About this Presentation

The back office (billing) phase of hospitals is a source of challenge and of low hanging fruit. The volume of backlog to process charts accurately to ensure maximum reimbursement is vital to attaining throughput: the more errors, delays, etc. that occur exposes hospitals to possible fraud and contributes to uncollectible revenues. This session demonstrates how the five focusing steps (5 FS) were applied to align the efforts of the back office for a Florida hospital.

What Will You Learn

To help you get the most value from this session, we’ve highlighted a few key points. These takeaways capture the main ideas and practical insights from the presentation, making it easier for you to review, reflect, and apply what you’ve learned.

Plane
The speaker identifies the coding department as a bottleneck in the process and suggests changes to improve its efficiency.
The speaker discusses the challenges of implementing these changes, including potential resistance from other departments and the need for increased capacity in the coding department.
The speaker suggests that the changes could result in significant financial gains for the hospital.

Instructor(s)

Jennifer Eckman

Ms Alka Wadhwa

Alka Wadhwa is an experienced consultant and process improvement expert with over 24 years of expertise in the Theory of Constraints (TOC), Lean Six Sigma, and organizational performance optimization. She has successfully led projects in healthcare, financial services, and manufacturing, driving significant improvements such as a 67% boost in hospital operations and a 140% increase in outpatient visits. Previously, Alka Wadhwa spent 17+ years at GE Global Research Center, where she led initiatives to enhance various GE businesses through advanced technologies, process redesign, and system optimization. Founder of Better Solutions Consulting, LLC, she specializes in using TOC, Six Sigma, and data analytics to streamline operations and build high-performance teams. Her work has earned her multiple accolades, including the Empire State Award of Excellence in healthcare.

Dr Gary Wadhwa

Dr. Gary Wadhwa is a Board Certified Oral & Maxillofacial Surgeon with extensive experience in the field. He completed his Oral & Maxillofacial Surgery training at Montefiore Hospital, Albert Einstein College of Medicine in Bronx, NY, and has served as an Attending at prestigious institutions like St. Peters Hospitals, Ellis Hospital, and Beth Israel Hospital in NY. With a career spanning over two decades, he was the former CEO and President of a group specialty practice in NY from 1994 to 2015. Dr. Wadhwa holds an MBA from UT at Knoxville, TN, and has undergone additional training in System Dynamics at MIT, Health System Management at Harvard Business School, and Entrepreneurship and healthcare innovations at Columbia Business School. Committed to expanding access to Oral & Maxillofacial Surgery care, he is currently engaged in a meaningful project to provide healthcare services to underserved populations in inner city and rural areas through non-profit Community Health Centers.

Become a Member Today

Ignite your TOC journey—gain powerful tools and insights, connect with a global network of innovators, and invest in your growth with everything TOCICO membership has to offer.