Learn how one health system cut its claim denials in half – less than one year after implementation
Mobile, Ala. – (May 29, 2018) – AccuReg, a technology solutions company offering a full suite of patient-centered front-end revenue cycle solutions for hospitals, will showcase its Integrated IntelligenceTM platform at the HFMA Annual Conference, June 24-27, 2018, in Las Vegas, Nevada at the Venetian-Palazzo Sands Expo. The conference brings together healthcare executives from across the nation to interact with thought leaders and explore the future of the revenue cycle and payment trends.
U.S. hospitals spend billions of dollars every year on claims denials. More than three quarters of denials occur in the front end of the revenue cycle – and most front-end denials are related to eligibility. Eighty percent of all front-end, root-cause denials are predictable, which means they are preventable if staff have the proper tools. Integrated Intelligence gives front-end staff the ability to predict and mitigate payment risks before services are even delivered.
Reducing Write-Offs Due to Costly Patient Access Errors
After launching Integrated Intelligence, Kansas City-based Mosaic Life Care, reduced costly claims denials due to front-end patient access errors by 60 percent, delivering a significant improvement to the health system’s bottom line. Within the first eight months of implementation, the health system reduced its write-offs due to patient access errors by 50 percent – or more than $2 million. Mosaic Life Care has earned a five-star rating from the Centers for Medicare and Medicaid Services (CMS) and is a past recipient of the Malcolm Baldrige National Quality Award.
“The customization available and the implementation with AccuReg has been our saving grace,” said Deborah VanCleave, vice president of Patient Access with Mosaic Life Care. “We did a large-scale implementation across our health network. Not only did the implementation go smoothly, but the training and adoption have been a success thanks to the built-in accountability within AccuReg.”
Integrated Intelligence works through a simple console that fully integrates with every EMR/HIS system in the country and consistently earns the best vendor performance scores of any front-end solution. This dynamic rules engine identifies and learns from mistakes in the patient registration process, recalibrates business rules based on payer denial and patient propensity data, and optimizes workflow for greater payment assurance. Its intelligent exception workflow alerts registrars in real-time of payment risks, errors and opportunities, and holds each employee accountable to resolve every issue before the patient receives services.
AccuReg has been delivering revenue cycle and patient access innovation to the healthcare industry for more than a decade. Known throughout the healthcare industry as the company that built the top-ranked QA engine, AccuReg’s technology solutions for the Patient Access Experience®, Denials Prevention, POS Collections and Financial Assistance Screening now include Integrated IntelligenceTM. A state-of-the-art dynamic rules engine and predictive analytics wrap around the entire registration process to identify errors in real time and constantly recalibrates itself to address changing payer rules. For more information, visit www.AccuRegSoftware.com .