Order automation eliminates missing data and improves workflow
Embraced electronic orders to improve efficiency, reduce costs, and increase satisfaction.
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To stay afloat financially, get smarter collections data
Proactively capture outstanding patient balances more efficiently to increase overall timely collections and reduce bad debt.
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Real-time contract analysis improves reimbursements now and later
Recovered $4.2 million in additional revenue; systematic payment errors corrected; improved negotiating position with payers; and higher patient collections at the time of service.
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Automation and integration are keys to revenue cycle success
Embraced integrated revenue cycle solutions to increase Point of Service (POS) collections, increase clean claim rate, decrease denials and decrease A/R days.
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Online engagement delights patients and boosts revenue
In the first year, increased online bill-pay enrollments from 900 to 10,000 and increased online payments from $200,000 to more than $500,000 per month.
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Uncovering contractual details helps collect revenue left on the table
Increased financial counseling collections to $5 million annually; patient bad debt trimmed to just 1.1 percent of total charges.
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Expediting the collection of patient payments and payer reimbursement
Improved cash flow, better performing payer contracts and an addition of $7.53 million to the bottom line in 6 years.
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Verifying the accuracy of patient demographic data collected at the time of service and more effectively segmenting patient accounts for increased revenue collection
Additional $1 million in annual revenue, representing a 10 percent increase; fewer A/R days.
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Managing growth through automation and integration
Increased both staff and patient satisfaction, and created best practices and tips on how a real-time authorization management tool can help staff work together to improve processes.
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Large neurosurgery group strengthens bottom line with Experian Health
Recovered more than $4.7 million in contractual underpayments; negotiated more favorable contract terms; reduced denials; and increased up-front collections of co-pays and deductibles by 60 percent.
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Automation and current payer data yield high returns for Colorado center
Achieved $1 million year over year return.
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Targeted collections efforts yield outstanding results
Collections Optimization Manager contributed to in-house patient collection lift by over $40 million since first implementation.
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Digging deep into payer contract details pays big dividends
Optimized cash flow; significantly increased recovery of contractual underpayments; improved up-front patient payment collections and patient satisfaction rates; negotiated more favorable contracts; increased efficiencies; and decreased accounts receivable days.
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Scripps Clinic captures $10.6 million in underpaid claims
$10.6 million in underpayments recovered in 9 years; systematic payment errors, such as underpayments for second surgeries and injectable medications, corrected; improved workflow efficiency.
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Robust claim scrubbing rectifies underpayments and eliminates rework
Expedited accounts receivable (A/R) by 13 percent and reduced full-time employee (FTE) requirements even as claims volume grew.
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Texas Oncology enhances revenue cycle performance with Experian Health
Added more than $1.1 million to the bottom line, fewer claim denials and improved contract analysis capabilities.
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Texas Orthopedics captures $1.4 million in underpaid claims
Gained staff efficiencies; negotiated contract pay increases; identified and eliminated systematic underpayments, resulting in $1.4 million in recoveries; increased up-front collections of patient deductibles and co-pays to nearly 100 percent.
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University of Alabama Health Services Foundation automates insurance verification and contract management processes with Experian Health
Realized a 30 percent increase in registration accuracy; 40 percent increase in front-end, co-pay collections; and 30 percent decrease in referral and precertification rejections. Average $1 million in recovered underpayments annually and earned a one-time, $5 million bulk settlement.
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Staying up-to-date with payer requirements pays big dividends
Avoidance of unnecessary claim denials and increased knowledge for improved workflow; a UPN member group, for example, recovered more than $40,000 as the result of one policy change for the coding of routine EKGs.
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Academic medical group enhances payer compliance monitoring and accelerates reimbursement
Added $3.2 million to the bottom line over 7 years; achieved 82 percent recovery rate for underpaid claims; and reduced eligibility-related denials.
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Accurate patient demographics positively impact revenue cycle
Decreased undeliverable return mail from 1,500 pieces per month to 150 pieces — a 90 percent reduction.
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Pre-service excellence in an Epic environment
Elevated the patient financial experience for consumers and staff.
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