Service line 04 - Consecutive accounts

Consecutive Accounts Optimization

One matrix. One source of truth. HB.

Consecutive account rules - the 72-hour rule, same-day readmits, transfers and overlapping stays, PHP overlap, ESRD consolidation, recurring accounts - accumulate as scattered configuration over years, and the result is duplicate billing, missed bundling, and coder rework nobody can trace to a decision. This engagement replaces that with a Consecutive Accounts Matrix organized by payer grouping and base class (IP, OP, ED), with documented rules for when accounts combine, flag, or transfer charges, and facility-level configuration where the organization supports it.

What we deliver

Consecutive Accounts Matrix by payer grouping and base class
Configuration build with technical and plain-English documentation
Testing plan and results
Training materials and recordings
Go-live readiness checklist

How the engagement runs

The matrix is built to your facility and ownership structure, not a template.

Discovery inventories every place consecutive-account behavior is configured today and confirms payer groupings and base classes. The matrix then becomes the single place those decisions live.

Discovery

4 wks

Build

8 wks

Test

4 wks

Go-live support

6 wks

What we measure

Technical outcomes, at baseline and 90 days after go-live.

Matrix coverageShare of consecutive-account scenarios governed by the matrix rather than ad hoc configuration.

Automated handlingAccounts auto-combined or auto-flagged without manual intervention.

Coder reworkManual corrections on consecutive accounts.

Pricing

ServiceFixed fee

Consecutive Accounts Optimization - HB

$175,000

Covers all service areas under one operational owner. Each additional operational owner is +30% per the standard modifiers. Bundle with any other service: 15% off the second, 20% off the third and beyond.

Modifiers

Two or more services in one contract: 15% off the second, 20% off the third and each additional, applied to the lower-priced services
Each additional service area, same operational owner: +15%
Each additional operational owner: +30%
Payers beyond five, where payer count drives build: flat per-payer add

Assumptions

All service areas under one operational owner per fee
One client analyst participates 1-2 hours per week for knowledge transfer; client resources do not perform build or testing
Production and a recent-clone environment available for the duration
Current configuration, test accounts, representative files, and SME access provided within 10 business days of start
Any clearing-vendor engagement required by scope is complete before start

Warranty

One-year warranty on all in-scope deliverables, covering configuration degradation from Epic upgrades or defects within the original scope. Full build documentation, plain-English user guides, and recorded training delivered at go-live.

Book a scoping call

Scoping inventories your current consecutive-account configuration and confirms ownership.