Revenue Cycle
Management
Enterprise-wide
Assessments

 

An organization’s problems are typically complex and intertwined throughout its system. Insight Health Partners’ enterprise-wide review will furnish clarity of departmental flow as well as intensive financial detail. Our objective is to develop a performance improvement plan with a scope that will achieve your desired results. To get there, we perform a comprehensive review that covers all areas of operations, including-

  • Patient Care, and Managed Care

  • Medical Staffing, as well as Staffing Productivity

  • Clinical Programs and Services

  • Supply Chain and Support Services

  • Finance, and Information Systems

To optimize your Revenue Cycle, Insight Health Partners looks “behind the numbers” for the best value from every available resource. We consider all factors involved – from each individual facility’s environment to its payer mix – then compare your performance against industry benchmarks. Our Revenue Cycle Services offer clients the benefits of improved cash flow, realization of increased net revenue, and a decreased cost of collection. Specific processes we assess include –

  • Accounts receivable review, debt reserves, and charity

  • Cash and net patient revenue, Point-of-Service collections

  • Credit balance exposure, Denial avoidance process

  • Vendor expenses, Health information systems

  • Work teams, Staffing, Work Flows and Tools

 

Our goal is to create an environment for disciplined business practices in the clinical enterprise that allows the sustainable operating margins required for future investments, appropriate bond ratings, and the attainment of critical financial ratios. Working with a range of client organization types, we have developed standards and formulas for valuing resident teaching as well as benchmarks for appropriate strategic funding, administrative time and clinical practice income. IHP’s Funds Flow Assessments analyze time, effort, payment for services and strategic support by using mission-based allocation of funding and resource consumption as the guiding principle. For both hospital-owned physician groups and faculty practice plans, our approach can provide a viable transition from “deal-oriented” funding to a business planning model. We can also help define the amount and sources of revenue available for medical school departments and/or physician practices.

Sometimes one part of an organization flounders and the situation must be addressed before it negatively impacts the rest of the system. Insight will conduct a specific assessment and develop an improvement plan in areas such as:

  • Clinical Resource Management

  • Peri-operative Services

  • Case Management / Throughput

  • Revenue Cycle

  • Laborary

  • Information Technology / Systems

Funds Flow
Assessments
Focused Operational
Assessments

Provider Operations

 

  • Performance Improvement Strategies

  • Enterprise-wide Assessments

  • Revenue Cycle Management

  • Productivity Improvement

  • Focused Operational Assessments

  • Funds Flow Assessments

  • Case Management

Insight Health Partners’ services for Provider Operations are designed to offer objective, results-oriented advice to help you identify areas to improve your bottom line and establish a better patient experience. The IHP team has worked with hospitals, medical centers and health systems of all sizes and types, and from this knowledge base has developed a comprehensive methodology to analyze how people, processes, and systems work together to identify opportunities for improvement. Among the components we review are:

  • Patient access and registration

  • Charge capture and posting

  • Medical records coding and documentation

  • Claims billing and cash collections

  • Denial management

  • Care coordination

We develop a plan that includes recommendations for improvement in specific areas and describes the financial impact of the changes on your organization's bottom line.