Erin Lovett
High-touch provider for complex populations reduces ineligible Medicaid dollars by 97%
High-touch provider for complex populations reduces ineligible Medicaid dollars by 97%. Case Study High-touch provider for complex populations reduces ineligible Medicaid dollars by 97%. BrightSpring, a complex care provider who assists clients residing in intermediate care facilities and/or receiving home-based services, saw a climbing number of ineligible Medicaid clients. This forced the client to write…
Non-profit system uses Epic optimization to improve enrollment process for patient eligibility
Non-profit system uses Epic optimization to improve enrollment process for patient eligibility. Case Study Non-profit system uses Epic optimization to improve enrollment process for patient eligibility. Jefferson Health, 607-bed, three hospital system experienced patient interview delays, slowed account conversion and increased risk of error when attempting to secure coverage for under and uninsured patients. Eligibility…
Medicaid eligibility conversion and collections improved by optimizing enrollment processes
Medicaid eligibility conversion and collections improved by optimizing enrollment processes. Case Study Medicaid eligibility conversion and collections improved by optimizing enrollment processes. For this academic health system of 1,104 beds and $1.8B NPR, Medicaid eligibility processes were highly manual and workflow had not been assessed since their Epic transition. This resulted in fewer conversions, less…
Outsourcing partnership transforms HIM-related KPIs and reduces DNFC by 83%
Outsourcing partnership transforms HIM-relatedKPIs and reduces DNFC by 83%. Case Study Outsourcing partnership transforms HIM-related KPIs and reduces DNFC by 83%. What problems can revenue cycle management outsourcing solve? This 478-bed health system struggled with essential HIM performance metrics. The department had a sustained record completion backlog, ongoing troubles with coding quality and production, as…
Client transforms HIM KPIs and DNFC by 66% and continues to sustain improvements
Client transforms HIM KPIs and DNFC by 66% and continues to sustain improvements. Case Study Client transforms HIM KPIs and DNFC by 66% and continues to sustain improvements. This 25-bed critical access hospital with $130M NPR was not meeting their financial KPIs following an EMR implementation. They battled with inaccurate record filing, a backlog of…
Patient and physician satisfaction improved with patient access transformation
Patient and physician satisfaction improved with patient access transformation. Case Study Patient and physician satisfaction improved with patient access transformation. Inconsistent and ineffective patient access processes affected revenue and timely service delivery for this acute care facility with 407 beds and $273M NPR. Incomplete registrations, lack of coverage verification, authorization and financial clearance prior to…
Healthcare system collects $21.3M in underpayments with payment variance partnership
Healthcare system collects $21.3M in underpayments with payment variance partnership. Case Study Healthcare system collects $21.3M in underpayments with payment variance partnership. A healthcare system sought to maximize yield from insurance payers to maintain financial health. Increasingly complex managed care contracts, downgraded DRGs and billing and payer discrepancies resulted in lower-than-expected reimbursement. Download the Case…
Client increases cash collections during height of the pandemic with strategic AR support
Client increases cash collections during height of the pandemic with strategic AR support. Case Study Client increases cash collections during height of the pandemic with strategic AR support. An acute, safety net system of 323 beds and $532M NPR was experiencing a revenue decline and a growing volume of at-risk patients. The pandemic had eroded…
Provider eliminates cost, drives revenue, and optimizes Epic technology through data analytics
Provider eliminates cost, drives revenue, and optimizes Epic technology through data analytics. Case Study Provider eliminates cost, drives revenue, and optimizes Epic technology through data analytics. An academic medical center of 330 beds and $700M+ NPR experienced growing self-pay inventory, increased days to pay, and decreased payment volume and amount despite census stability. They sought…
Client collects an additional $5M while increasing patient satisfaction
Client collects an additional $5M while increasing patient satisfaction. Case Study Client collects an additional $5M while increasing patient satisfaction. This client of 402 beds and $647M NPR needed to improve balanceafter insurance, self-pay collections. The patient experience and self-paycollection rate was faulting partially due to confusing statements and thepatient payment system. Download the Case…