Simplifying Medicaid Billing to Serve Kansas School Districts

SITUATION

• Legacy online storage and file-sharing system was complex and lacked searchability
• Difficult navigation and manual effort frustrated employees and school districts

RESULTS

• Streamlined collaboration between school districts and Greenbush’s Medicaid and business office
• Increased accuracy and transparency
• Reclaimed time for staff to focus on serving students and families

Using a shared drive or common online storage solution like Google Drive to store and share information works — until it doesn’t. That was the case for the Southeast Kansas Education Service Center – Greenbush, an organization that offers a wide variety of services to schools, students and families throughout the state of Kansas. 

Greenbush works with 117 school districts and 18 infant toddler networks across Kansas. One critical service the organization provides is helping districts maximize their Medicaid reimbursement through special education programs. Acting as a third-party biller, Greenbush helps to process claims accurately, while managing the complex information gathering and billing requirements of Medicaid.

Recently, the Greenbush Medicaid billing team reimagined its information gathering process by replacing its BAA compliant Google Drive with a Laserfiche content services platform. The new system streamlined collaboration between the school districts and Greenbush’s Medicaid and business office, increasing accuracy and transparency, while reclaiming time for staff to focus on what matters: serving students and their families. 

Accessibility, Visibility and Searchability 

The Greenbush Medicaid billing team’s Google Drive was organized in a complex indexing system, which served the purpose of collecting and storing student information but was difficult to navigate. To help employees find specific records, the team created a series of file folders or spreadsheets that showed which students had been uploaded in which batch. District administrative contacts expressed frustration with the number of clicks it took to share or find information.

“The districts didn’t have the ability to intuitively search by a specific student name to confirm that they had sent the student’s information to us,” said Marlene Willis, project manager and coordinator of Medicaid billing at Greenbush. “We didn’t have the ability to search within document batches by an individual child’s name if a question arose regarding that child. It was just a lot of clicks, a very complex system, not a lot of visibility into the data.” 

Willis and her team championed the adoption of Laserfiche, a content services platform that would not only make information more searchable, but also improve recordkeeping, support compliance with regulatory requirements, and open up new opportunities for automation.  

“Our department found that the legacy system was taking time away from production — getting demographic data into the billing system so that districts could actually have things ready to bill when it was time to bill,” Willis said. 

Greenbush worked with Laserfiche solution provider Modified Logic on the implementation, testing and rollout of a Laserfiche Cloud system, which had a quicker timeline than originally anticipated. “We started the project in July of 2022, and had a soft launch with a few key clients in October,” Willis said, adding that the full rollout to all clients happened in January 2023. “The Modified Logic team and everyone we’ve worked with at Laserfiche are phenomenal. They have a similar work ethic that we have at Greenbush, which is focused on the client first, and removing barriers.” 

The new Laserfiche system gives the Greenbush team the ability to search across folders and document batches, without the need for additional spreadsheet guides. “We have the ability to see bulk uploads and the split of information into singular student data records,” said Willis. “The accessibility, visibility and searchability in Laserfiche — that is a hallelujah moment.”

Laserfiche has streamlined the client experience as well. When school districts log in, they are presented with the option to fill out two different Laserfiche Forms. One form enables school districts to add a student into the system, which has the option to attach supporting documentation such as parental consents to submit Medicaid claims, information from the medical provider saying that they signed off on specific therapies, etc. The second form allows the school districts to submit books of information, for instance if they need to submit one document of 30-40 pages. 

Data and documentation from the forms are all automatically routed and classified in Laserfiche, enabling easier access for the Greenbush Medicaid team. The Greenbush Medicaid team also uses Laserfiche to share information with the Greenbush business office, giving the organization granular access controls and making it easier for employees to support HIPAA compliance requirements without additional administrative burden.“

We keep records up to six years from the date of the actual service; it’s a compliance requirement,” Willis explained. “These records contain PII for students — and there are also some FERPA requirements involved, so there are a lot of different legal entities to appease. The management of all that data is where Laserfiche has been a boon.”

Embracing Opportunity and Looking Toward the Future

The Greenbush team is kicking off its first full school year with the new Laserfiche system and already expanding its digitization efforts. Building on the successful Medicaid billing transformation, the business office automated invoicing, eliminating the need to hand-key over 175 remittance devices weekly.

“We previously had a very cumbersome process involving explanation of benefits or remittance advices, which had to be hand-keyed,” Willis said. “With Laserfiche, optical character recognition is now able to read remittance devices, and they fly into the invoicing portal. The data are aggregated, disaggregated, percentages are applied. Laserfiche totally automated the work between the billing department and the business office, and then automatically routes the information to the clients.” 

Adoption is spreading quickly, thanks to the system’s ease of use and clear benefit to employees, clients and the families they serve. The organization is looking forward to taking advantage of new opportunities to optimize and transform processes with the new system, while keeping the focus on students and their families.

“It’s going to alleviate the time stress on front line staff who are actually out working one-on-one with families, driving house to house,” Willis said. “They’re going to claw back that paper administrating and be able to have time to better serve families and children. That’s the opportunity that Laserfiche provides.” 

CATIC Makes Processes Up to 90% More Efficient with Laserfiche

SITUATION

• Reliance on manual, paper-heavy processes
• Legacy document management system did not provide intelligent capture, process automation or integration capabilities

RESULTS

• Migrated content to Laserfiche and automated processes including CATICTrac service, records management, claims and compliance
• Saved over $325,000 annually
• Created up to 90% more efficiency in some processes
• Increased capacity without creating the need to hire more staff

CATIC is one of the largest title insurance companies in the United States. The organization has been a trusted resource for policy-issuing attorneys, insured lenders and homebuyers, and other members of the real estate community for over 50 years.

The organization offers a number of services, including underwriting consultation, title information products, legislative and case law reporting, release tracking, flood compliance and more. CATIC’s approach is one of continuous improvement, constantly looking to improve efficiency in operations to maintain its strong reputation for high-quality service.

Using continuous improvement methodologies and the Laserfiche content services platform, CATIC has digitally transformed many of its processes.

Benefits include:

  • Accelerated processing time
  • Cost savings
  • More opportunities for staff to serve real estate professionals and commercial customers

50% more efficient claims processTo date, the organization’s efforts have resulted in cost savings of over $325,000 annually. Additionally, CATIC has seen a nearly 50% increase in efficiency in both customer-facing processes, such as claims, and back-office operations, including records management.

A Vision to Automate and Optimize

Like many organizations, CATIC previously relied on manual, paper-heavy processes. Unsatisfied with the status quo, CATIC Senior Operations Analyst Chris Cooper had a vision to optimize the way the organization managed information. He and his team sought out a platform that would support more efficient, automated processes.

This search led to Laserfiche, which satisfied CATIC’s requirements for a system to centralize content and support information governance — while opening doors to workflow automation, which wasn’t available with the legacy system. Following continuous improvement practices, Cooper saw the opportunity to improve:

  • Efficiency and productivity by simplifying and automating processes
  • Information governance and compliance through automating and standardizing records management practices and procedures
  • Collaboration by giving people frictionless access to the information and processes they need   
  • Customer experience as a result of more responsive services, and reclaiming time from previously manual processes

CATIC partnered with Laserfiche solution provider Accelerated Information Systems (AIS) to implement Laserfiche — starting with migrating content from the organization’s legacy system.

The first workflow the CATIC and AIS teams automated was for the company’s CATICTrac service, which tracks, obtains and records the appropriate documents needed to clear liens. The automated process eliminates the need for clients to submit paper forms, which can be cumbersome, error-prone and lead to delays. Instead, clients submit an electronic Laserfiche form, which automatically routes information to the appropriate personnel for review and approval.

76% more efficient CATICTrac processUsing the Laserfiche-driven solution, CATIC was able to simplify the process from 12 steps down to five and improve efficiency in the process by 76%. Cooper estimates that the CATICTrac workflow alone saves the organization over $84,000 per year.


Enabling Enterprise-Wide Continuous Improvement with Laserfiche

After the initial success with CATICTrac, Cooper and his team expanded the use of Laserfiche into other areas of the business, including records management, claims and compliance.

Digitizing records and automating records management processes was an impactful initiative that had a profound effect across the enterprise. By centralizing content in Laserfiche, CATIC created a robust information backbone for the organization that is searchable and accessible, while maintaining the granular access controls needed to support information governance. When policies are filed, they are now immediately available for processing, rather than the next morning as was with the legacy system.

This also streamlined the policy request process when stakeholders needed to pull policies, for example for finance to recognize revenue; if a claim was ever filed against the policy; or if a modification needed to be made to the policy. Requests to pull policies previously resulted in wait times of around 11 days, which have been shortened to six. The first-time quality of information pulled has also increased by more than 10%. Finally, the entire initiative has simplified activities for stakeholders, who pull an average of 150,000 policies per year.

In claims, the goal was to simplify and standardize the process, cutting down wait and processing times while increasing the quality and capacity for claims. Using Laserfiche, Cooper automated the process and reduced the number of steps to process a claim from 27 down to 11. The processing time for a claim is now 50% more efficient, with a 5% boost in, first time quality. The elimination of paper in the process also saved CATIC over $25,500 per year.

CATIC isn’t stopping there, however, and is currently pursuing an integration between legal management solution CounselLink and Laserfiche that will make the process even more efficient. Today, claims are filed through Laserfiche Forms, which allows claimants to input necessary information and upload supporting documents. Laserfiche then sends the supporting documents to CounselLink. “Phase two is about eliminating keystrokes,” Cooper said. “With the integration, all of the data entry that claimants are putting on the notice of claim form will be pushed into CounselLink, because paralegals are currently rekeying that data.”   

Cooper’s continuous improvement approach has been embraced internally, too, within the compliance department. Each year, employees must acknowledge that have read and agree follow company codes and policies, which is now done through a Laserfiche form.

“We launch this project every year, and every year we make changes,” Cooper said. “This is probably the most picture-perfect example of continuous improvement. Every year it gets more and more efficient.”

The previously paper-driven, manual process would take about 60 days, while today it takes just 15. The Laserfiche form has cut down the amount of time employees need to spend with the document, making it 90% more efficient.

As a result of these systematic improvements, CATIC saves over $325,000 annually, while also supporting information governance and compliance practices and policies and enhancing the customer and employee experience.

Supporting Future Growth

Cooper continues to make updates to existing processes and find new areas to improve efficiency and productivity across the organization. “With new Laserfiche processes, as more work comes in the door, we now have the ability to increase units completed or throughput,” Cooper said. “And the whole industry has moved toward focusing on profitability per unit. So, we’re able to also facilitate growth without having to hire more staff.”

In the works are integrations with financial management and accounting software Sage Intacct that will allow for easier reimbursement requests, and an integration with Microsoft Power BI to create a dashboard for policy issues that agents and senior management can view and address any missing information.

Cooper is also working to use Laserfiche’s robotic process automation capabilities to sync information from an FTP site daily so he doesn’t have to do it manually. “The bot is like a personal assistant,” he added.

“Laserfiche is something I felt that I could be great at, but also could help me to help others be great,” Cooper said. “I see that as a powerful tool. I enjoy making processes better and I feel Laserfiche is the most powerful thing I’ve encountered, where I could achieve my own personal goal of helping others achieve their goals.”

Digitizing Credit Union Member Documentation and Processes to Support Compliance and Faster Service

SITUATION

• A merger with another financial institution sparked a search for a way to digitize all member documentation

RESULTS

• Safely stored member documentation for all current members with improved processes for compliance and audit functions
• Future acquisitions were made much easier; Luminus has since acquired two additional credit unions

The credit union model is based around the needs of members, and providing personalized service that retains and grows the membership base. Recent years have brought on a number of factors — such as economic and technological disruption — that have resulted in major changes to members’ needs and expectations.

Luminus Financial, a credit union headquartered in Toronto, Ontario, with over 6,000 members, has navigated the vicissitudes with its members as its north star. With a membership that expects more digital offerings, the credit union is strategically innovating its operations, incorporating technology and business process automation across the organization.

“Even before the COVID-19 pandemic, we were already planning to lower our physical square footage in Ontario — becoming more virtual is in our roadmap,” said Adam Kirilo, vice president, operations and finance at Luminus Financial. “Laserfiche helps fulfill those needs with backend work and helps staff complete transactions that were historically done in person. We’re doing it much more easily in a more virtual environment today.”

A merger with another financial institution in 2015 sparked the need for an electronic records management system that would digitize all member documentation. Since then, the Luminus team has uncovered new efficiencies from having Laserfiche as its system of record, as well as building multiple automated workflows to support the increasingly virtual environment.

A Central Platform for Member Documentation and Process Automation

“As a credit union, we have lots of documentation for each of our members,” Kirilo said. “A typical long-term member can have upwards of 10,000 pages dedicated to them due to mortgages, loans or new accounts — and each type of document has a different retention obligation. From the get-go, our goal has been to get all of that documentation digitized and easily searchable, to make our staff’s jobs easier and so we can be more efficient in serving our members.”

That vision for digitization extended beyond going paperless, however. The Luminus IT team, working with Laserfiche solution provider Document Direction, also aimed to transform manual processes with Laserfiche — seeking to eliminate cumbersome, repetitive tasks through automation.

Member onboarding was an obvious target, as the process requires:

  • The collection of a lot of information, through many different channels
  • Information to be routed to the member for signature, as well as to different staff for review
  • Member documentation to be stored in a standardized way
  • Activities to be recorded for compliance purposes

In Luminus Financial’s member onboarding solution, credit union employees gather the necessary member information and input it into a Laserfiche form, which is routed to another employee to review before the PDF is sent to the member for signature through DocuSign. The signed document comes back to Luminus and is automatically filed into the organization’s repository as well as into the core banking system.

“Laserfiche has revolutionized our ability to manage documentation and processes,” said Kirilo. “We have uncovered significant new efficiencies and reclaimed time from dealing with inconsistent information and manual processes.”

450 hours saved annually in wire transfersThe new process saves about three hours per onboarding. With an average of 50 new members per month, this adds up to 1,800 staff hours annually.

The team built on this success by automating the wire transfer request process, which has similar requirements.

“Wire transfers — specifically the instructions for them — can be very complicated, because a lot of them come from different countries from around the world,” said Tyler Ferris, manager, accounting and business intelligence at Luminus Financial. “For that reason, our staff collects the documents from the member up front and enters the necessary information into a Laserfiche form.”

Once the form is submitted, a PDF is generated and sent for signature before Laserfiche routes the document through the wire processing department. “Those employees get a Laserfiche Forms task saying that there’s a new wire transfer,” Ferris described. “They are able to see certain details, view the signed form in the repository, and once they process the wire transfer, they get a PDF receipt which they upload to the Laserfiche form. All information is kept together in the repository in the member’s folder, with the relevant metadata applied.”

450 hours saved annually in wire transfersThe team estimates that the organization saves about 450 hours annually with this process alone. These automated processes have not only created a streamlined and standardized experience for staff, but they have also made it easier to flag larger or suspicious transactions with Laserfiche’s reporting features to achieve AML requirements and periodic auditing.

“For wire transfers, for instance, sometimes our compliance team will need to review transfers over a certain dollar threshold,” Ferris said. “They can easily search between specific dates, for amounts or between amounts — all based off the wire transfer metadata.

“Audits are easy to administer for us; we don’t have to move documents to a different system,” he added. “It depends on the audit and who is conducting it, but we can provide a login to a repository that does not contain our members’ personal information, and revoke access when the audit is over. Or we’ve also done audits where we collect all the documents needed in a folder and upload them through a secure portal of a third party as required.”

An Eye Toward an Omnichannel Member Experience

The Luminus Financial team has seen a lot of success optimizing processes across the organization, including completely back-office processes that simply make everyday tasks a lot easier to manage. One such process that which allows board members to vote on motions virtually — a result of in-person board meetings coming to a halt during the pandemic. Executive management members can upload a document, send it out to the board for approval or for a vote, and then each board member can log into Laserfiche Forms and submit their vote.

The process, which used to be done via email, was cumbersome and lacking in standardization. “We wanted to automate it so we’d be able to provide a list every month, make sure motions were approved or voted on, and also put in the minutes for the meeting,” Kirilo said. “Also, the system needed to be able to retain that record in a secure manner, rather than sending it through email.”

The breadth of processes the team has been able to automate is also a testament to the usability of Laserfiche: “It’s very low-code,” Ferris said. “I picked it up very easily. Laserfiche provides great documentation and resources, and it’s easy to learn, especially when you understand how your organization’s data flows and where it needs to go.”

Today, every Luminus employee touches Laserfiche daily in some capacity, including:

  • Front-line staff for member relationship management
  • Management and senior management for policy and procedures and board reporting
  • Branch administration for processing
  • Accounting for accounts payable
  • Human resources for time-off requests and staff records
  • Commercial lending for commercial reviews and approvals
  • Everyone for audit management
  • The board for reports, voting and governance

The team’s digitization and automation efforts have laid a strong foundation for upcoming initiatives. Looking into the future, the credit union aims to create an omnichannel experience for members that continues to deliver high quality services in an efficient matter, no matter what channel through which a member prefers to interact with the organization.

“We have a digital strategy meeting that is probably 75% about Laserfiche and 25% about other systems,” Kirilo said. “We’re always asking, ‘What else can we automate with Laserfiche?’ There is a lot more potential there for our staff and our membership.”

eBook: Guide to Building a Business Case for Laserfiche Cloud

Examining the Salem witch trials: Digitising 400 years of historical records

Matt Killen, CIO of the City of Salem, describes the process of digitising 400 years of historical records and the value of making history accessible.

How the right records management solution can streamline credit union operations

How centralized document and records management can enhance the experience of credit union staff and members.

PNW Tribal Nation Goes Digital to Preserve Culture, Heritage

For the Samish Indian Nation, the process of digitizing documents has helped to increase the resilience of some of the nation’s important records, helping preserve both language and culture.

Is This the End of the Paper Chase?

Patricia Clay, CIO for Hudson County Community College, discusses the challenges, progress, and future prospects for transitioning administrative processes from paper-based to digital.

American United FCU automates with Laserfiche

How a $375 million credit union uses Laserfiche to automate the input of documents, including loan applications, new member cards, internal documents and loan documents.

Inside one college’s project to go paperless

Patricia Clay, CIO of Hudson County Community College, on using Laserfiche to guide its digitization efforts, implementing new workflows and streamlining processes to make employees’ lives easier.