Workflow Tool Implementation

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Client Profile:

Rural 225-bed Mid-Atlantic hospital 

Challenge:

i3 identified several gaps in current patient financial services processes leading to wasted time and ineffective back-end revenue cycle functions. The challenge was to deliver and implement a tool that would automate manual paper processes to optimize workflows including account assignment and follow-up and reduce documentation time for billing, collections, denial, and appeal staff. 

i3 guided senior staff, supervisory staff and mid-level management in determining a workflow methodology for account assignment and prioritization. 

i3 partnered with a workflow vendor to design, test, and implement an end-user friendly solution that distributed accounts to staff based on payor, dollar amount, and risk of denial.  The solution provided real-time reporting, account escalation process and quality assurance for supervisory staff.  i3 also helped deliver staff training, create management reports, and policies and procedures.

By working closely with management, i3 was able to design, test, and implement an automated solution that reduced the time required by supervisory staff to identify high-risk accounts and provide direct focus to other revenue improvement initiatives. These changes contributed to reduced days revenue outstanding, increased cash collections, and created a senior management feedback loop to deliver sustained results.