Revenue Cycle Transformation

Experience a World Class Revenue Cycle

If you have ever thought that your revenue cycle needed a complete redesign to fix the problems you constantly face, you may be right. Many revenue cycles have had point solutions implemented for years but to have a solution that treats the organization in a holistic manner is a completely different experience. Instead of working rejections faster or better, why not look at a eliminating them? We begin our partnership by designing the organizational structure and evaluating the problems in the culture.

We understand that the people are the most integral part of the equation, so we lead your associates in redesigning each process to eliminate errors and increase efficiency and results while linking the processes together to form an optimal process. Our award winning technology is designed to fit a lean organization and identify errors to be systemically eliminated and operational metrics to improve management control. Finally we tie all of this together with a management system that provides both continuous improvement and sustainability long after we are gone. This award winning approach has repeatedly delivered best in class revenue cycles for hospitals and provided improvements of 4-12% in cash realization.

Our World Class Revenue Cycle Model addresses the 4 most important internal aspects of a revenue cycle:

• The People
• The Process
• The Technology
• Performance Management System

By addressing these elements, it provides a hospital with:

• Market Responsiveness
• Winning Culture
• Financial Results

The Results

Our clients have won numerous awards including the coveted HFMA MAP Award in 2009, 2010, and 2011 which recognizes the 10 top performing revenue cycles in the country.

Financially, our client's have recorded the following results:

• Sustainable increases in cash from 4-12%
• Increase time of service collections by 400%
• Decrease patient wait times by 20%
• Reduce HIM processing times by 75% completing coding on day of discharge
• Increase ED throughput by 15%
• Decrease agency placement by 75%
• Increase bed availability by 15%

The Methodology

The methodology for our World Class Revenue Cycle model comes from a combination of expertise in process design, Lean, Six Sigma, Toyota Production Systems and Operational Analysis. These techniques are combined with a hands-on, holistic approach to revenue cycle management.

What's the process?

• Kaizen Events- series of 5-day makeover events, redesign the layout, redesign the process, together with the associates
• PFS
• HIM
• Case Management
• Patient Access
• Organization specific groups (e.g. Bed Control, ED, etc.)
• Technology designed for lean based organizations to provide sustainable and continuous improvement
• ScoreLogix
• CollectLogix
• DocumentLogix
• People
  • First-hand experience with redesigning their process to lean principles
  • Revenue Cycle Academy
  • Experience Excellence
  • Organizational Design

What about the sustainability?

Being "good" some months is much easier than being excellent consistently in every transaction. Being good while the consultant is there to manage the work is possible as well but once the consultants leave, bad habits, familiarity, and resistance to change often lead to the process reverting back to the old ways. The key to breaking this chain of events is cultural change. Cultural changes come from incorporating your associates to aid in the design of new processes and hardwiring the organization to constantly observe when a process fails and have a mechanism for preventing future failures. This, along with clear ways to communicate the process failure, allows for a culture that continuously finds ways to improve. It creates a winning culture. A winning culture that is sustainable and adaptable to a changing marketplace.

Superior Performance

Sustainability is more than just an empty promise. Every year, the Healthcare Financial Management Association (HFMA) recognizes 10 hospitals for superior revenue cycle performance. The award, called the HFMA MAP Award, which began in 2009, has been awarded to our clients in 2009, 2010 and 2011.