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The client was preparing for a significant shift in its state's Medicaid inpatient reimbursement from per diems to an APR-DRG basis, fundamentally impacting more than 50% of its inpatient revenue.
i3 was engaged to provide strategic planning and hands-on project management to develop and execute a plan to successfully guide the cutover of our client’s revenue cycle thru the full implementation of the Epic Health Information System.
The hospice experienced significant and sudden turnover in its revenue cycle operations and leadership resulting in an increase in accounts receivable of more than 50%, significantly increased write-offs for timely filing and "no-authorization" denials, and a corresponding significant reduction in cash collections.
The health system initiated a CMS Medicare Shared Savings Program Accountable Care Organization. During the first year of operations of the 10,000 beneficiary ACO, the physician executive director resigned.