SEEING STARS: A REVIEW OF REV CYCLE SUCCESSES12/05/2016
We get to work with some amazing customers on tackling some of their toughest challenges. There isn’t a one-size fits all solution out there, but we do think the recipe for success always involves data, analytics, and the right people with EHR and industry expertise. Over the next few weeks, we will be sharing some recipes for success with revenue cycle strategic engagements. The blogs will follow STAR, our favorite structure for reporting on successes and challenges:
In our first case study review, we look into a scenario where we were tasked with increasing transparency and communication between managers and leadership
The physician group we partnered with needed a way to increase transparency into their revenue cycle metrics and better understand potential bottlenecks creating delays in their billing cycle. They needed to overcome hurdles in requesting data and resources from internal teams to help them identify and monitor key performance indicators (KPIs) to effectively and efficiently communicate process and problems between management and leadership.
Our team of revenue cycle experts were tasked with:
Using all the information and input provided throughout the above steps, we identified potential bottlenecks and areas for improvement.
We created an application that monitored revenue through its various stages in the billing process, from initial posting, through coding review, and on to billing and collections. We designed the application to allow the user to identify trends within their revenue capture and collections at the physician, department, bill area, financial class, payor, and provider level, and to identify bottlenecks where revenue was being held in a coding review workqueue.
By combining the trifecta of governance, data and industry/EHR expertise, we delivered a tangible product that included:
The application allowed users to drill into bottlenecks within their revenue capture process and they were able to identify over $2 million being held in a workqueue for a single physician and bill area. By allocating staff to work with this physician to improve their charge capture process, they were able to fix the issue causing revenue to be held and reduce the lag time to submit claims for that physician. This lead to a faster billing cycle and increased collections for the organization.
Are you interested in hearing more? Please email us at: prominencesales@prominenceadvisors.com
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Fermentum leo vel orci porta non pulvinar. Luctus venenatis lectus magna fringilla urna porttitor. Sodales ut eu sem integer vitae justo eget magna. Ultrices eros in cursus turpis massa tincidunt dui. Urna duis convallis convallis tellus id. Sed elementum tempus egestas sed sed risus pretium quam. Aliquam nulla facilisi cras fermentum odio eu feugiat pretium. Tellus in metus vulputate eu scelerisque. Sem nulla pharetra diam sit. Urna et pharetra pharetra massa massa ultricies mi quis hendrerit. Sed risus ultricies tristique nulla. Euismod lacinia at quis risus sed vulputate odio ut. Mauris rhoncus aenean vel elit. Tortor posuere ac ut consequat semper viverra nam libero. Pellentesque habitant morbi tristique senectus et netus et. Sem integer vitae justo eget magna fermentum iaculis eu non. Adipiscing diam donec adipiscing tristique. Massa sapien faucibus et molestie ac feugiat sed lectus vestibulum. Id diam vel quam elementum pulvinar.
Lorem ipsum dolor sit amet. Lobortis elementum nibh tellus molestie. Blandit volutpat maecenas volutpat blandit aliquam etiam erat velit scelerisque. Tellus cras adipiscing enim eu turpis egestas pretium aenean. Feugiat nisl pretium fusce id velit ut. Auctor urna nunc id cursus. Velit dignissim sodales ut eu sem integer vitae justo. Pellentesque adipiscing commodo elit at imperdiet dui accumsan sit. Nisi vitae suscipit tellus mauris. Interdum varius sit amet mattis vulputate enim. At risus viverra adipiscing at in tellus integer. Nunc scelerisque viverra mauris in aliquam sem. Convallis posuere morbi leo urna. In vitae turpis massa sed elementum tempus. Cursus euismod quis viverra nibh cras. Eros donec ac odio tempor orci dapibus ultrices in. Augue ut lectus arcu bibendum. Eget sit amet tellus cras adipiscing enim. Tincidunt praesent semper feugiat nibh sed pulvinar proin gravida.
