Optimizing Revenue Cycle Management for a Leading Healthcare Provider

The Challenge

Aggregating Information from Multiple Sources For Accurate Revenue Cycle Management (RCM)

Our client cares for over 670,000 patients across 20+ health centers and hospitals, including more than 260,000 emergency room visits and 2.5 million outpatient visits a year.

They faced multiple challenges with managing their RCM. Their reporting process relied heavily on manual effort, including gathering data from various sources. Not only was this a huge strain on resources, with no built-in analytics, but it was highly error prone.

The Outcome

Streamlined Reporting and Increased Productivity

Our client deployed Sutherland’s SmartHealthAnalytics as a comprehensive solution to the challenge created by their existing processes, centralizing data and transforming it into easily accessible real-time insights through a digital portal and mobile app.

This enabled them to draw information from various data sources, including structured and unstructured forms, while fully customizing reports to their needs.

By harnessing the power of data analytics, our client was able to implement prescriptive scores to assess propensity to pay, write-off scores, and denial likelihood, among other metrics. This not only improved their collections rates but heightened productivity and reduced the need for manual intervention.