Patient accounting systems (PASs) are valuable sources of revenue cycle information for hospitals, but they are often not equipped with the deep analytics capabilities necessary to quickly identify trends and make changes. Realizing this, not-for-profit health system Nebraska Methodist partnered with MedeAnalytics to maximize the value of its patient accounting system.
The Challenge:
Leadership at Nebraska Methodist, a four-hospital not-for-profit health system, wanted greater access to self-service analytics and real-time analytics than its patient accounting system was built to provide. Specifically, the hospital system sought to address:
- Increasing AR days
- Lack of access into claim-level detail
- Insufficient visibility into staff productivity
- Rising denial rates
The Solution
Nebraska Methodist utilized MedeAnalytics’ Business Office Suite to gain the self-service analytics and real-time insights necessary to increase efficiency and uncover improvement opportunities in the revenue cycle. Business Office enables end users and analysts to:
- Run reports and create new dashboards in minutes
- Monitor productivity levels of AR staff and quickly resolve any issues
- Drill down into transactions and trends in more depth
- Track and examine root causes of denials in order to transform processes and avoid future denials
Measurable Impact:
Nebraska Methodist’s partnership with MedeAnalytics drove significant reductions in denials, increased staff productivity and improved data management across the entire hospital system.
| 11% reduction in denial rate | $12.9M in avoided denials |
“[Having] additional analytics has been invaluable. Paired with our patient accounting system, it allows our entire revenue cycle team to get the immediate insights and data we need to make significant improvements.”
– Michelle Comeault, Revenue Performance Manager
Get our take on industry trends
Beyond care gap closure: Rethinking clinical strategy in Medicare Advantage
Closing care gaps has become a core focus for Medicare Advantage plans for good reason. Gap closure directly impacts Star Ratings, quality…
Read on...From awareness to action: Unlocking the financial value of SDOH
Social determinants of health (SDOH) have become one of healthcare’s biggest strategic priorities, but many organizations still struggle with how to…
Read on...Enterprise analytics for Medicare Advantage: Why unified intelligence is the future of MA performance
Medicare Advantage organizations are facing growing pressure to improve quality outcomes, optimize financial performance, reduce compliance risk, and deliver better member experiences, all…
Read on...Where Medicare Advantage revenue leaks: The disconnect between RAF, Star Ratings, and MLR
Most Medicare Advantage revenue loss doesn’t show up where finance teams expect it. It’s not a single variance in a report or a clear…
Read on...