Case Study

An agile approach to charge capture processes provides added value for not-for-profit healthcare organization

Case Study

An agile approach to charge capture processes provides added value for not-for-profit healthcare organization

Client background

A not-for-profit healthcare organization with six hospitals, nearly 700 primary care and specialty providers at 75 locations, and 19 convenient urgent care locations, approached Baker Tilly to perform a charge capture internal audit at the physician practice groups’ level.

Business challenge

Physician practices groups at the client had approximately 75 locations and various levels of compliance with capturing charges. The client requested that Baker Tilly perform a physician practices’ charge capture processes review. Baker Tilly held a brainstorming meeting with the business owners of the physician practices team to identify the most effective ways to review and add value to the charge capture processes.

Baker Tilly approach

Baker Tilly and the physician practices team concluded that an agile internal audit would be the best approach. Having the ability to modify and adapt the internal audit to gather insights from each of the reviews and apply in an iterative fashion to subsequent audits would offer a better outcome than a narrow-focused single audit approach. Using the scrum framework to apply agile principles, the goals of the audit were broken down into three sprints each lasting approximately two weeks.

Business impact

The client received feedback more quickly through an iterative process by applying an agile approach to the audit. The audit approach was adapted throughout the process by applying lessons learned from each sprint. Management had more buy-in to internal audit recommendations since they were included as a collaborative partner throughout the process.

For more information on this topic, or to learn how Baker Tilly specialists can help, contact our team.

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