CARS was developed over the past several years through a collaboration between Allina and LogiSolve to reduce the amount of resources needed to reconcile incoming cash and payer 835’s. Since implementing CARS in 2009, Allina has increased operational efficiency and reduced expense while improving its ability to reconcile cash throughout all of its facilities.

For more information regarding the CARS solution, please visit www.logisolve.com/CARS

full position description 

full position description 

The Client

BlueCross BlueShield of Minnesota (BCBSMN), one of the state’s premier healthcare organizations.

The Challenge

BCBSMN embarked upon on a very large, cross-organizational, mission critical, highly visible, Claims Migration program to replace their 40 year old legacy claims system with two separate outsourced vendor systems. This program involved significant changes in technology, business process, and organizational culture. It required the utilization of a large number of industry-experienced, senior-level, contract PM and BSA consultants with a combination of strong technical expertise, strong specific healthcare knowledge, excellent facilitation skills, and intangible soft skills to be successful. The ramp-up time was very short, and BCBSMN was looking for a way to keep costs low, while quickly finding and onboarding a large number of quality consulting resources to come in and establish rapport with the business and produce results quickly.

The Solution

LogiSolve proposed and won the contract to provide a risk-sharing single-source resource solution for the large group of Sr. Business Systems Analysts. We appointed an experienced engagement manager to perform an extensive and customized screening process to ensure the resources selected were the best fit for the positions. Our engagement manager also assisted with ongoing delivery quality by providing mentorship where needed, and established continuity within the team by sponsoring monthly team meetings, and regular one-on-one and small group meetings. We proposed a creative volume discount pricing structure which helped keep the rates well below their established rate cards.

During the ramp-up period, we placed over 25 consultants within a 2 month timeframe with ongoing additions as the project continued.

The Results

The unique combination of high-quality resources at a reduced rate within a short timeframe was noticed at the highest levels of the organization. The client was very pleased with how the process worked, the time savings it produced, and the quality of the resources placed. The client also acknowledged the more intangible benefits it received from LogiSolve throughout the process such as engagement management and overall attentive customer service.

BCBSMN was so pleased with the successes of the program with LogiSolve that it awarded LogiSolve with a contract to deepen our partnership by providing the single sourcing solution enterprise wide.

To follow is a quote from the client, Shelly Hoppe, Principal BSA and Program Lead

The Client

Allina Hospitals & Clinics is a not-for-profit family of hospitals, clinics and other care services dedicated to meeting the lifelong health care needs of communities throughout Minnesota and western Wisconsin.

The Challenge

Allina receives electronic payments and remittance notices from a variety of sources. Payments are received from sources including: Patient Cash, Large Multi-National insurance, Regional Insurance, Federal Government Programs (Medicare/Medicaid) and State Programs. Payments are also sometimes co-mingled, representing reimbursement for more than one billing entity or claims from more than one practice management system. Allina needs to be able to correlate these payments to the appropriate 835 so that they know what services have been paid for in order to appropriately allocate the funds and ensure that the posting data is being directed to the correct system.

The Solution

LogiSolve gathered functional requirements, planned, architected, built, tested and deployed a cash reconciliation system for Allina Hospital & Clinics. The solution was a .Net/BizTalk technical solution and it helped track and reconcile $500M in cash monthly, allowing for the reduction of 20 full-time employees, saving $1.5M annually (cost of system was under that amount), and equally important, allowing for the quick realization and tracking of cash for Allina.

LogiSolve performed the following roles on the project:

• Gathered business requirements
• Architected, constructed, tested and deployed the entire solution including both hardware and software
• Managed the timeline and project plan
• Assembled and managed the project delivery team

The Results

Allina Hospitals & Clinics can now track cash payments from patients, insurance companies, government agencies and all other partners in order to provide immediate data regarding unposted receipts and uncorrelated payer remittances. Allina is also able to facilitate a complete cash reconciliation between it’s central bank, practice management systems, and it’s general ledger each month. A process that used to take weeks to complete now can be completed in a matter of hours. The solution is also HIPPA/5010 Compliant.

For more information regarding the CARS solution, please visit www.logisolve.com/CARS