
2022 MGMA DX Leaders Conference Session: Drive RCM Success & Improve Margin with Effective Intelligence
Watch the recorded session. Drive RCM Success & Improve Margin with Effective Intelligence. Will Mowe at Rebound Orthopedic & Matt Seefeld
Effective Intelligence (EiQ) is all about reducing your dependence on labor in the revenue cycle while ensuring the medical billing and front office staff you do need are working effectively and generating the expected revenue to increase your margin with the least amount of work effort. MedEvolve is an effective intelligence company.

Watch the recorded session. Drive RCM Success & Improve Margin with Effective Intelligence. Will Mowe at Rebound Orthopedic & Matt Seefeld

The organization is realizing better bottom-line performance with fewer FTEs. Zero touch claims that require no human intervention now account for 62.2% of total. Overall closed balance NCR is 98%—above the industry benchmark of 97%. 57% of self-pay revenue comes from mobile engagement.

Being a vendor can be very frustrating too. For example, when we go in and sell, it’s a very consultative sale. We do not make the promise that by just installing this technology, that you’re going to get results. You have to be willing to look at guess what people in process and how that aligns with the technology I’m selling you to get the result.

Measuring number of claims worked or measuring work effort & successful outcomes? What should healthcare executives focus on with RCM labor?

Give your RCM staff work/life balance by measuring effectiveness not productivity, establishing clear goals & incentivizing top performers, and tie it to a reward system that creates the recognition that this new generation of the workforce needs to have.

Telling the full story of revenue cycle effectiveness may mean that your staff must use more technology in their daily routines. But taking the extra steps to record tasks & outcomes with Effective Intelligence can achieve ROI within 60 days.

There is a misnomer that people, process, and technology are independent of each other. I often go to trade shows where vendors have great technology. They’re promising big results. But the provider organization doesn’t understand that they will likely have to make material changes to adopt that technology to get the results that are being promised.

On a given day, 80 to 90 percent of the active claims in A/R do not need to be touched, so why are billing representatives wasting time on them? Because there is no visibility into which claims need to be focused on to actually generate revenue.

High call volume, abandoned calls, staff shortage, & high wages could be preventing you from retaining patients, getting paid, keeping margin. Here are some points to consider when choosing a call center vendor.

When healthcare executives are shopping for technology to improve margin & collections, and reduce staff, don’t ask “How much does it cost?” Instead, evaluate the potential return on investment.
Reduce RCM labor dependence with financial clearance, insurance A/R, & patient A/R automation modules with real-time analytics.
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In rural hospitals, eliminating unnecessary work can free up time for higher-value activities that directly support patient care.
Mark Alyn speaks with MedEvolve CEO Matt Seefeld about why the U.S. healthcare system is confusing, inefficient, & under strain.
Hidden costs of payer denials: how front-end errors and repeated claim follow-ups strain health systems and drive administrative burden.
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