Revenue Cycle

BRG’s healthcare revenue cycle consultants drive actionable and sustainable improvements across the entire revenue cycle continuum for hospitals, health systems, physician practices, and academic medical centers.

Whether your organization is seeking to enhance revenue realization, maximize cash flow, or manage costs, BRG’s healthcare revenue cycle management consultants provide experienced “boots-on-the-ground” implementation support, backed by evidence-based insight, risk-based account profiling, and intelligent automation, to drive actionable and sustainable improvements across the entire revenue cycle continuum. We leverage decades of revenue cycle experience to deliver customized solutions for hospitals, health systems, and academic medical centers.

Overview

Our teams create new revenue-cycle staff competency across the enterprise. Working with our clinical and operational partners, our team provides training to clinical staff on effective revenue capture through automation and reconciliations to clean revenue cycle process. We offer sustainable project benefits through a dedicated on-site team, proprietary business intelligence tools, and a focus on transferring ownership and accountability. BRG has experience in leading staff in both remote and on-site capacities.

Typical financial results

2 percent to 4 percent of net revenue improvements, approximately, for an average 450-bed organization
4 percent to 8 percent improvement in cash acceleration and corresponding A/R reduction within 120 days of implementation

Typical operational outcomes

Staff skill and productivity enhancements
Optimization of technology investment and automation
Desk-level performance reporting and controls

Patient Access

BRG has substantive experience helping organizations improve patient registration, financial counseling, cash at point of service, and other front-end revenue cycle functions to ensure the smooth flow of patients and related financial information.

Revenue Enhancement

BRG’s revenue cycle management experts offer solutions centered on top-line revenue growth: charge capture, chargemaster optimization, payer rate setting, and service pricing rationalization. We deploy these modular solutions in the framework of organizational revenue integrity, focusing on service-line revenue management connecting the acute and ambulatory enterprises. We also partner with our own clinical documentation integrity (CDI) experts to ensure the integrity of underlying patient charts supports revenue growth.

Revenue Realization Revenue Cycle Management Details

For hospitals and health systems seeking to maximize revenues on specific services and improve their yields, BRG’s healthcare revenue cycle management consultants can identify areas of opportunity to drive additional cash from operations on a sustained basis. We work with you to reduce denials, identify alternate payors for coverage, and reduce cost to collect through process improvements. Using information gathered from payor denials, we help your team build appropriate front-end controls and edits to drive accountability. Additionally, we align with our clinical performance team to reduce clinical denials at the source.

Cost Management

Starting with a robust cost-to-collect model for general opportunity, BRG’s team then examines a variety of factors, including staff productivity, staffing mix, labor rates, technology, and automation, to identify specific opportunities of expense reduction. Additionally, we help you navigate the muddy waters of outsourcing efficacy using strong vendor and change management strategies.

Cash-Acceleration and Cash-Flow Optimization

BRG’s healthcare revenue cycle management experts use proven cash-acceleration methodologies to help organizations quickly liquidate aging and at-risk accounts receivables into much-needed cash. We utilize lessons learned from cash-acceleration initiatives to provide “redesign in effect” solutions to real-time challenges and barriers. Working closely with your leadership team, we will identify the optimal blend of in-sourcing and outsourcing to maximize results in the most cost-effective manner.

Organizational Optimization

We can help you develop and implement a customized revenue cycle strategy and operating model that ensures patient satisfaction and internal span of control while boosting net revenues. Leveraging existing synergies and building bridges over previous barriers, we implement process improvements to drive net income from operations and define performance metrics to sustain results and build accountability throughout your organization. We also assist you in balancing internal resources and outsourced vendor relationships that are integrated into your workflows for superior operational/coverage metrics and outcomes reporting.