Matt Seefeld, EVP of MedEvolve, discusses with HIT Consultant why many physician practices are facing a harsh reality as they enter 2022. Revenue cycle processes and technology that have traditionally produced an acceptable bottom line are no longer delivering.
Healthcare organizations face unique challenges when collecting patient payments. Increased financial responsibility and limited interaction with patients before or during a visit can make it difficult to collect patient balances. The right tools and technology can help drive more payments and relieve the burden on smaller front and back-office teams to collect.
In this MGMA article, MidLantic Urology demonstrates how a switch to MedEvolve Effective Intelligence improved ROI and patient experience.
The shift toward greater patient financial responsibility is not slowing in healthcare. This trend—predicted by experts and underway for several years now—continues to tilt the reimbursement scale away from insurance claims and onto the patient.
80 to 90 percent of claims don’t require immediate follow up, but many billing departments get bogged down with work that doesn’t have potential to produce near-term ROI. Without analytics, it is really challenging to prioritize workflows on a daily basis and know which patient responsible balances we can collect on. Having a clear view of how much money our practice has and when we can expect to collect on rendered services is foundational to maintaining a strong bottom line.
South County Urological has seen COB denials drop 75% and patient payments increase 15% with MedEvolve revenue cycle automation.
Since implementing MedEvolve Patient Financial Clearance Workflow, COB denials are down 75%, patient payments are up 15% and point of service collections are up
300%.
Prior to workflow automation, MidLantic anticipated needing to hire 8 employees and create a new department focused solely on A/R to support the centralized billing office. However, by streamlining RCM processes through workflow automation and focusing only on the 10-20% of claims that need to be worked each day, MidLantic cut their anticipated staffing requirements in half without adding a new department.
Telling the owners we have to change almost everything in the business was scary for them. The confidence came when we had the reports, we had the analytics, we’re making data driven decisions, and we have a path forward. I couldn’t imagine doing it without Medevolve Effective Intelligence.
Client testimonials with executives from Columbia Orthopaedic, South County Urological & Key-Whitman Eye.
Reduce RCM labor dependence with financial clearance, coding, insurance A/R, & patient A/R automation modules with real-time analytics.
Increase productivity and simplify front & back office processes while keeping your staff focused with our flagship PM system.
“Measuring every touch in the revenue cycle is key to future sustainability—because every touch means money out of your pocket.” ~ Matt Seefeld
Healthcare organizations are already facing razor thin margins, and administrative waste could be the linchpin for future sustainability. Billions of dollars are at stake. I’m always surprised when I talk
Healthcare revenue cycles are primed for the benefits of automation & AI, but many are missing a critical link: human-generated data.
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