How Augusta University Medical Center Transformed Patient Access, Improved Patient Experience and Increased Cash Collections to $9M
Augusta University Medical Center (AUMC) was leaving millions on the table and writing off bad debt by not prioritizing pre-service and point-of-service payment discussions. Download the case study to learn how adopting technology to produce accurate cost estimates, and establishing new trainings, protocols and accountability measures around payment collections, helped AUMC transform patient access, enhance…
Artificial Intelligence for RCM: Separating Hype from Reality
A growing volume of tagged data is exacerbating an already complex healthcare revenue cycle management (RCM) process that is largely transactional in nature, thus making RCM an area that is prime for automation and the application of artificial intelligence (AI). From automating manual and redundant tasks within patient access, coding, billing, and collections to applying…
Case study: Dartmouth Health achieves 101.6% of cash collection goal
Monthly reconciliation within the large healthcare system had become unpleasantly burdensome. With over 250 systems and practices, the healthcare company needed a platform that would support growth, manage multiple payments types and reconcile to more than one bank, while maintaining a single source of truth for audit and compliance. This case study presents challenges Dartmouth…
Addressing the Rising Patient Payment Obligation: Impact and Strategies amid today’s challenging healthcare environment
In the Fall of 2021, CommerceHealthcare® sponsored a focused survey conducted by the Health Management Academy (HMA), an organization for executives from the nation’s top health systems and leading companies. The HMA survey involved both quantitative polling and in-depth telephone interviews to explore current issues in patient financial experience. This report combines those findings with…
Assessing Reality in Healthcare Financial Information
Healthcare stakeholders, including management, regulators, investors, rating agencies, lenders, media and others seek information to evaluate operating margins and profitability metrics for hospitals and other healthcare organizations. Financial statements, tax/information returns and Medicare cost reports are key information sources for the healthcare industry, but many times they convey seemingly contradictory information, which creates confusion for…
The shift toward integrated pharmacy services: driving long-term success
One driving factor for health systems and hospitals shift to in-house integration pharmacy services is average turnaround time. For an outsourced specialty pharmacy, turnaround is 10 to 14 days, whereas an in-house specialty pharmacy can reduce that time to just 2.1 days.
Revenue cycle innovation: How automation can mitigate the financial impact of COVID-19
These four tips will help hospital financial leaders lessen the economic impact of COVID-19 now and in the future: Build and retain a core revenue cycle team, contain labor costs, redeploy talent more effectively and enhance revenue integrity.
The Role of Revenue Cycle in Elevating the Human Experience in Healthcare
This paper, published in collaboration with the Beryl Institute, explores how revenue cycle plays an integral role in a person’s experience well before and after a clinical engagement. It reinforces that if we are to ensure the best in experience, we must recognize and act to support every factor that impacts outcomes. Revenue cycle is far more than an operational function; it is a strategic driver that frames the patient journey, as it is typically the first impression and last touchpoint with a healthcare organization.
Revamping prior authorization: How AI and automation could boost care and revenue
Prior authorization is the most time-consuming transaction for medical providers, taking up to an hour to complete manually. Find out how providers and health plans can save up to $417 million annually be automating prior authorizations.
Hospitals and health systems remain optimistic, overall, about APMs
An August HFMA survey, sponsored by GHX, found that, overall, hospitals and health systems are optimistic about seeing improvements in coordination and collaboration with partners in risk-based payment models over the next five years. The findings suggest organizations are moving ahead unabated in their value-based payment strategies.