Sub Industry: Healthcare Providers
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Hospital expands coverage, improves patient satisfaction and strengthens cash flow
The challenge: Securing coverage for Medicaid patients Our client, a large acute-care hospital on California’s central coast, faced continuing challenges in identifying & enrolling qualified patients into Medi-Cal, the state’s Medicaid program. This issue spawned additional problems: low patient satisfaction, a high volume of self-pay patients, and a poor payment
Rural Critical Access Hospital Turns to Firstsource to Quickly Capture Revenues and Regain Financial Flexibility
The challenge: Increased claim denials and declining revenues prevent clinical expansion Our client is a critical access hospital (CAH) with 22 acute care beds serving a rural southeastern US community. Its smaller size did not prevent our client from setting big goals, such as opening a much-needed oncology clinic. However,
Close gaps between in-home care and your revenue cycle with remote patient monitoring
Remote patient monitoring (RPM) can help healthcare organizations succeed under performance-based contracts as care delivery moves to wherever the patient is. Implementing best practices is critical to successful remote monitoring and revenue capture. A patient’s location at any given time is rapidly becoming the center of the continuum of care—not
How business intelligence can mitigate effects of uncompensated care
Every day we see and hear heartbreaking stories from around the world about the pandemic pressing front-line hospital staff to the brink. Much less visible are the hospital staff on the backend working tirelessly to keep hospitals afloat financially. Hospitals are under an extraordinary amount of financial strain. Even before
3 Key Benefits of Data Analytics for Critical Access Hospitals
Hospitals and health systems find themselves in a financially precarious position, worsened by the pandemic. Critical Access Hospitals (CAHs) have faced plummeting patient volumes due to significant reduction in non-emergent care.1 All at a time when hospitals were already struggling to meet the demands from a shifting landscape of new
Rural hospital business office transformation: Top 3 focus areas
Rural hospital leaders are not new to Revenue Cycle Management (RCM) issues such as staffing shortages, higher uninsured rates, and claims reimbursement limitations. What is new is how Covid is exacerbating these challenges in new and unforeseen ways. Servicing an older population with chronic conditions and shifting resources from high
Montefiore St. Luke’s Cornwall (MSLC) hospital improves POS collections by 125%
The challenge: Poor patient finance experience impacting bottom line revenues Montefiore St. Luke’s Cornwall Hospital (MSLC), a 250-bed not-for-profit hospital, treats 270K patients every year and is ranked amongst the top 5% of America’s 250 best hospitals by Healthgrades. The hospital’s payer mix comprises a high mix of government and
Marcus Day Memorial Hospital (MDMH) hospital reduces charity care by 60%
The challenge: Helping patients take advantage of Medicaid expansion waiver Marcus Day Memorial Hospital (MDMH) is an award-winning rural critical access hospital with 24 acute care beds and 60 providers. A few years back, when CMS approved Montana’s Medicaid Expansion waiver under the Affordable Care Act (ACA), MDMH embraced the
Referral hospital improves Medicaid revenue by 60% with accelerated claims approval
The challenge: Improve patient peace of mind while increasing hospital revenue Our client, a major referral hospital, serves a predominantly uninsured and underinsured patient population. Having no health insurance or being uninsured means that people often postpone essential care or forego preventative care. Delaying care is a downward spiral that
The impact of patient financial experience on hospital profitability
As rising deductibles and co-pays turn patients into payers, financial interactions must be part of the patient experience equation. The financial aspect of care should not be put aside, as it is an essential component of a positive patient experience. But navigating the healthcare financial maze can create unnecessary confusion
