success story

Wise Health System

Utilized real-time clinical and financial data to elevate performance and drive patient satisfaction

Measurable impact

Partnering with MedeAnalytics data analytics solutions empowered Wise Health to make system-wide changes in revenue cycle management, organizational culture and customer care.

%
increase in CMI
%
reduction in heart failure readmissions
%
reduction in unspecified code usage
%
reduction in ED utilization

The story behind the numbers...

The Challenge

Wise Health System was looking out at massive chasms between various operations strategies, multiple IT systems, and disconnected processes and people. To bridge this gap, Wise needed to:

  • Leverage analytics for clinical quality improvement
  • Enhance workflow and collaboration between revenue cycle staff members
  • Synergize clinical and financial operations
  • Integrate technology between sites and teams
  • Improve clinical documentation
  • About Wise Health:

    • Based in Decatur, TX
    • Affiliated with Baylor Scott and White Healthcare System
    • Inpatient and outpatient services at 24+ locations
    • 1,300+ employees

    “As we continued to grow and diversify our patient offerings, it became clear that we needed a continuous process for operations and management across the enterprise.”

    Lynn Giddens-Branscum

    Vice President of Revenue Cycle Management and Audits

    Provider_RCM_RevenueIntegrity_Screengrab8-crop

    The Solution

    Using MedeAnalytics’ Revenue Cycle Management solutions, Wise Health was able to create efficiencies in patient access, mid-cycle processes, and business office functions. These improvements included:

    • Real-time analytics to improve point-of-service collections during patient registration and payment clearance processes
    • Opportunities to improve revenue capture, minimize audit risk and succeed with ICD-10
    • Identification of black holes, bottleneck and outliers to improve cash flow and collections, as well as avoid lost revenue and reimbursement delays
    • Self-service dashboards and reports providing visibility into A/R and denials with trends, drill downs and causal analysis
    • Ability to monitor and improve staff productivity and efficiency

    Together, these meaningful shifts brought about remarkable operational value and clinical outcomes. Beyond that, a shared source of data and insights allowed various teams and sites of care to work together more seamlessly for the benefit of the patient.

    “The analytics and insights-driven collaborative culture has enabled us to grow, evolve and make Wise Health System a great place to work.”

    Lynn Giddens-Branscum

    Vice President of Revenue Cycle Management and Audits

    More about Wise Health:

    interview

    A conversation with Wise Health System at HIMSS22

    webinar playback

    Enhancing clinical and financial performance with analytics

    document download

    HealthLeaders Case Study: How Adopting Self-Service Analytics Can Improve Clinical and Financial Performance

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