In 2003, HCA implemented a Champion-Challenge process in which its subsidiary, NPAS would compete in head-to-head competition with a competitor to perform early-out account services in a controlled test environment. HCA felt this process would confirm whether the best process was in place internally to best handle the biggest portion of their business – private pay accounts, by ultimately showing which organization produced the best results with the lowest costs.
Each year, HCA conducts a search for reputable agencies to use as the Challenger based on the firm’s size, reputation, technological acumen and references. Self pay and Copay/Deductible accounts are divided between each party on an alpha split of the patient’s last name. Both NPAS and the selected Challenger are required to report monthly results in order to verify that the accounts being worked by both parties are similar in characteristics. Indicators such as number of accounts, average balance size and average age of the accounts along with cash amounts and percentages are used to track results from both parties. The Champion Challenge process will run a minimum of a 12-month period and below are the year-to-date results for the 2007 Champion Challenge.