.

Sunrise Patient Financial Manager External Roadmap

26A Connected Community of Health | Copyright © 2014 Allscripts Healthcare Solutions, Inc.BC Roadmap Template v5.0

Sunrise Patient Financial Manager- Feature Highlights

• Release 5.9

– Follow My Health Integration

– Registration Enhancements

• 5.9 Patch

– Expanded support for combining multiple outpatient visits

• Future

– Expanded Work Quality Monitor functions

– Expanded reimbursement management



• Introductions of the Revenue Cycle Management Team

• Access Manager




AUGUST 9 11, 2016 ACE 2016...Ajit Sett - Vice President, Sunrise Revenue Cycle Solutions • Sunrise...

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