Wisconsin Department of Health Services Uses InsightCS® to Leverage State-Wide CBO Model

“InsightCS® has provided the State of Wisconsin with a tool to actively manage the revenue cycle for our Inpatient facilities and to better allocate limited staff resources to achieve significantly improved collection outcomes.”

Troy Kitzrow
Supervisor, Billing and Collections

The State of Wisconsin Department of Health Services (DHS) is an organization comprised of a statewide health care Integrated Delivery System (IDS) that includes seven remote psychiatric sites and a Central Business Office in Madison.

In 1998, The State of Wisconsin had a key initiative which called for all State healthcare service agencies to electronically capture and maintain accurate, current guarantor, patient and insurance information.   At the same time, the Department of Health Services was preparing to establish a Central Business Office (CBO) model which could be leveraged by all of the State’s psychiatric facilities.

DHS went in search of a new health information solution to replace their outdated legacy system.  They had very specific requirements for the system they would ultimately select both for HIPAA compliance and for its ability to meet the unique processing and reporting needs of a state agency.

In addition, the organization wanted a solution that would enable it to increase operational efficiencies by establishing a Centralized Business Office (CBO) model which could be leveraged by all seven of its remote psychiatric facilities.   

After an exhaustive and thorough search, the organization selected Stockell Healthcare’s InsightCS® Revenue Cycle Information Management system featuring a full suite of Patient Access, Patient Accounting, and Claims Management solutions.  

Less than one year from that selection, the system was installed and operational both at the CBO and each of the seven remote sites.  A significant amount of new functionality was also added including Legal Status Data Sets, a whole new module for  Resident Trust Fund Accounting, County Board 51 billing, and Intenstive Treatment Plan billing.  

In 2009, DHS added Residential Care Center billing to InsightCS®.  This program brought an entire billing function back to the State which had been farmed out to contractors.

With InsightCS®, the organization has been able to dramatically increase the percentage of first-time clean claims submissions, and reduce Medicaid payment remittance time from nearly 60 days to less than 2 weeks.   Plus, the centralized InsightCS® execution model frees up the operational staff for the seven remote sites to focus more time on process improvements.