Presbyterian Healthcare Services ❯
Achieved remarkable revenue cycle performance improvements, driving $3.4M in value—equivalent to a 344% ROI and a nine-month payback on their investment.
Utilized real-time clinical and financial data to elevate performance and drive patient satisfaction. Through system-wide changes, Wise saw a 34% increase in CMI, 19% reduction in unspecified code usage, and more.
Oregon Health and Science University ❯
Established a culture of trust, transparency and analytics, ultimately increasing CMI by 21%, improving CC/MCC capture rates by 5%, and increasing the average rate of return per CDI specialist by 159%.
Comprehensive support for your top priorities
MedeAnalytics helps providers and health systems improve performance throughout the revenue cycle with powerful, self-service analytics. With low margins continuing, maximizing revenue realization and optimizing cost of care is a top priority. Our data-driven, actionable insights help you identify revenue cycle opportunities and take the right steps to positively impact revenue while maintaining quality services for your patients.
Our single platform approach provides immediate visibility into revenue cycle opportunities, tackling some of today's biggest challenges, including:
- Little visibility into A/R aging and denials
- Revenue losses from increasing self-pay accounts
- Changing regulations
- Revenue leakage
- Tracking revenue across multiple care settings
- Lack of visibility into staff performance
Revenue Integrity
Medical billing & coding
Revenue Integrity
Increase case mix index
Revenue Integrity
Prevent and manage audits
Business Office
Payment posting
Business Office
Denial management
Business Office
Aging A/R recovery
Business Office
Self-Pay management
Patient Access
Prior authorizations
Patient Access
Eligibility & insurance verification
Patient Access
Patient pay estimation
Patient Access
Patient registration
Everything you need to support your front office, mid-cycle and back office
Go further: Explore all solutions in Provider Value Analytics
Patient
Access
Insights
Optimize patient satisfaction during the patient registration and payment clearance processes with critical, real-time analytics information.
Revenue Integrity
Suite
See how clinical operations affect your bottom line with complete visibility into compliance risk and clinical documentation performance.
Business Office
Suite
Achieve optimized cash flow and operational excellence with big-picture insight into opportunities for improving collection rate, denials, and staff productivity.
Workforce Quality Insights
Use powerful analytics capabilities to generate end-to-end insights into how patient access activities are impacting the back-office outcomes.
See the solution ❯
Cost
Insights
Drill down into claims and encounter-level data to target and align controllable costs with outcomes and reimbursement.
Get our take on industry trends
Pandemic fuels 2021 healthcare megatrends
When I wrote about megatrends last year, the predictions were, naturally, forward-looking. Telehealth, for example, was important because of increased healthcare consumerism and the convergence of technologies to make its use quick and easy for payers, providers and patients.
Read on...
Measuring provider cost and utilization
No matter the time of year, payers and providers should work to agree on a shared source of truth when it comes to data. With the recent end of the year, it’s time to celebrate the new year (who isn’t ready to say goodbye to 2020?) and close the books, which includes the reconciliation of any shared savings or losses.
Read on...
Data visualization: A picture is worth a thousand…healthcare data points?
The amount of data produced daily has grown exponentially with nearly 90% of the world’s data generated in the last two years alone. To ensure we can make sense of this data, analysts must find meaningful ways to present the information to their audiences.
Read on...
Crystal ball not necessary: predictive analytics helps health systems reduce denials
The idea of having a crystal ball to better understand what claims will be denied is an awesome concept. But one we can’t rely on. Thankfully, we have predictive analytics to take the place of a crystal ball.
Read on...