AMC Revenue Cycle Optimization

BRG has a longstanding partnership with an academic medical center (AMC) that has $4.2 billion net revenue, over 36,000 staff members, and 1,500 physician members. The 1,200+ bed system includes three hospitals, university-affiliated physicians, and community private diagnostic clinics. The system provides over 60,000 inpatient admissions and over 1.3 million outpatient visits a year.

The AMC partnered with BRG to implement financial and organizational performance improvement initiatives across the revenue cycle, including A/R recovery, process redesign, workflow alignment, vendor management and clinical documentation improvement. The AMC also sought to enhance accountability and performance measures. BRG collaborated with leadership to help optimize processes and workflows post-Epic implementation by focusing on the following:

• Developed and implemented enhanced reporting to support Epic work queues management.
• Optimized Epic-based workflows for unbilled management, third-party follow-up, outsourced vendors, and coding.
• Implemented risk modeling to align resources to problematic payors and populations.
• Created safety net report across Patient Access, Coding/HIM, Billing, and other departments to release accounts approaching timely filing.
• Accelerated incremental cash by selecting, contracting, and fully deploying fifteen temporary staff in under one month.
• Provided direct interim management support for hospital billing and coding.
• Created and rolled out two revenue cycle management staffing tools to assess staffing needs during both backlog and steady states.
• Developed and transitioned accountability measures as well as operational and financial reports to improve visibility into staff and hospital performance.

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