January 31, 2018 Editorial Team in FeaturedPatient AccessRevenue CycleRevenue Integrity

How West Tennessee Healthcare Turned Bad Debt into Reclaimed Revenue

The healthcare reimbursement landscape is continuously changing, creating numerous challenges for healthcare organizations as they look to increase revenue. In fact, the revenue risk among not-for-profit and rural healthcare systems are even greater. The National Rural Hospital Association, estimated that 673 rural facilities were at risk of closure, out of over 2,000. West Tennessee Healthcare (West Tennessee), one of the largest, rural, public, not-for-profit healthcare systems in the U.S, acted proactively to combat this trend. In our recent case study, we examine how West Tennessee leveraged analytics to achieve financial success.

West Tennessee has four hospitals, two medical centers and offers 20 primary and specialty care centers. They service a population of 500,000 and with such a large rural patient base, needed guidance to address the following issues:                             

  • 3:1 bad debt to charity ratio
  • High percentage of accounts in arrears
  • Long lead (30+ days) to denial and appeal process

West Tennessee’s Executive Director of Patient Financial services, Wade Wright, noted that with our help they improved upon the following areas, including:

  • Denials workflow and triage – A centralized, efficient denial management approach, allowed them to quickly address denials and overturn accounts.
  • Self-pay Analytics – The implementation of a presumptive charity program reduced their bad debt to charity ratio.
  • Smart work lists – By creating targeted lists, they could drive efficient workflows and prioritize and segment accounts.
  • Self-service data analytics – Meaningful and easy-to-use data tools gave them the ability to shine a spotlight on pain points and obtain the biggest return on investment.

By integrating Patient Access and Revenue Integrity, along with Business Office, West Tennessee had an end-to-end revenue cycle management solution. This helped them to reduce their bad debt to charity ratio to 1:1 and the percentage of accounts in arrears by 3.3 percent. Their billed accounts receivable also dropped by $34.9 million in only four months. By applying our analytics solutions, West Tennessee successfully overcame their revenue cycle management barriers and are better prepared for future healthcare changes.

To read more about our partnership with West Tennessee, click here. You can also download our infographic here. If you’re interested in learning how you can achieve similar results within your organization, request a demo with us: http://medeanalytics.com/request-demo