Erin Lovett
Nationally recognized academic medical center sees 35% improvement in denial write-offs with outsourcing.
Nationally recognized academic medical center sees 35% improvement in denial write-offs with outsourcing. Case Study Nationally recognized academic medical center sees 35% improvement in denial write-offs with outsourcing. A physicians’ group for an 885-bed, $2.5B NPR academic medical center experienced a growing patient liability population resulting in a rise in uncompensated care, denial write-offs and…
Academic health system exceeds cash goal with streamlined revenue cycle
Academic health system exceeds cash goal with streamlined revenue cycle. Case Study Academic health system exceeds cash goal with streamlined revenue cycle. An academic health system with 2,700+ beds and $5.15B NPR experienced decreasing profit margin and cash flow from declining patient revenue, putting their financial health at risk. Bottom-line impact from a system conversion,…
Client clears backlog of abstraction and follow-up cases with Cancer Registry partnership
Client clears backlog of abstraction and follow-upcases with Cancer Registry partnership. Case Study Client clears backlog of abstraction and follow-up cases with Cancer Registry partnership. This academic health system with >1,000 beds and $2.9B NPR had a 12-month abstraction backlog and could not retain the resources needed to maintain timely completion. Confronted with a Commission…
Holistic CDM management protects revenue and compliance
Holistic CDM management protects revenue and compliance. Case Study Holistic CDM management protects revenue and compliance. A 25-bed, $32M NPR western critical access hospital lacked the resources, and expertise to perform routine CDM maintenance, evaluate market prices, and transition to a new PAS, leaving a critical gap in the organization’s revenue integrity program. Download the…
CDM standardization provides defensible charge practices and revenue neutrality during a multi-facility system conversion
CDM standardization provides defensible charge practices and revenue neutrality during a multi-facility system conversion. Case Study CDM standardization provides defensible charge practices and revenue neutrality during a multi-facility system conversion. IDN client with $15B+ NPR needed to transition 88 facilities with disparate chargemasters to Epic, a radically different structure, over a three-year time frame. Download…
“Auditing the auditor” uncovers a need for revenue cycle education and process improvement
“Auditing the auditor” uncovers a need for coding education and process improvement. Case Study “Auditing the auditor” uncovers a need for revenue cycle education and process improvement. A Midwest IDN client with 1,200 beds and $1.8B NPR was experiencing decreased coding accuracy and productivity, negatively impacting financial performance. Reliance on internal QA processes and a…
Partner leverages coding partnership expertise to mitigate compliance risk
Partner leverages coding partnership expertise to mitigate compliance risk. Case Study Partner leverages medical coding partnership expertise to mitigate compliance risk. A routine third-party audit reported high ER Evaluation & Management (E/M) error rates for an acute care hospital with 182 beds and $313M NPR. Incorrect reporting of these errors would skew current revenue and…
Client reduces AR days by 36% in 120 days
Client reduces AR days by 36% in 120 days. Case Study Client reduces AR days by 36% in 120 days. This 47-bed acute care hospital battled delayed reimbursement and missed revenue due to coding accuracy and productivity. They saw an increase of coding-related denials and lower-than-anticipated reimbursement levels. Coders had limited access to training resources…
Acute care facility leverages expert resources to successfully appeal clinical denials
Acute care facility leverages expert resources to successfully appeal clinical denials. Case Study Acute care facility leverages expert resources to successfully appeal clinical denials. A 200-bed, $509M NPR client lacked resources able to review and resolve their large volume of denials, nor did they possess the skill set to determine plausibility of certain clinical appeals.…
Safety net system transforms denial backlog into $20M+ gain
Safety net system transforms denial backlog into $20M+ gain. Case Study Safety net system transforms denial backlog into $20M+ gain. This 800-bed, $532M NPR safety net system struggled with retaining the resources needed to address an immense denial backlog and lacked visibility into their root causes. This threatened cash collections and financial viability of the…