GUAM MEMORIAL HOSPITAL AUTHORITY

REMEDIATION PLAN (ACTION PLAN)

FY 2007

Category:

Unfavorable Settlement Rate

Premise:

Capture amount due, as predetermined by the provided interpretation of a Self Pay patient.

The goal is to shift the burden of collection from the Business Office/Patient Affairs to that of the Patient Registgration.  It is at this

point in which the Hospital has the opportunity to inform the patient of the pending charges and collect from the patient prior to the

Long Term Action:

Responsibility

Resources

Realization Date

-

Electronic Transmission of Hospital claims and reciept of reimbursement

MIS Manager

Funding

Jul-07

Realization is determinate upon the completion of compliance by insurance companies

Augmented: As part of Hospital Financial Management Improvement Plan Goal #5, Task 9.03.08 - target completion by Aug-08.

-

Paperless Environment

MIS Manager

Funding

Aug-07

Hospital has identified partial funding and is reviewing available options for a paperless environment.

The selection of the company who would be enabling the Hospital to be paperless would be required

to be compatible with the Hospital's current Information System Provider, Keane

Keane.

Augmented: As part of Hospital Financial Management Improvement Plan Goal #5, target completion by Jan-2010.

Short Term Action:

-

Post Discharge Review

Quality Management Manager

Resources exists

Feb-07

Utilization/Medical review of Hospital claims prior to the transmission to intended insurance provider\

within the Hospital