Sutter Health Approach
Accounting Concepts for Health Care Professionals
Ona Johnson
April 26, 2010
Sutter Health is a non- for-profit community based healthcare and hospital system based in Sacramento, CA. This system serves patients and their families in more than 100 Northern California cities and towns, Sutter Health doctors, hospitals and other health care service providers join resources and share expertise to advance health care quality and access. The organization takes its name from California pioneer John Sutter whose namesake fort was one of Sacramento’s original European settlements. In response to the influenza epidemic of 1918, community leaders constructed the first Sutter Hospital in the …show more content…
This process would check for problems such as when the patient type is not valid for hospital service such as:
• “Workers' compensation or liability financial class lacks accident information.
• Workers' compensation is filed with an occurrence code other than 04.
• The patient's guarantor is under 18 years old.
• The patient's marital status is widowed, but the relative is listed as husband, wife, or spouse.
• The patient type is not valid for hospital service.
• The patient is age 65 or older, but the Medicare insurance plan is missing.
• The patient had Medicare in any plan code, but the Medicare secondary payer questionnaire is missing.
• The health insurance claim number or policy ID number is missing.
• The patient address includes errors in format, punctuation, and/or abbreviations.
• The patient has duplicate medical record numbers.” (Souza) Experience has shown that a simple prompt to the registrar to collect the amount preregistration has established with the patient can make all the difference. Sutter will be testing a tool to follow the amount of money each staff member collected up front, hoping to eventually to link that tool to estimating and contract management systems so that registrars can be evaluated as well on percentages of contracted rates and established targets collected. The time to the registrar to attempt to