Brookwood Baptist Health Chats with SearchHealthIT to Share its Revenue Cycle Successes

This month, Brookwood Baptist Health (Brookwood) and MedeAnalytics sat down with Kristen Lee of SearchHealth IT for a two-part series focused on revenue cycle challenges and successes. Brookwood leveraged MedeAnalytics Business Office solution to pinpoint trends, analyze root causes and ease their transition to a new Electronic Health Record (EHR) to meet the demands of population health and value-based reimbursement.

The first part of the series, Revenue Cycle data analytics helps with value-based reimbursement, MACRA, highlights insights from Rosh Plugge, executive director of revenue cycle at Brookwood. To prepare for the impacts of MACRA, Plugge underscored the important role that analytics will play in tracking some of the unforeseeable changes in how they do business. He said analytics will “really give us the ability to pull whatever type of information is relevant to demonstrating that we’ve met the requirements to achieve those bonuses [and] payments from the payer.” Like any major system change, such as the recent ICD-10 transition, it is important to have the ability to monitor performance on a trended basis very quickly after those changes are made. This ensures that an organization can course-correct in real-time and limits the potential financial or productivity losses that would otherwise occur.

In the second part of the series, Cloud-based software boosts revenue cycle management, eases EHR switch, Lee spoke with Pete Welch, senior revenue cycle analyst at Brookwood, along with both Tom Schaal, director of product management, and Dena Moye, subject matter expert/product strategy, at MedeAnalytics. The piece highlights how Brookwood leveraged MedeAnalytics to better understand their revenue cycle operations to gain deep insights into payer trends, patient satisfaction, relieve pressure on IT-teams and create timely ad-hoc reports.

Welch said, “When somebody, say a CFO, spots a trend and they think [it] looks odd, we’re able to pretty quickly produce several reports that look at what might be causing that.” MedeAnalytics empowers Welch and his team with the ability to drill into the reports and look at the details underneath. He can look at the accounts that are causing fluctuations and, most of the time, this enables the revenue cycle team to respond to the CFO within the same day. Without the appropriate analytics in place, the reporting times could easily extend to a month if not more.

Check out the two-part series here and here. For more information on how MedeAnalytics Business Office can help your healthcare organization – click here

MedeAnalytics

MedeAnalytics is a leader in healthcare analytics, providing innovative solutions that enable measurable impact for healthcare payers and providers. With the most advanced data orchestration in healthcare, payers and providers count on us to deliver actionable insights that improve financial, operational, and clinical outcomes. To date, we’ve helped uncover millions of dollars in savings annually.

Leave a Comment





Get our take on industry trends

Why Health Plans and Employers Need Stop Loss Reporting

September 10, 2019

Due to rising healthcare costs and the Affordable Care Act removing the ban on capitated benefits coverage, numerous employers with self-insured health plans often purchase stop loss coverage. This coverage is not medical insurance; but rather, it’s a financial and risk management tool that protects the employer from excessive claims.

Read on...

Bridge the Payer/Provider Data Gap

August 23, 2019

Every patient has a plethora of data associated with their health record, which can include decades of enrollments, claims, accounts and charges. Much of this data is not housed within the same institutional, facility or provider database…

Read on...

Digging deeper: Leveraging analytics to boost service line profitability

June 19, 2019

Regardless of the size of the hospital or health system, you need to look beyond traditional operational metrics to fully understand your organization’s performance. Insights into revenue, volume, cost, quality and variation across service lines are key to improving both performance and profitability.

Read on...