Modernizing Revenue Cycle Performance in Health Systems

This case study details the collaboration between Impact Advisors and a not-for-profit health system to modernize its revenue cycle performance across nine hospitals and over 480 care locations. The organization faced challenges due to the acquisition of two hospitals and an Epic system upgrade, necessitating a comprehensive optimization program. The initiative focused on six key areas: Authorization Throughput, AR Management, Charge Reconciliation, Denial Prevention, Point-of-Service Collections, and Payment Variance. Through assessments and workflow mapping, the team identified inefficiencies and implemented sustainable solutions. Notable improvements included a 25% increase in AR productivity, $3.9 million additional revenue from charge reconciliation, and an $11 million increase in point-of-service collections. The case study highlights the establishment of centralized authorization processes, enhanced governance structures, and improved training programs, resulting in greater operational transparency and financial resilience for the health system.